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目的:了解重症监护病房医护人员手卫生依从性,建立切实可行的干预措施,以提高手卫生依从性。方法:感染专职人员采用直接观察法和隐蔽观察法对重症监护病房医护人员的手卫生依从性进行监测。结果:干预后重症监护病房医护人员手卫生依从性为84.56%,明显高于干预前的44.32%,干预前后差异有统计学意义(P<0.001)。结论:加强培训及监督考核力度、改善手卫生设施、推广速干手消毒剂的使用、合理配置人力资源等一系列干预措施,可有效提高重症监护病房医护人员手卫生依从性。
OBJECTIVE: To understand hand hygiene compliance of ICU medical staff and to set up practical interventions to improve hand hygiene compliance. Methods: Infected full-time staff monitored the hand hygiene compliance of medical staff in intensive care unit by direct observation and covert observation. Results: The hand hygiene compliance of ICU medical staff was 84.56% after intervention, which was significantly higher than that before intervention (44.32%). The difference was statistically significant before and after intervention (P <0.001). Conclusion: A series of interventions such as strengthening training and supervision and examination, improving hand hygiene facilities, promoting the use of instant hand sanitizers, and rationally allocating human resources can effectively improve the hand hygiene compliance of medical staff in intensive care units.