ICU重症侵袭性真菌感染老年患者家属手卫生应用品管圈的研究

Application of quality control circle on the hand hygiene of the family members of elderly patients with severe invasive fungal infection in ICU

  • 摘要: 目的 探讨品管圈在ICU重症侵袭性真菌感染老年患者家属手卫生中的应用价值,以期为真菌感染患者家属手卫生管理提供参考依据。方法 以医院2013年2月-2015年10月ICU重症侵袭性真菌感染老年患者直系家属70名为研究对象,随机分为观察组和对照组各35名;观察组家属施行品管圈对其手卫生进行干预,对照组施行常规教育管理措施进行手卫生干预;比较两组家属手卫生情况,数据采用SPSS 19.0软件进行统计分析。结果 观察组患者家属洗手意识差分布率为2.86%,显著优于对照组34.29%;观察组患者家属在洗手重要性、洗手方法及洗手指征等方面评分均显著高于对照组;观察组患者家属在接触患者前、接触患者后及接触患者周围环境后手卫生依从性均显著高于对照组,两组比较差异均有统计学意义(P<0.05)。结论 应用品管圈对ICU重症侵袭性真菌感染老年患者家属手卫生进行管理,能显著提高其家属手卫生意识、执行率和依从性,具有重要临床应用价值。

     

    Abstract: OBJECTIVE To explore the application values of quality control circle on the hand hygiene of the family members of elderly patients with severe invasive fungal infection in ICU, so as to provide reliable reference for the management of hand hygiene of the family members of the patients with fungal infection. METHODS A total of 70 family members of elderly patients with severe invasive fungal infection in ICU of our hospital from Feb. 2013 to Oct. 2015 were selected as the research objects, which were randomly divided into observation group and control group, with 35 cases in each group. The family members in the observation group were implemented the quality control circle to carry on the intervention for hand hygiene intervention, who in the control group were implemented the conventional education management measures for hand hygiene intervention. The hand hygiene situation of family members was compared in two groups and SPSS 19.0 was used for statistic analysis. RESULTS The poor awareness of hand washing of family members in observation group was 2.86%, which was significantly better than that of the control group 34.29%. The importance of hand washing, the methods of hand washing and the indications of hand washing in the observation group were significantly better than those in control group. The hand hygiene compliance rate before contacting patients, after contacting patient and after contacting the environment of family members in observation group was significantly better than that in control group (P<0.05). CONCLUSION The application of quality control circle to manage the family members of elderly patients with severe invasive fungal infection in ICU can significantly improve the health awareness, the implementation rate and compliance rate of family members, which has important clinical application value.

     

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