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目的:探讨预见性护理在ICU手卫生管理中的应用效果。方法:于2014年1月~2015年12月期间抽查150名医务人员,分为实施前(2014年1~12月)和实施后(2015年1~12月),对纳入研究的对象进行手卫生知识考试、规范洗手法的正确率、洗手率、手卫生依从率等方面的考察。对比实施预见性护理前后医务人员手卫生考试合格率、洗手率、手卫生依从率。结果:(1)和实施前(2014年1~12月)对比,实施后(2015年1~12月)手卫生知识考试合格率(90%)和七步洗手法考核正确率(92%)明显更高,数据比较差异显著,有统计学意义,P<0.05。(2)和实施前(2014年1~12月)对比,实施后(2015年1~12月)接触患者前后(95%)、脱手套后(87%)、无菌操作前后(93%)、接触患者体液后洗手率(97%)明显更高,数据比较差异显著,有统计学意义,P<0.05。(3)和实施前(2014年1~12月)对比,实施后(2015年1~12月)医务人员手卫生依从率(97%)明显更高,数据比较差异显著,有统计学意义,P<0.05。结论:预见性护理在ICU手卫生管理中的应用效果显著,有效地提高医务人员手卫生知识认识程度,提高其洗手依从率,提高其洗手率,为重症监护室ICU感染率的降低提供有力的保证。
Objective: To explore the application of predictive nursing in ICH hand hygiene management. Methods: From January 2014 to December 2015, 150 medical staff were randomly selected and divided into two groups: pre-implementation (January-December 2014) and post-implementation (January-December 2015) Health knowledge test, regulate the correct rate of hand-washing method, hand-washing rate, hand hygiene compliance rate and other aspects of the inspection. Before and after the implementation of predictive care medical staff hand hygiene examination pass rate, hand-washing rate, hand hygiene compliance rate. Results: (1) Compared with the pre-implementation (January-December 2014), the passing rate of hand hygiene knowledge test (90%) and the accuracy of seven-step hand washing method after implementation (from January to December 2015) Significantly higher, the data were significantly different, with statistical significance, P <0.05. (95%), (95%) before and after release of gloves (87%), and before and after aseptic operation (93%) compared with before implementation (from January to December 2014) , The rate of hand-washing after contact with the body fluid of patients was significantly higher (97%), the data were significantly different, with statistical significance, P <0.05. (3) Compared with the pre-implementation (January-December 2014), the compliance rate of hand-hygiene among medical staff (97%) was significantly higher after implementation (from January to December in 2015), the data showed significant difference and statistically significant, P <0.05. Conclusion: The prospective nursing has significant effect in the hand hygiene management of ICU, which effectively improves the understanding of hand hygiene knowledge of medical staff, improves the compliance rate of hand hygiene and improves the rate of hand washing, which provides a strong force for reducing ICU infection rate in intensive care unit Guarantee.