Analysis of intervention measures and effects on hand hygiene compliance of nursing staff_West China Medical Journal

Authors：

 NIU Hui , WANG Yudi , LIU Fengcai , LI Baojuan

Hospital Infection Management Section, Sichuan Science City Hospital, Mianyang, Sichuan, 621900, P. R. China;

Corresponding author：

NIU Hui, Email: 2601058390@qq.com

Keywords：

Nursing staff; Hand hygiene compliance; Questionnaire; Quick-drying hand disinfectant

DOI：

10.7507/1002-0179.201812072

Video：

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Objective To investigate the problems in the use of quick-drying hand disinfectants and formulate intervention measures to improve the hand hygiene compliance of nursing staff.Methods From February 2014 to June 2016, the hand hygiene compliance of nursing staff was continuously observed according to the hand hygiene observation table recommended by the World Health Organization. The questionnaire on the use of quick-drying hand disinfectants, which passed the reliability and validity test, was used to find out the reasons leading to the low compliance rate of hand hygiene among nurses, and pertinent interventions were formulated. From November 2016 to December 2017, intervention measures were gradually implemented throughout the hospital, and the hand hygiene compliance of nursing staff was continuously observed again. Then we compared the compliance rate of hand hygiene and the compliance rate of hygienic hand disinfection among nurses in the second quarter of 2016 (before intervention) with those in the last quarter of 2017 (after intervention).Results The compliance rates of hand hygiene and hygienic hand disinfection among nurses before intervention were 62.15% and 49.77%, respectively, and those after intervention were 91.64% and 90.80%, respectively. The differences were statistically significant (P<0.05).Conclusion The factors affecting the hand hygiene compliance of nursing staff are identified through questionnaires and targeted intervention measures have effectively improved the hand hygiene compliance rate of nursing staff.

Citation： NIU Hui, WANG Yudi, LIU Fengcai, LI Baojuan. Analysis of intervention measures and effects on hand hygiene compliance of nursing staff. West China Medical Journal, 2019, 34(4): 425-428. doi: 10.7507/1002-0179.201812072 Copy

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14.	王莹, 朱艳飞, 宋文静, 等. 手卫生依从性干预对 ICU 获得性耐甲氧西林金黄色葡萄球菌感染的影响. 中国实用护理杂志, 2016, 32(24): 1890-1893.
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16.	周艳华, 晏娟, 伍俊玲, 等. 开展手卫生活动对医务人员手卫生依从性的影响. 中国感染控制杂志, 2016, 15(3): 186-188.
17.	孔晓明, 王志棣, 朱晓露. 直观教育法对提高医护人员手卫生依从性的效果研究. 当代临床医刊, 2016, 29(4): 2323-2324.
18.	Song X, Stockwell DC, Floyd T, et al. Improving hand hygiene compliance in health care workers: strategies and impact on patient outcomes. Am J Infect Control, 2013, 41(10): e101-e105.
19.	李六亿, 袁建峰, 赵艳春, 等. 医疗综合目标评估对医务人员手卫生依从率的影响. 中国感染控制杂志, 2015, 14(1): 16-19.
20.	乔甫, 黄文治, 尹维佳, 等. 速干手消毒剂使用效期与消毒效果研究. 中华医院感染学杂志, 2015, 25(11): 2615-2616, 2631.

1. 李艳丽. 开展手卫生活动对医务人员手卫生依从性的影响. 健康前沿, 2018, 27(2): 228-229.
2. 顾姝钰. 某中医医院医护人员手卫生依从性现状调查. 基层医学论坛, 2017, 21(9): 1124-1125.
3. 魏巍, 荆鲁, 徐凤芹. 利用德尔菲法确立心血瘀阻证诊断标准. 中国中西医结合杂志, 2010, 30(6): 585-588.
4. 中华人民共和国卫生部. 医务人员手卫生规范: WS/T 313－2009, 2009.
5. 汪洪先. 手卫生宣传周活动前后医务人员手卫生依从性调查分析. 基层医学论坛, 2017, 21(3): 357-358.
6. 黄琼华. 院科两级医务人员手卫生依从性和正确率调查结果比较. 华西医学, 2015, 30(4): 717-720.
7. 贾会学, 贾建侠, 赵艳春, 等. 医务人员手卫生依从率及手卫生方法调查分析. 中华医院感染学杂志, 2010, 20(21): 3341-3343.
8. 赵岚, 孙利华. 医护人员对手卫生的认知误区及影响手卫生执行的因素调查. 中华医院感染学杂志, 2008, 18(10): 1410-1412.
9. 卫生部医管司, 中国医院协会. 三级综合医院评审标准实施细则. 北京: 人民卫生出版社, 2011.
10. 中华人民共和国卫生部, 中国国家标准化管理委员会. 手消毒剂卫生要求: GB 27950－2011, 2009.
11. 黄静铭. 集束化管理对重症监护室医护人员手卫生依从性的影响. 全科护理, 2017, 15(7): 850-852.
12. 张晴晴, 马雅丹. 医务人员手卫生的依从性调查与研究. 饮食保健, 2017, 4(24): 373.
13. 张红忠, 付旻, 杜文娟, 等. 手卫生设施现状调查及改进对策. 白求恩医学杂志, 2017, 15(1): 30-32.
14. 王莹, 朱艳飞, 宋文静, 等. 手卫生依从性干预对 ICU 获得性耐甲氧西林金黄色葡萄球菌感染的影响. 中国实用护理杂志, 2016, 32(24): 1890-1893.
15. 刘欢, 刘佳, 谢建飞, 等. 隐蔽式现场观察器官移植医务人员手卫生的依从性. 中国感染控制杂志, 2018, 17(7): 631-634, 641.
16. 周艳华, 晏娟, 伍俊玲, 等. 开展手卫生活动对医务人员手卫生依从性的影响. 中国感染控制杂志, 2016, 15(3): 186-188.
17. 孔晓明, 王志棣, 朱晓露. 直观教育法对提高医护人员手卫生依从性的效果研究. 当代临床医刊, 2016, 29(4): 2323-2324.
18. Song X, Stockwell DC, Floyd T, et al. Improving hand hygiene compliance in health care workers: strategies and impact on patient outcomes. Am J Infect Control, 2013, 41(10): e101-e105.
19. 李六亿, 袁建峰, 赵艳春, 等. 医疗综合目标评估对医务人员手卫生依从率的影响. 中国感染控制杂志, 2015, 14(1): 16-19.
20. 乔甫, 黄文治, 尹维佳, 等. 速干手消毒剂使用效期与消毒效果研究. 中华医院感染学杂志, 2015, 25(11): 2615-2616, 2631.

West China Medical Journal

Analysis of intervention measures and effects on hand hygiene compliance of nursing staff

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