Please wait a minute...
文章检索
预防医学  2018, Vol. 30 Issue (11): 1088-1091    DOI: 10.19485/j.cnki.issn2096-5087.2018.11.003
  论著 本期目录 | 过刊浏览 | 高级检索 |
基于“教学相长”理念的医护人员手卫生干预效果评价
赵志芳1, 夏国琴1, 陈菲儿2, 周素兰1, 戴春美1
1.浙江省立同德医院医院感染管理科,浙江 杭州 310012;
2.浙江中医药大学护理学院
The effects of“to teach is to learn”idea on improving hand hygiene compliance of health care workers
ZHAO Zhi-fang*, XIA Guo-qin, CHEN Fei-er, ZHOU Su-lan, DAI Chun-mei
*Department of Nosocomial Infection Management,Tongde Hospital of Zhejiang Province,Hangzhou,Zhejiang 310012,China
全文: PDF(445 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 评价基于“教学相长”理念的医护人员手卫生干预效果,为提高医护人员手卫生依从性和控制医院感染提供依据。方法 采用整群随机抽样方法,抽取浙江省立同德医院外科4个住院病区在职医护人员108人,按抽取顺序分别纳入干预组和对照组。对照组开展手卫生常规培训,干预组基于“教学相长”理念,由医护人员指导患者及其陪护人员正确洗手方法,评价两组干预3、6、9和12个月后的手卫生知识、态度、行为和依从性。结果 干预12个月后,干预组医护人员接触患者前、清洁/无菌操作前、接触患者后、接触患者体液后和接触患者周围环境后5个时刻及总体的手卫生依从率分别为60.83%、63.33%、80.00%、99.17%、80.83%和76.83%;对照组分别为38.33%、40.83%、64.17%、95.83%、52.50%和58.33%。干预组医护人员5个时刻及总体手卫生依从率的提高幅度均大于对照组(P<0.05);干预组手卫生知识知晓率、态度持有率和行为形成率分别为94.55%、92.73%和85.45%;对照组分别为86.79%、60.38%和52.83%;干预组手卫生态度持有率和行为形成率提高幅度均大于对照组(P<0.05),两组手卫生知识知晓率差异无统计学意义(P>0.05)。结论 基于“教学相长”理念的干预能提高医护人员手卫生依从性,养成正确的手卫生习惯。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
赵志芳
夏国琴
陈菲儿
周素兰
戴春美
关键词 教学相长手卫生依从性医院感染    
AbstractObjective To investigate the effect of teaching and learning intervention measures on improving hand hygiene compliance of health care workers,and to provide a basis for improving the compliance of health care workers' hand hygiene and controlling hospital infections.Methods A total of 108 in-service health care workers in the Tongde Hospital of Zhejiang Province were selected,and the control group implemented the conventional hand hygiene promotion strategy based on hand hygiene training. The intervention group was based on the concept of “to teach is to learn”and the method of teaching the patients and their caregivers to wash their hands properly. The knowledge,attitudes,behaviors and compliance of hand hygiene after 3,6,9 and 12 months of intervention between two groups were evaluated.Results After 12 months of intervention,the hand hygiene compliance rates of the health care workers in the intervention group before contacting the patients,before cleaning/aseptic operation,after contacting with the patient,after contacting with the patient's body fluid,after contacting with the patient's environment and overall was 60.83%,63.33%,80.00%,99.17%,80.83% and 76.83%;the above rates in the control group were 38.33%,40.83%,64.17%,95.83%,52.50% and 58.33%,respectively. The improvement of hand hygiene compliance rate in the intervention group were higher than those in the control group(P<0.05). The health knowledge awareness rate,attitude correctness rate and behavior formation rate in the intervention group were 94.55%,92.73% and 85.45%,respectively;the above rates in the control group was 86.79%,60.38% and 52.83%,respectively;the rates of having the right hand hygiene attitude and behavior were higher in the intervention group than those in the control group (P<0.05),but there was no statistical significant difference in the awareness of hand hygiene knowledge between the two groups. (P>0.05).Conclusion Intervention based on the concept of“to teach is to learn”can improve the compliance of hand hygiene among health care workers and develop good habits of hand hygiene.
Key wordsTo teach is to learn    Hand hygiene    Compliance    Hospital-acquired infection
收稿日期: 2018-06-26      修回日期: 2018-08-16      出版日期: 2018-11-06
中图分类号:  R197.32  
基金资助:中华医院感染控制研究基金项目(ZHYY2015-0028)
作者简介: 赵志芳,硕士,副主任护师,主要从事医院感染控制管理工作
通信作者: 赵志芳,E-mail:zzfang@163.com   
引用本文:   
赵志芳, 夏国琴, 陈菲儿, 周素兰, 戴春美. 基于“教学相长”理念的医护人员手卫生干预效果评价[J]. 预防医学, 2018, 30(11): 1088-1091.
ZHAO Zhi-fang, XIA Guo-qin, CHEN Fei-er, ZHOU Su-lan, DAI Chun-mei. The effects of“to teach is to learn”idea on improving hand hygiene compliance of health care workers. Preventive Medicine, 2018, 30(11): 1088-1091.
链接本文:  
https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2018.11.003      或      https://www.zjyfyxzz.com/CN/Y2018/V30/I11/1088
[1] MCLEAN H S,CARRIKER C,BORDLEY W C. Good to great:quality-improvement initiative increases and sustains pediatric health care worker hand hygiene compliance [J]. Hosp Pediatr,2017,7(4):189-196.
[2] PITTET D,ALLEGRANZI B,BOYCE J. The World Health Organization guidelines on hand hygiene in health care and their consensus recommendations[J]. Infect Control Hosp Epidemiol,2009,30(7):611-622.
[3] LINAM W M,MARGOLIS P A,ATHERTON H,et al. Quality- improvement initiative sustains improvement in pediatric health care worker hand hygiene[J]. Pediatrics,2011,128(3):e689- e698.
[4] World Health Organization. WHO guidelines on hand hygiene in health care[M]. Geneva:World Health Organization,2009.
[5] 孙惠惠,王佳奇,张流波,等.国内50家医院医务人员手卫生现状调查[J].中国消毒学杂志,2017,34(2):155-157.
[6] 刘玉春,朱继辉,陈少梅,等.医务人员手和手机卫生状况调查 [J].浙江预防医学,2015,27(2):184-186.
[7] 程龙慧,丁洁,肖培,等. 医护人员手卫生依从性及正确率的Meta分析[J]. 中国感染控制杂志,2018,17(2):126-131.
[8] MARQUES D S C,CARVALHO R,TONIOLO A R,et al. Multiple interventions in a postanesthesia care unit: impact on hand hygiene compliance[J]. Am J Infect Control,2017,45(10):1171-1173.
[9] 沈玉宇,马珍,梁琪,等. 运用微信品管圈活动提高医务人员手卫生依从性[J]. 中国感染控制杂志,2017,16(4):310-313.
[10] 潘虹,柯云楠,韩硕,等.基于WHO手卫生评估框架的医院手卫生现状分析[J]. 中国医院管理,2016,36(5):61-63.
[11] 周晓平,任阿可,黄继峥,等. 柔性管理措施对提高手卫生综合管理质量的效果评价[J]. 中华医院感染学杂志,2017,27(18):4274-4276.
[12] 李保强,薄存旭.“教学相长”本义复归及其教师专业发展价值 [J]. 教育研究,2012,33(6):129-135.
[13] 刘润晴. 积极心理学视阈下大学生行为习惯的养成研究[D]. 西安:西安工业大学,2017.
[14] WHO. Patient for patient safety [EB/OL].[2018-06-26] . http:// www.who.int/patientsafety/ patients for patient/zh.
[15] WHO. Guidance on engaging patients and patient organizations in hand hygiene initiatives[EB/OL] . [2018-06-26] . http://www.who.int/gpsc/5may/ tools/safetyclimate/en.
[16] 郑海威,陈双绒,芦丽嫦. 基层医院医务人员手卫生现状调查 [J]. 浙江预防医学,2014,26(1):80-82.
[1] 王剑铃, 沈小华, 李婷, 宋维红. 疗休养老年人老年综合评估结果分析[J]. 预防医学, 2025, 37(6): 593-597.
[2] 罗秀兰, 郑永韬, 倪梦姣, 鲁潮, 徐婷燕, 翁绩燕, 来芬华. 一起带状疱疹病例引起的医院水痘暴发疫情调查[J]. 预防医学, 2025, 37(5): 490-493.
[3] 王晓闪, 叶丽香, 陈莉, 李敏香, 王心语, 蔡小霞. 基于潜在剖面分析的慢性病住院患者服药依从性影响因素分析[J]. 预防医学, 2025, 37(3): 217-222.
[4] 刘宇丹, 张彩云, 郭明媚, 郑宇娟, 贾铭, 杨佳乐, 侯嘉宁, 赵华. 慢性病共病患者服药依从性影响因素的Meta分析[J]. 预防医学, 2024, 36(9): 790-795,800.
[5] 蒋鸣孝, 李剑, 黄旭云. 上城区结直肠癌筛查结果分析[J]. 预防医学, 2024, 36(6): 501-505.
[6] 葛晓蕾, 张伟波, 陈春梅, 朱有为, 刘彦丽, 谢斌, 蔡军, 朱益. 长效抗精神病药物治疗的精神分裂症病例分析[J]. 预防医学, 2024, 36(5): 412-415.
[7] 张红, 胡志明, 潘晓锋, 朱梦胜, 戴伟丽, 谢伊丽, 诸建方. 社区高血压患者Triangle分层分级管理效果评价[J]. 预防医学, 2023, 35(4): 350-354,358.
[8] 徐云辉, 应丹丹, 杨静. 中青年脑卒中患者功能锻炼依从性研究[J]. 预防医学, 2023, 35(2): 171-175.
[9] 罗发燕, 陈铁霞, 罗平平, 诸伟红. 慢性乙型肝炎患者服药依从性调查[J]. 预防医学, 2023, 35(11): 966-969,974.
[10] 彭迁, 罗美玲, 张英. 我国HIV/AIDS病例抗病毒治疗依从性的Meta分析[J]. 预防医学, 2023, 35(11): 975-980.
[11] 何亚盛, 张红霞, 倪银, 朱越燕, 彭敏, 杨丹红. 急诊重症监护病房住院患者医院感染的预测模型研究[J]. 预防医学, 2022, 34(9): 919-922.
[12] 郑沛, 卢丽微, 朱福乾, 戴曙杰. 永嘉县结直肠癌筛查结果分析[J]. 预防医学, 2022, 34(7): 727-731.
[13] 曹慧, 章丽英, 钱军. 产后盆底肌训练依从性的影响因素分析[J]. 预防医学, 2022, 34(7): 751-755.
[14] 孙菲菲, 楼晓红, 虞洪斌. 放射治疗患者医院感染的影响因素分析[J]. 预防医学, 2022, 34(5): 515-518,529.
[15] 张娆, 陈映, 钱叶红, 胡守玮, 褚庆霞. 基层医疗机构医务人员医院感染防控知识和行为调查[J]. 预防医学, 2022, 34(4): 424-428.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed