Investigation and intervention countermeasures of hand hygiene compliance of nurses in outpatient blood collection room
门诊采血室护理人员对手卫生依从性的调查与干预对策

摘要

目的 调查我院门诊采血室护理人员的手卫生依从性，根据调查结果分析出现这些情况的原因并实施相应的干预对策。方法 先对我院门诊采血室护理人员的手卫生知识、手卫生执行情况与洗手方法进行调查，然后询问相关人员，观察他们的日常行为，总结手卫生依从性不足的原因，针对出现的问题提出相应干预对策,对策实施后再统计手卫生情况。结果 对策实施后手卫生知识合格率、手卫生执行合格率、洗手方法正确率明显高于实施前，差异有统计学意义（P<0.05）。结论 我院门诊采血室护理人员对手卫生依从性受到自身因素和医院客观因素影响，为此提出了完善手卫生相关制度、定时组织培训与考核、增加洗手设施及资源等干预对策，有效改善了护理人员手卫生情况，降低院内感染发生频率。

Abstract

Objective To investigate the hand hygiene compliance of nurses in outpatient blood collection room of our hospital, analyze the causes of these situations according to the survey results, and implement the corresponding intervention countermeasures.
Methods: first investigate the hand hygiene knowledge, implementation of hand hygiene and hand washing methods of nurses in outpatient blood collection room of our hospital, then ask relevant personnel, observe their daily behavior, summarize the causes of insufficient hand hygiene compliance, put forward corresponding countermeasures for the problems, and then count the hand hygiene situation after the implementation of the countermeasures.
Results: after the implementation of the countermeasures, the qualified rate of hand hygiene knowledge, the qualified rate of hand hygiene implementation and the correct rate of hand washing methods were significantly higher than those before the implementation (P< 0.05).
Conclusion  : the hand hygiene compliance of nurses in outpatient blood collection room of our hospital is affected by their own factors and objective factors of the hospital. Therefore, intervention countermeasures such as improving hand hygiene related systems, regularly organizing training and assessment, increasing hand washing facilities and resources are put forward, which can effectively improve the hand hygiene of nurses and reduce the frequency of nosocomial infection.