Abstract：Objective To explore the influence of comprehensive hand hygiene intervention for children’s accompanying family members on the control of nosocomial infection. Methods The accompanying family members of 983 hospitalized children who admitted to the pediatric general ward of Chongqing Jiangjin Center Hospital from January to December 2019 were selected as the research objects. According to the hospitalization number of the children, they were divided into the observation group (475 people) and control group (508 people). Special education and guidance on hand hygiene (informing the importance of hand hygiene, explaining and guiding the correct seven-step hand washing method, placing quick hand sanitizer and hand hygiene reminder cards at the bedside, checking during daily rounds and urge the family members to implement them correctly) were given to the observation group on admission; the control group received the regular hospital admissions and education including hand hygiene. The hand hygiene compliance, wash hands correctly ability, hand hygiene effect and nosocomial infection rate of children and the incidence of nosocomial infection in children hospitalized during the same period in the two groups were analyzed. Results The consumption of rapid hand disinfectant in the observation group was higher than that in the control group, and the difference was highly statistically significant (P < 0.01). The hand hygiene compliance of hospitalized children’s family members in the observation group was higher than that in the control group, and the difference was highly statistically significant (P < 0.01). The average score of wash hands correctly of hospitalized children’s family members in the observation group was higher than that in the control group, and the difference was highly statistically significant (P < 0.01). After hand hygiene, the number of hand bacteria in the observation group was lower than that in the control group, and the difference was highly statistically significant (P < 0.01). The incidence of gastrointestinal infection and total infection in the observation group was lower than those in the control group, and the differences were statistically significant (all P < 0.05). Conclusion Comprehensive hand hygiene interventions for the children’s accompanying family members can improve the hand hygiene ability and hand hygiene effects of the children’s accompanying family members, further improve the hand hygiene compliance of the children’s accompanying family members, and can play a positive role in reducing the incidence of nosocomial infections.
闫孝永 付宏▲ 李林蔚 张树清 聂勋梅 鲜安晶. 患儿陪护家属综合性手卫生干预对医院感染控制的影响[J]. 中国医药导报, 2020, 17(34): 111-114.
YAN Xiaoyong FU Hong▲ LI Linwei ZHANG Shuqing NIE Xunmei XIAN Anjing . Influence of comprehensive hand hygiene intervention for children’s accompanying family members on the control of nosocomial infection. 中国医药导报, 2020, 17(34): 111-114.
[1] 郭子云.妇幼保健院儿科病房医院感染调查[J].中国消毒学杂志，2010，27（1）：47-49.
[2] 贾会学，侯铁英，李卫光，等.中国68所综合医院医院感染的经济损失研究[J].中国感染控制杂志，2016，15（9）：637-641.
[3] Chen Y，Zhao W，Liu H，et al. Occurrence of nosocomial methicillin-resistant Staphylococcus aureus as a marker for transmission in a surgical intensive care unit in China [J].Am J Infect Control，2014，42（4）：436-438.
[4] 贾会学，赵艳春，贾建侠，等.医务人员手卫生依从性评价方法的探讨[J].中国感染控制杂志，2019，18（9）：819-823.
[5] 屠燕屏，汪友兰，鲍艳霞，等.医护人员手卫生对儿科医院感染的影响分析[J].中华医院感染学杂志，2016，26（6）：1424-1436.
[6] Liu S，Wang M，Wang G，et al. Microbial characteristics of nosocomial infections and their association with the utilization of hand hygiene products：a hospital-wide analysis of 78，344 cases [J]. Surg Infect，2017，18（6）：676-683.
[7] 刘欢，刘华，朱华云，等.综合性干预措施对某三级综合医院新入职医务人员手卫生的影响[J].中国消毒学杂志，2020，37（2）：129-131.
[8] 陈岗，杨正丽，孙桂香.住院患者陪护人手卫生依从性及其影响因素[J].中国消毒学杂志，2018，35（1）：44-46.
[9] Zhang QL，Xu XN，Langley JM，et al. Health-associated infections in a pediatric nephrology unit in China [J]. Am J Infect Control，2010，38（6）：473-475.
[10] 孙晶晶，杨宏艳，王静，等.血液病患者家属手卫生依从性及影响因素研究[J].中国消毒学杂志，2020，37（1）：46-48，51.
[11] 林芹，吴少敏，李德英，等.ICU老年气管切开患者家属的手卫生教育对降低医院感染的作用分析[J].中华医院感染学杂志，2016，26（14）：3354-3356.
[12] 缪玉秀，廖友芝，胡慧欣，等.基层医院儿科病房陪护人员的手卫生现状调查[J].中华医院感染学杂志，2011， 21（1）：91-92.
[13] 董宏亮，张默吟，周捷，等.医务人员手卫生知识掌握及依从性影响因素调查分析[J].中华医院感染学杂志，2018， 28（8）：1257-1260.
[14] 贾会学，赵艳春，贾建侠，等.医务人员手卫生依从性评价方法的探讨[J].中国感染控制杂志，2019，18（9）：819-823.
[15] 周慧，白丽霞，张小娜.2011-2018年间接提高手卫生依从性对医院感染的影响[J].预防医学论坛，2019，25（11）：864-868.
[16] 罗敏，欧阳玲.感染性腹泻患儿家长手卫生依从性调查[J].中国感染控制杂志，2015，14（4）：274-275.
[17] 熊亮，印爱珍，马乐龙.2016-2018年某儿童医院护理员手卫生知信行变化趋势及其影响因素[J].中国感染控制杂志，2019，18（10）：942-947.
[18] 董丰琴，曹秋香，闫静，等.骨科住院患者陪护人员手卫生依从性现况及影响因素分析[J].中国消毒学杂志，2019， 36（12）：922-924.
[19] 王戎，陈建秀，李莹，等.陪护家属手卫生培训对住院患者医院感染的预防效果研究[J].中华医院感染学杂志，2015，25（20）：4786-4787，4797.
[20] 杨维秀，郑平，秦华，等.手卫生综合干预对儿科医院感染发病率的影响[J].中国感染控制杂志，2017，16（4）：297-302.
2020, Vol. 17 
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