[1]薛世萍,程麦莉,石丽丽.医院感染与护理管理探讨[J].西部中医药,2018,31(01):54-57.
　XUE Shiping,CHENG Maili,SHI Lili.Discussion on Hospital Infection and Nursing Management[J].Western Journal of Traditional Chinese Medicine,2018,31(01):54-57.
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医院感染与护理管理探讨()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年01期
页码:
54-57
栏目:
出版日期:
2018-01-07

文章信息/Info

Title:
Discussion on Hospital Infection and Nursing Management
文章编号:
1004-6852(2018)01-0054-04
作者:
薛世萍，程麦莉，石丽丽
甘肃省中医院公共卫生与医院感染管理处，甘肃 兰州 730050
Author(s):
XUE Shiping, CHENG Maili, SHI Lili
Department of Public Health and Hospital Infection Management, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
护理; 医院感染; 认知; 手卫生; 依从性; 培训
Keywords:
nursing;  hospital infection;  cognition;  hand hygiene;  compliance;  training
分类号:
R192.6
文献标志码:
A
摘要:
目的：了解护理人员对医院感染知识认知情况，为加强医院感染质量管理提供基础数据；调查护理人员手卫生依从性，为提高护理人员手卫生依从性提供依据；通过对护理人员进行医院感染相关知识的培训，效果评价，达到强化护理人员控制医院感染的意识，落实院感控制的各项措施。方法：从2014年6月至2015年6月，不定时暗访医院各科室护士的洗手情况。随机抽取医院各科室的护理人员作为培训对象，采用统一设计的调查表，调查培训前后护士对医院感控知识的知晓率。结果：护理人员不同手卫生指征的依从率不同，差异有统计学意义(P＜0.01)，接触体液后手卫生依从率最高，为100.00%，接触患者周围环境后手卫生依从率最低，为11.36%。护理人员在培训后对医疗废物的分类、医疗废物收集容器要求的知晓率与培训前差异无统计学意义(P＞0.05)，其余各项内容在培训后的知晓率均高于培训前，差异有统计学意义(P＜0.01)。结论：护士医院感染知识总体认知较低，手卫生依从性差，对护士进行医院感染控制知识的系统培训是提高医院感染知识认知度的重要途径。
Abstract:
Objective: To provide basic data for enhancing hospital infection quality management by surveying nursing staff's cognitive conditions to hospital infection; to provide the evidence for improving nursing staff's hand hygiene compliance by investigating their hand hygiene compliance; to reach the aims of enhancing nursing staff's sense of controlling hospital infection, and implement all the measures of hospital infection control by performing the nursing staffs' training of hospital infection related knowledge and assessing the effects. Methods: The washing hands conditions of the nurses in different department of hospital were investigated in secret randomly from June, 2014 to June, 2015. Nursing staff was randomly chosen from different departments of hospital as the trainees, the nurses' awareness rate to hospital infection control knowledge was investigated before and after the training by adopting the questionnaires. Results: The compliances of nursing staff's different indexes of hand hygiene were different, and there was a significant difference (P＜0.01). After contacting with body fluid, hand hygiene compliance was the highest, 100.00%, after contacting with the patients' surrounding environment, hand hygiene compliance was the lowest, 11.36%. The difference had no statistical meaning when the nursing staff's awareness rate to the classicification of medical waste and the requirements to the collection and container of medical waste after the training were compared to the rate before training (P＞0.05), the awareness rate of different contents after the training was higher than the rate before training, and the difference showed statistical meaning (P＜0.01). Conclusion: The Nurse's general cognition to hospital infection knowledge is lower; hand hygiene compliance is poor, systematic training of hospital infection controlling knowledge for the nurse is an important way to improve hospital infection knowledge cognition.

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备注/Memo

备注/Memo:
收稿日期：2017-10-27 作者简介：薛世萍(1974—)，女，硕士学位，副主任医师。研究方向：医院感染。
更新日期/Last Update: 2018-01-15