PDCA循环管理对感染科手卫生执行情况的影响

摘要

目的 探讨应用计划-实施-检查-处理(PDCA)循环管理对感染科手卫生执行情况的影响.方法 选择我院感染科医务人员29名为研究对象,于2015年1月开始实施PDCA循环管理,比较实施前后医务人员手卫生执行依从性、手卫生知识考试及手卫生合格率情况.结果 PDCA循环管理实施后,感染科医务人员在接触患者前、接触患者后、接触患者周围环境后及无菌操作前、体液暴露后洗手率分别为89.00%、93.00%、60.50%、84.00%、96.00%,均较实施前的77.00%、81.00%、44.50%、65.00%及89.00%明显提高,差异均有统计学意义(P<0.05);手卫生知识考试及手卫生合格率分别为(91.21±12.14)分及96.55%,均较实施前的(82.38±10.25)分和75.86%明显提高,差异均有统计学意义(P<0.05).结论 感染科应用PDCA循环管理可以加强医务人员对手卫生相关知识的认识,有效提高手卫生的依从性,从而降低医院感染发生率.%Objective To investigate the effect of plan-do-check-action (PDCA) cycle management on the im-plementation of hand hygiene in Department of Infectious Diseases. Methods Twenty-nine medical staff members in Department of Infectious Diseases of our hospital were studied, and PDCA cycle management began to be implemented in January 2015. Before and after the implementation, the hygiene compliance, hand hygiene knowledge examination and hand hygiene pass rate were compared. Results After the implementation of the PDCA cycle management, the washing rate for before contact with patients, after contact with patients, after contact with the surrounding environment, before aseptic operation, after body fluid exposure were 89.00%, 93.00%, 60.50%, 84.00%, 96.00%, respectively, which were significantly higher than 77.00%, 81.00%, 44.50%, 65.00%, 89.00%before the implementation (P<0.05). The hand hygiene knowledge examination and hand hygiene pass rate were (91.21±12.14) and 96.55%, as compared with (82.38± 10.25) and 75.86% before implementation (P<0.05). Conclusion PDCA cycle management in Department of Infec-tious Diseases can enhance the understanding of the medical staff of hand hygiene-related knowledge, improve hand hy-giene compliance, thereby reducing the incidence of nosocomial infection.