保洁员手卫生依从性培训对高原肺心病住院患者肺部感染的影响分析

发布时间：2018-04-12 23:06

  本文选题：保洁员 + 手卫生依从性　； 参考：《中华医院感染学杂志》2017年03期

【摘要】：目的探讨保洁员手卫生依从性培训对高原肺心病住院患者肺部感染的影响,为降低肺部感染发生率提供参考依据。方法对2015年12月-2016年5月医院上岗11名保洁员进行手卫生依从性培训,比较培训前后共37例患者肺部感染发生率、保洁员手部细菌总数及手卫生依从性。结果培训前,受检患者的肺部感染率为20.00%,培训后,受检患者的肺部感染率为5.88%;培训前,11名保洁员手部细菌总数均超过10CFU/cm~2,其中11~100CFU/cm~2 3例,101~500CFU/cm~2 6例,500CFU/cm~2 2例;培训后,11名保洁员的手部细菌总数均不超过500CFU/cm~2,其中≤10CFU/cm~2 7例,11~100CFU/cm~2 2例,101~500CFU/cm~2 2例。培训前,保洁员操作前、操作后、接触患者前、接触患者后的手卫生依从性分别为54.55%、36.36%、63.64%、63.64%,培训后分别为81.82%、72.73%、72.73%、90.91%。结论开展保洁员手卫生依从性培训能够降低高原肺心病住院患者肺部感染的发生风险,提高保洁员手卫生依从性,值得临床推广。
[Abstract]:Objective to investigate the effect of hand hygiene compliance training on pulmonary infection in hospitalized patients with cor pulmonale at high altitude and to provide reference for reducing the incidence of pulmonary infection.Methods from December 2015 to May 2016, 11 nurses were trained in hand hygiene compliance. The incidence of pulmonary infection, the total number of bacteria in hand and the hygienic compliance of hand were compared before and after training.Results before training, the lung infection rate of the tested patients was 20.00. After training, the pulmonary infection rate was 5.88, and the total number of bacteria in the hands of 11 cleaning workers was more than 10CFU / cm ~ (-2) before the training, including 3 cases of 11~100CFU/cm~2 (n = 3) and 26 cases (n = 26) of 500 CFU / cm ~ (-10) CFU / cm ~ (-1) / cm ~ (2).After training, the total number of bacteria in the hands of 11 cleaning workers was not more than 500CFU / cm ~ (-2), of which 7 cases were 鈮，

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