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黄晓如.PDCA循环对医务人员手卫生依从性及医院感染发生率的影响[J].中国医药科学,2023,(20):172-175        基金项目:
PDCA循环对医务人员手卫生依从性及医院感染发生率的影响
The impact of PDCA cycle on hand hygiene compliance of medical personnel and nosocomial infection incidence
  
DOI:
中文关键词:  PDCA循环管理;医务人员;手卫生;依从性;医院感染
英文关键词:PDCA cycle management; Medical personnel; Hand hygiene; Compliance; Nosocomial infection
作者单位
黄晓如 广东省普宁市人民医院感染管理科,广东普宁 515399 
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中文摘要:
      [摘要] 目的 探讨PDCA循环管理模式对医务人员手卫生依从性及院内感染的影响。 方法 普宁市人民医院(本院)自2020年1月开始对医护人员手卫生执行情况实施PDCA循环管理,随机抽取在本院工作的60名医护人员作为研究对象。观察PDCA循环管理实施前(2019年1—11月)和PDCA循环管理实施后(2022年1—11月)医护人员手卫生依从性及院内住院患者感染率。 结果 PDCA循环管理实施后手卫生相关知识掌握度明显高于实施前,差异有统计学意义(P < 0.05);PDCA循环管理实施后无菌操作前、接触患者前、接触体液后、接触患者后以及接触周围环境后手卫生的依从率高于实施前,差异有统计学意义(P < 0.05);PDCA循环管理实施前本院住院患者院内感染发生率为1.79%,PDCA循环管理实施后本院住院患者院内感染发生率为0.52%,与PDCA循环管理实施前比较,PDCA循环管理实施后本院住院患者院内感染发生率更低,差异有统计学意义(χ2=20.613,P=0.000)。结论 PDCA循环管理能够有效地提高医护人员对手卫生执行的依从性,降低院内感染的发生概率,具有较高的安全性及可行性,值得临床大力推广使用。
英文摘要:
      [Abstract] Objective To explore the impact of PDCA cycle management mode on hand hygiene compliance of medical personnel and nosocomial infection. Methods Since January 2020, Puning People’s Hospital(Our hospital) has implemented PDCA cycle management on the implementation of hand hygiene of medical personnel. A total of 60 medical personnel who worked in the hospital were randomly selected as research subjects. The hand hygiene compliance of medical personnel and the infection rate of hospitalized patients before the implementation of PDCA cycle management (January to November 2019) and after the implementation of PDCA cycle management (January to November 2022) were observed. Results After the implementation of PDCA cycle management, the mastery of hand hygiene related knowledge was significantly higher than before, with statistically significant difference (P < 0.05). The compliance rate of hand hygiene before sterile operation, before contact with patients, after contact with body fluids, after contact with patients, and after contact with the surrounding environment after PDCA cycle management implementation was significantly higher than before implementation, with statistically significant difference (P < 0.05). Before implementation of PDCA cycle management, the probability of nosocomial infection among hospitalized patients in our hospital was 1.79%; After implementation of PDCA cycle management, the probability of nosocomial infection among hospitalized patients in our hospital was 0.52%. Compared with before the implementation of PDCA cycle management, the probability of nosocomial infection among hospitalized patients in our hospital was lower after the implementation of PDCA management (χ2=20.613, P=0.000). Conclusion PDCA cycle management can effectively improve the compliance of medical personnel with hand hygiene, reduce the incidence of nosocomial infections, and has high safety and feasibility, which is worthy of clinical promotion and use.
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