Study On ICU Hand Hygiene Investigation And Intervention Of Medical Staff

【Object】This paper discussed efficient strategy to improve hand hygiene compliance and quality through investigation and intervention on the present situation of ICU medical staff from three upper first-class hospitals in Nanjing and their mastering of hand hygiene knowledge, aiming to enhance the hand hygiene concept and compliance of ICU medical staff and to strengthen their concept of controlling nosocomial infection. This paper provides scientific evidence for the prevention, control and management of nosocomial infection, reduce nosocomial infection rate, which is very urgent and important with great social and economic effect.【Methods】Use the investigative method of quantitative.Firstly,90 medical staff from three upper first-class hospitals in Nanjing were randomly chosen as subjects. Secondly, observation and questionnaire methods were adopted to collect their behavior and knowledge of hand hygiene as well as the facts that would affect hand hygiene compliance;and then behavior intervention was acted on the previous 90 subjects. One month later, observation method was used to collect hand hygiene behavior of 90 subjects to evaluate effects before and after intervention.【Results】The hand hygiene rates of ICU staff before and after intervention were 21.70% and 53.20% respectively, of which the hand hygiene rates of ICU doctors before and after intervention were 17.86% and 41.50%; ICU nurses 22.86%and 56.40%; ICU non-regular staff 21.71% and 53.17%, The statistics suggested significant differences before and after intervention due to diversity in positional titles, working years, educational backgrounds and ages. Moreover, the facts that affected hand hygiene dependency were busyness with work (58.1%), infection containers of soap lye (43.5%) and dry skin caused by skin irritation from detergent and hand disinfector (41.9%).[Conclusions] Bundle behavior intervention can enhance the hand hygiene dependent tare of ICU medical staff. Further improvement concerning hand hygiene situation of ICU medical staff and the exploration into strengthening regarding executing hand hygiene behavior and nosocomial infection control are expected.