目的通过对分散工作模式下提高手卫生依从性综合干预措施的探讨,促进医务人员对手卫生的重视,达到知信行改变。方法 2013年3月在青岛市中心血站采取综合干预措施对手卫生进行干预,选取有监控装置采血单元的医务人员为研究对象,比较干预前后手卫生依从性的变化。结果干预前:手卫生应洗手2 476人次,实际洗手1 330人次,依从率为53.47%;正确洗手724人次,正确率为54.44%。干预后:手卫生应洗手2 595人次,实际洗手2 137人次依从率82.35%;正确洗手1 947人次,正确率为91.11%。干预前后依从率和正确率差异均有统计学意义(P<0.01)。结论采取的综合干预措施显著提高了血站采血人员手卫生的依从率和正确率,达到手卫生知信行改变的目的。 OBJECTIVE Through the discussion of comprehensive interventions to improve compliance with hand hygiene in decentralized mode of operation, the emphasis on hand hygiene of medical personnel is to be changed so as to achieve the goal of changing the status of information and communication. Methods In March 2013, comprehensive interventions were taken in central blood centers in Qingdao to intervene in hand hygiene. Medical staffs with blood collection units of monitoring devices were selected as research objects to compare the change of hand hygiene compliance before and after intervention. Results Before the intervention, 2471 handwashing hands and 1 330 handwashing were carried out manually. The compliance rate was 53.47%. The correct handwashing was 724 and the correct rate was 54.44%. After the intervention, 2 595 handwashing hands and 2 137 137 handwashing handicaps should be followed by hand hygiene; 1 947 handwashings should be done correctly, with a correct rate of 91.11%. The differences of compliance rate and correct rate before and after intervention were statistically significant (P <0.01). Conclusion The comprehensive interventions adopted significantly improve the compliance rate and correct rate of hand hygiene of blood collection staff, so as to achieve the purpose of changing the hand hygiene information.