【摘要】 目的了解世界卫生组织(WHO)"多模式手卫生促进策略"对提高医护人员手卫生依从性的影响。方法 2012年6—12月,采用WHO"多模式手卫生促进策略"对某院医护人员进行干预,比较干预前后医护人员手卫生依从性,评价干预措施效果。结果干预后,医生和护士的手卫生依从率分别为31.73%(79/249)、57.60%(163/283),均高于干预前[分别为14.06%(35/249)、28.62%(81/283)],差异具有统计学意义(均P<0.05)。除门急诊外,各科室干预前后手卫生依从率比较,差异均有统计学意义(均P<0.05);除"接触患者周围环境后",其余各类手卫生指征干预前后比较,差异均具有统计学意义(均P<0.05)。结论医院采用WHO"多模式手卫生促进策略"可有效提高医护人员手卫生依从性。更多还原

【Abstract】 Objective To realize the effect of WHO multimodal hand hygiene improvement strategy(MHHIS)on improving hand hygiene compliance of health care workers(HCWs).Methods From June to December 2012,HCWs in a hospital was intervened by adopting MHHIS,hand hygiene compliance rate before and after intervention was compared,and effectiveness of intervention was assessed.Results Hand hygiene compliance of doctors and nurses improved from14.06%(35/249)and 28.62%(81/283)before intervention to 31.73%(79/249)and 57.60%(163/283)after intervention respectively(both P<0.05).Except outpatient and emergency department,hand hygiene compliance of the other departments significantly improved(all P<0.05);hand hygiene compliance of various hand hygiene indicators significantly improved except‘after contact with patient surrounding’(all P<0.05),the differences were statistically different(P<0.05).Conclusion Using WHO MHHIS can effectively improve hand hygiene compliance of HCWs.更多还原