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目的探讨PDCA循环管理在妇科医务人员手卫生管理中的应用价值。方法纳入在广东省妇幼保健院妇科工作的42名医务人员作为研究对象,在42名医务人员的手卫生管理中应用PDCA循环管理,对比应用PDCA循环管理前后42名医务人员的手卫生依从率、手卫生知识知晓率、手卫生合格率,分别抽取应用PDCA循环管理前后两个时间段内在妇科住院治疗的40例患者的临床资料,对比两个时间段内两组患者的院内感染发生率。结果 42名妇科医务人员应用PDCA循环管理后的手卫生依从率、手卫生知识知晓率、手卫生合格率均明显提高,与应用PDCA循环管理前比较差异均有统计学意义(P<0.05),应用PDCA循环管理后抽取的40例患者的院内感染发生率为2.5%,较应用PDCA循环管理前抽取的40例患者的20.0%低,差异有统计学意义(P<0.05)。结论 PDCA循环管理在妇科医务人员手卫生管理中的应用,可有效改善妇科医务人员的手卫生状况,有利于降低妇科住院患者的院内感染发生率,值得各大医院引进应用。
Objective To explore the value of PDCA cycle management in the hand hygiene management of gynecological medical staff. Methods Forty-two medical staff in gynecology department of MCH hospital of Guangdong Province were enrolled in this study. PDCA cycle management was applied in the hand hygiene management of 42 medical staffs. The compliance rate of hand hygiene of 42 medical staff before and after PDCA cycle management was compared. The awareness rate of hand hygiene knowledge and the hand hygiene qualification rate were respectively collected from 40 patients who were hospitalized in gynecology department before and after PDCA cycle management. The incidence of nosocomial infection was compared between the two groups within two time periods. Results 42 cases of gynecological medical staff who applied PDCA cycle management had significantly higher rate of hand hygiene compliance, awareness of hand hygiene awareness and hand hygiene rate than before PDCA cycle management (P <0.05) The incidence of nosocomial infection was 2.5% in 40 patients drawn after PDCA cycle management, which was lower than 20.0% in 40 patients sampled before PDCA circulation management. The difference was statistically significant (P <0.05). Conclusion The application of PDCA cycle management in the hand hygiene management of gynecological medical staff can effectively improve the hand hygiene status of gynecological medical staff and reduce the incidence of nosocomial infections in gynecological inpatients, which is worth the introduction and application of major hospitals.