手卫生依从性对ICU多重耐药菌感染发病率影响的研究.docVIP

精品论文 参考文献 手卫生依从性对ICU多重耐药菌感染发病率影响的研究 刘仕莲 冷小艳 　　（四川省达州市中心医院 四川 达州 635000） 　　【摘要】 目的：调查手卫生依从性对ICU多重耐药菌感染发病率的影响，探讨手卫生在预防和控制多重耐药菌感染发病率中的作用。方法：对某院ICU医务人员手卫生依从性进行干预，并建立有效的监督管理机制，比较干预前（2013年1～12月）和干预后（2014年1～12月）医务人员手卫生依从率和多重耐药菌感染发病率。结果：干预前手卫生依从率为56.78 %，干预后手卫生依从率为74.15%，干预前后手卫生依从率具有统计学意义（chi;2＝164.47,P＜0.001）。干预前，ICU多重耐药菌感染发病率为 5.29 %，干预后多重耐药菌感染发病率为2.75 %，低于干预前；干预前后多重耐药菌感染发病率具有统计学意义（chi;2＝7.86,P＜0.01）。结论：提高手卫生依从性，可有效降低ICU多重耐药菌医院感染发病率。 　　【关键词】 手卫生；依从性；ICU；多重耐药菌；医院感染 　　【中图分类号】R37 【文献标识码】A 【文章编号】2095-1752（2016）07-0028-03 　　The Research on the Effects of ICU Multi-resistant Bacteria Incidence With Hand Hygiene Compliance Liu Shilian, Leng Xiaoyan. 　　The Central Hospital of Dazhou City, Sichuan Province, Dazhou 635000,China 　　【Abstract】Objective To investigate the effects of ICU multi-resistant bacteria infection incidence with hand hygiene compliance, and to discuss the function of hand hygiene in preventing and controlling of multi-resistant bacteria infection incidence. Methods To intervene the hand hygiene compliance of ICU medical staff in a hospital, and established an effective supervision and management mechanism. And then to compare the rate of medical staffrsquo;s hand hygiene compliance and multi-resistant bacteria infection incidence before and after the intervention. Results Before intervening hand hygiene compliance the rate was 56.78%, after that the rate was 74.15%, the hand hygiene compliance rate is statistically significant (chi;2 =164.47, Plt;0.001). Before intervention, ICU multi-resistant bacteria infection incidence was 5.29%, and after intervention it was 2.75%, which is lower than before. Multiple drug-resistant bacteria infection rates has statistical significance (chi;2 = 7.86, Plt; 0.01). Conclusion To improve hand hygiene compliance, which can effectively reduce the incidence of ICU infection multi-resistant bacteria in hospital. 　　【Key words】 Hand Hygiene; Compliance; ICU; Multi-resistant Bacteria; H