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目的了解新生儿重症监护室(NICU)医护人员手卫生执行情况,探讨提高手卫生执行率的有效管理方法。方法自行设计调查问卷和观察表单,对NICU医护人员的手卫生知识和手卫生依从性进行调查,根据调查结果采用综合管理方法进行干预,并对比干预前后的效果。结果手卫生知识的知晓率从72.3%提高至93.9%,手卫生执行率从56.5%提高至75.7%,手卫生合格率也从86.0%提升到96.0%。结论 NICU手卫生管理中应用形式多样的培训考核、改善设施树立榜样、提高意识建立信念、采取适当奖罚措施等综合管理方法能有效提高的手卫生执行率。
Objective To understand the implementation of hand hygiene of medical staff in neonatal intensive care unit (NICU) and to explore an effective management method to improve hand hygiene implementation rate. Methods The questionnaire and observation form were designed by ourselves. The hand hygiene knowledge and hand hygiene compliance of NICU medical staff were investigated. According to the results of the survey, an integrated management method was used to intervene and compare the results before and after the intervention. Results The awareness rate of hand hygiene was increased from 72.3% to 93.9%, the rate of hand hygiene was increased from 56.5% to 75.7%, and the passing rate of hand hygiene was also increased from 86.0% to 96.0%. Conclusion The implementation of hand hygiene practices in NICU hand hygiene management can be effectively improved by applying various forms of training and assessment, improving the facilities to establish role models, raising awareness and establishing beliefs, adopting appropriate penalties and other comprehensive management methods.