Strengthening the hand hygiene management of medical staff to improve the effect of prevention and control of nosocomial infection in ICU
强化医护人员手卫生管理对提高ICU医院感染的防控效果

摘要

目的 分析强化医护人员手卫生管理对提高ICU医院感染防控效果的影响。方法 以2022年1-12月间本院50名医护人员以及同时期ICU病房收治的1381例患者为研究对象，以2022年1-6月为对照组（医护人员25名，患者657例）实施常规管理；以2022年7-12月为观察组（医护人员25名，患者724例），实施强化医护人员手卫生管理；统计2组医护人员手卫生认知度、手卫生执行合格率、手卫生管理效果、ICU住院患者医院感染发生率及ICU住院患者多药耐药菌检出率。结果 观察组医护人员手卫生认知度（洗手步骤、洗手时机、脱手套洗手）均高于对照组（P<0.05）。观察组手卫生执行合格率（洗手执行合格率、消毒执行合格率）高于对照组（P<0.05）。观察组手卫生管理效果（每日洗手次数、每月消毒液用量）优于对照组（P<0.05）。观察组患者医院感染发生率低于对照组（P<0.05）。观察组ICU住院患者多药耐药菌检出率低于对照组（P<0.05）。结论 强化医护人员手卫生管理可提升ICU医院感染防控效果，预防ICU患者医院感染发生，可行推广。

Abstract

Objective To analyze the impact of strengthening the hand hygiene management of medical staff on improving the effect of prevention and control of nosocomial infection in ICU.
Methods 50 medical and nursing staff and 1381 patients admitted to ICU in the same period from January to December 2022 were selected as the study subjects, and 25 medical and nursing staff and 657 patients were selected as the control group from January to June 2022 for routine management; Taking July to December 2022 as the observation group (25 medical staff and 724 patients), strengthen the hand hygiene management of medical staff; The recognition of hand hygiene, the qualified rate of hand hygiene implementation, the effect of hand hygiene management, the incidence of nosocomial infection in ICU inpatients and the detection rate of multidrug resistant bacteria in ICU inpatients were counted.
Results The awareness of hand hygiene (hand washing steps, hand washing time, hand washing off gloves) of the medical staff in the observation group was higher than that in the control group (P<0.05). The qualified rate of hand hygiene in the observation group (qualified rate of hand washing and disinfection) was higher than that in the control group (P<0.05). The effect of hand hygiene management in the observation group (daily hand washing times, monthly disinfectant dosage) was better than that in the control group (P<0.05). The incidence of hospital infection in the observation group was lower than that in the control group (P<0.05). The detection rate of multidrug resistant bacteria in ICU inpatients in the observation group was lower than that in the control group (P<0.05).
Conclusion   Strengthening the hand hygiene management of medical staff can improve the effect of prevention and control of nosocomial infection in ICU, and prevent the occurrence of nosocomial infection in ICU patients, which is feasible to promote.