关键词:

医务人员, 手卫生, 医院感染, 循环管理法, 质控管理, 预防, 效果

Abstract:

Objective　To observe the effect of quality control management based on cycle management method in improving hand hygiene of medical staff and preventing hospital infection. Methods　This was a retrospective study. According to the implementation time of quality control management based on cycle management method in the Third People's Hospital of Hubei Province Affiliated to Jianghan University, the period from January to June 2023 was before the implementation, and the period from July to December 2023 was after the implementation. The medical staff before and after the implementation were the same batch, including 23 females and 7 males, aged 21-47 (33.27±3.15) years; for education level, there were 2 college students, 25 undergraduates and 3 postgraduates. Before and after the implementation, the qualified rate of hospital environmental sample test, qualified rate of medical staff's hand hygiene, mastered rate of knowledge of infection control, mastered rate of hygiene and disinfection skills, management quality, and hand hygiene compliance were compared. Paired t test and χ² test were used. Results　After the implementation, the qualified rates of environmental samples collected from disinfectants in use and surface of a random object were higher than those before the implementation, but the differences were not statistically significant (both P>0.05). After the implementation, the qualified rates of medical staff's hand hygiene before and after contacting with patients, before cleaning or sterile operation, and after contacting with patients' surroundings and body fluids were higher than those before the implementation [96.67% (29/30) vs. 70.00% (21/30), 90.00% (27/30) vs. 60.00% (18/30), 56.67% (17/30) vs. 26.67% (8/30), 93.33% (28/30) vs. 70.00% (21/30), 96.67% (29/30) vs. 76.67% (23/30)] (all P<0.05). After the implementation, the scores of infection control knowledge and disinfection skills of medical staff were higher than those before the implementation [(87.56±5.24) points vs. (76.29±7.83) points, (91.27±3.11) points vs. (84.59±5.14) points] (both P<0.05). After the implementation, the scores of quality of environmental management, awareness of risk prevention, and safety identification ability of medical staff were higher than those before the implementation [(88.35±4.05) points vs. (79.52±6.18) points, (87.43±3.72) points vs. (76.82±5.59) points, (91.35±2.47) points vs. (83.98±4.16) points] (all P<0.05). After the implementation, the hand hygiene compliance rate of medical staff was higher than that before the implementation [70.38% (221/314) vs. 39.02% (119/305)] (P<0.05). Conclusion　Quality control management based on cycle management method can enhance the medical staff's compliance with hand hygiene and awareness of hospital infection prevention and control, thereby improving the quality of hospital infection prevention and control.

Key words:

Medical staff, Hand hygiene, Hospital infection, Cycle management method, Quality control management, Prevention, Effect