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目的:评价强化重症加强护理病房(ICU)医务人员手卫生管理措施对防控医院感染的影响及其管理对策。方法:选取2015年10月—2017年2月期间医院ICU医护人员50例手卫生记录资料,采用随机信封法将其分为常规组和强化组(每组25例),常规组医护人员给予常规管理干预,强化组医护人员给予强化手卫生管理措施干预,比较两组医护人员对手卫生的认知度、执行率和患者感染的发生率及手微生物菌数的合格率。结果:强化组医护人员对手卫生的认知度、执行率及手微生物菌数的合格率高于常规组(P<0.05),医护人员感染的发生率低于常规组(P<0.05)。结论:强化ICU医务人员手卫生管理对医院感染防控意义重大,提高了医护人员对手卫生的认知度、执行率及手微生物菌数的合格率,降低了感染的发生率。
Objective: To evaluate the impact of intensified hand hygiene management measures for intensive care units (ICUs) on the prevention and control of nosocomial infections and their management strategies. Methods: Fifty cases of hand hygiene records of ICU staff in hospital from October 2015 to February 2017 were selected and divided into routine group and intensive group (25 cases in each group) by random envelope method. The routine medical staff were given conventional Management interventions to strengthen the group of health care workers to strengthen management intervention measures to strengthen the hand hygiene, health care workers in the two groups of awareness, implementation rate and the incidence of infection and the number of microbial microbial qualified rate. Results: The cognition rate, implementation rate and hand microbial count of health workers in intensive group were higher than those in routine group (P <0.05). The incidence of medical staff infection was lower than that of routine group (P <0.05). CONCLUSION: Intensive ICU medical staff hand hygiene management is of great significance to the prevention and control of nosocomial infections, which enhances the cognition, implementation rate and the passing rate of hand microorganisms of medical staff, and reduces the incidence of infection.