提升外科加護病房護理人員洗手遵從率

Promoting Hand Washing Compliance Rate among Nurses in a Surgical Intensive Care Unit

陳雅玫(Ya-Mei Chen) ； 徐曉雲(Hsia-Yun Hsu) ； 楊淑美(Shu-Mei Yang) ； 葉玫伶(Mei-Lin Yeh)

《榮總護理》 29卷1期 (2012/03) Pp. 30-39

https://doi.org/10.6142/VGHN.29.1.30

摘要

洗手是預防院內感染中最簡單也是最有效的措施之一，經現況分析後發現本單位護理人員洗手遵從率只有37.5%，故成立專案小組，探討洗手遵從率低的原因包括：教育訓練不足、皮膚易乾燥、洗手設備不方便及缺乏提醒機制。經文獻查證後擬定改善措施為實施洗手教育訓練，利用影音示範教學、加深護理人員對何時應該是洗手時機之了解程度、回饋洗手稽核結果、自動感應語音播報提示系統；製作張貼洗手海報、採購洗手乳、操作動線上增設乾洗手劑設備以及建立洗手相關的照護標準及監測機制。經由以上執行措施後，洗手認知由79.4分，提升為98.1分，洗手遵從率由37.5%提昇至81.3%，達到專案目標值。本專案之實施不僅提升護理人員的洗手遵從性，也提供病人一個安全的就醫環境。

關鍵字

外科加護病房 ； 洗手遵從率

並列摘要

Hand washing is the most effective and simplest prevention method of nosocomial infections. Under actual observation, handwashing compliance rate was found to be only 37.5% among our surgical intensive care unit nursing staff. Therefore, a specialized team was created. Possible causes for low hand washing compliance rate were: inadequate education, insufficient hand washing equipments, a lack of reminding mechanism and skin irritation. After literature review, we came up with a standard hand washing indication video, set up an auto-induction pronunciation prompt system, implemented hand washing manufacture posts, provided gentle moisturizers, increased hand washing equipments, created a hand washing standard and established a monitoring mechanism. Nurses' knowledge of hand washing increased significantly from 79.38 to 98.13, and nurses' hand washing compliance rate increased significantly from 37.5% to 81.3% after the project was conducted. This project not only improved nurses' compliance in hand washing but also provided a safer environment to patients.

並列關鍵字

surgical intensive care unit ； hand washing compliance rate