作　　者： (卢起飞）; (邹毅）; (陈泽惠）; (沈婉卿）; (杨丽）;

机构地区： 毕节市第一人民医院门诊部,贵州毕节551700

出　　处： 《中华医院感染学杂志》 2017年第15期3583-3585,3589,共4页

摘　　要： 目的探讨集束化行为干预,为提高护理人员洗手依从性的效果。方法选择2015年1月-2016年1月医院重点病房护士120名作为分组干预对象,随机分为干预组和对照组,各60名;对照组护理人员接受本院传统护理操作前洗手管理规范,干预组护理人员接受本课题人员制订集束化干预;记录和比较两组护理人员洗手效果、洗手依从性,数据采用SPSS 19.0软件对数据进行统计分析。结果干预组护理人员洗手合格率98.80%,显著高于对照组的92.44%;干预组护理人员洗手时间为(3.49±0.64)min,显著高于对照组的(2.02±0.58)min;干预组护理人员洗手液用量为(1.38±0.47)ml、消毒液用量(1.76±0.26)ml,显著高于对照组护理人员的(1.21±0.42)ml、(1.28±0.21)ml,差异均有统计学意义(P<0.05)。结论通过集束化行为干预能够显著延长护理人员洗手时间,增加消毒液用量,提高护理人员洗手合格率。 OBJECTIVE To explore the effect of cluster behavior intervention on improving the hand washing compliance of nurses.METHODS A total of 120 cases of nurses were selected as the intervention objects in our hospital from Jan.2015 to Jan.2016.All the nurses were randomly divided into intervention group and control group,with 60 cases in each group.The nursing staff of control group were given the traditional nursing care before the operation of hand washing management,and the nursing staff of intervention group were given the cluster behavior intervention.The effect of hand washing and hand washing compliance of the two groups were recorded and compared.The data were statistically analyzed by SPSS 19.0.RESULTS The qualified rate of nursing staff in intervention group was 98.80% ,which was significantly higher than 92.44% in control group,the time of hand washing in intervention group was（3.49±0.64）min,which was significantly higher than（2.02±0.58）min in control group,the usage amounts of hand sanitizer and disinfectant of intervention group were（1.38±0.47）ml and（1.76±0.26）ml,which were significantly higher than（1.21±0.42）ml and（1.28±0.21）ml of control group（P〈0.05）.CONCLUSIONCluster behavior intervention can prolong the time of hand washing,increase the dosage of disinfectant and improve the qualified rate of hand washing of nurses.

关 键 词： 集束化行为干预 护理人员 洗手依从性