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目的探讨PDCA循环在基层医院手卫生管理的应用及效果评价。方法选取斗门地区基层医院在职医护人员400例作为观察对象,调查分析其手卫生现况,应用PDCA循环在基层医院进行手卫生管理及评价,并根据调查结果制定干预措施并实施。比较干预前后医护人员手卫生问卷正确率、手卫生执行率、洗手规范率及手部细菌携带率。结果医院感染和手卫生状况调查结果显示,干预后医护人员对手卫生问卷正确率从干预前的47%提高到87%,手卫生执行率从干预前的37%提高到82%,洗手规范率从干预前的33%提高到91%,手部细菌携带率从干预前的26%下降到16%,比较差异均具有统计学意义(χ~2=144.731、168.067、285.569、12.055,P<0.05)。结论 PDCA循环在基层医院手卫生管理的应用,可提高本地区医务人员手卫生依从性,提高本地区医院感染管理水平,达到最终降低医院感染率的目标。
Objective To explore the application of PDCA circulation in hand hygiene management in primary hospitals and its effect evaluation. Methods 400 cases of in-service medical workers in Doumen district primary hospital were selected as observation objects. The hand hygiene status was investigated and analyzed. Hand hygiene management and evaluation were conducted in primary hospitals by PDCA cycle. Intervention measures were formulated and implemented according to the survey results. Before and after intervention, health care workers hand hygiene questionnaire accuracy rate, hand hygiene implementation rate, hand-washing standard rate and hand bacteria carrying rate. Results The results of hospital infection and hand hygiene showed that the correct rate of hand hygiene questionnaire after medical intervention was raised from 47% before intervention to 87% and hand hygiene rate from 82% before intervention to 82% 33% before intervention increased to 91%, hand bacteria carrier rate from 26% before intervention decreased to 16%, the difference was statistically significant (χ ~ 2 = 144.731,168.067,285.569,12.055, P <0.05) . Conclusions The application of PDCA cycle in hand hygiene management in primary hospitals can improve hand hygiene compliance of medical staff in this region and improve the level of nosocomial infection management in this region so as to finally reduce the hospital infection rate.