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目的探索利用5M1E质量分析工具为基础的手卫生综合干预措施对儿科医院感染的影响。方法监测某院儿科29名医务人员手卫生情况,2015年4—6月为手卫生本底调查时间,采用5M1E质量分析工具,查找影响儿科手卫生依从率的各方面因素,2015年6月开始采取干预措施,与2015年7月—2016年3月手卫生情况进行比较。并分析比较2014年7月—2015年3月与2015年7月—2016年3月医院感染发病情况。结果医务人员手卫生依从率2015年4—6月为30.86%,2016年1—3月上升至81.94%;手卫生正确率则从68.14%上升至93.75%;医务人员手卫生依从率及正确率均呈逐渐上升趋势(χ~2值分别为2 608.626、630.798,均P<0.001)。手卫生采样合格率由2015年4—6月的20.69%上升至2016年1—3月的89.66%(χ~2=31.957,P<0.001)。医院感染发病率由2014年7月—2015年3月的7.74%下降至2015年7月—2016年3月的3.62%(χ~2=46.717,P<0.001)。结论采用5M1E质量分析工具对儿科医务人员手卫生情况进行分析调查和综合干预,提升了医务人员手卫生依从率,降低了儿科患者医院感染发病率。
Objective To explore the impact of comprehensive hand hygiene interventions on pediatric hospital infection using 5M1E quality analysis tools. Methods The hand hygiene status of 29 medical staff in a hospital was monitored. From April to June 2015, the hand hygiene background investigation time was used. The 5M1E quality analysis tool was used to find out the various factors that affect the compliance rate of pediatric hand hygiene. From June 2015 Interventions were taken to compare with hand hygiene in July 2015-March 2016. And analyzed and compared the incidence of nosocomial infections in July 2014-March 2015 and July 2015-March 2016. Results The hand hygiene compliance rate of medical staff was 30.86% in April-June 2015, up to 81.94% in January-March 2016, and the correct rate of hand hygiene increased from 68.14% to 93.75%. The compliance rate and the correct rate of hand hygiene in medical staff All showed a gradual upward trend (χ ~ 2 values were 2 608.626,630.798, both P <0.001). The passing rate of hand hygiene sampling increased from 20.69% in April-June 2015 to 89.66% in January-March 2016 (χ ~ 2 = 31.957, P <0.001). The incidence of nosocomial infections decreased from 7.74% in July 2014-March 2015 to 3.62% in July 2015-March 2016 (χ ~ 2 = 46.717, P <0.001). Conclusions The 5M1E quality analysis tool is used to analyze and intervene hand hygiene situation of pediatric medical staff, which improves the hand hygiene compliance rate of medical staff and reduces the incidence of nosocomial infection in pediatric patients.