qcc对提高器官移植科陪护洗手依从性的作用

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1、·38·JournalofNursingScienceJan．2014Vo1．29No．2·护理管理··论著·Qcc对提高器官移植科陪护洗手依从性的作用刘晶晶，刘立芳，刘敏，崔丽娜，谢松，周玲，周丽琴，蒋芬，吴晓霞摘要：目的探讨品管圈(QCC)对提高器官移植科陪护洗手依从性的作用。方法选择2012年11～l2月器官移植住院患者所有陪护6O人设为对照组(Qcc干预前)，选择2013年5～6月住院患者所有陪护64人设为观察组(QCC干预后)，对照组按常规对陪护进行医院感染知识教育，并重点加强手卫生管理教育；观察组在此基础上应

2、用Qcc对陪护洗手行为进行管理，即通过成立Qcc小组，进行现状调查，找出洗手依从性低的要因，采取有效措施进行持续质量改进。结果观察组对手卫生知识认知评分、实际洗手依从性、六步洗手法掌握情况及洗手后手细菌学检测效果显著高于对照组(均P

3、2014)02—0038一O3D0I：10．3870／hlxzz．2014．02．038Effectofqualitycontrolcircleinimprovinghand—washingcomplianceofpatientescortsinDepartmentofOrganTransplantation∥LiuJingjing，LiuLi{ang，LiuMin，CuiLina，XieSong，ZhouLing，ZhouLiqin，JiangFen，WuXiaoxiafTheTransplanta—tionCente

4、royXiangyaThirdHospital，CentralSouthUniversity，Changsha410013，China)Abstract：ObjectiveToexploretheeffectofqualitycontrolcircle(QCC)inimprovinghand—washingcomplianceofpatientescortsinDepartmentofOrganTransp1antation．MethodsSixtyescortsofpatientstreatedinDepartment

5、of()rganTransplantationduringNovembertoDecemberin2012servedasthecontrolgroup(beforetheQCCintervention)．Incomparisonwiththosecases，64ca—sesweretakenastheexperimentalgroup(afterQCCintervention)．Thecontrolgroupreceivedconventionaleducationonnosoco—mialinfectioncontr

6、ol，andparticularlyonhandhygiene．QCCwasappliedtotheexperimentalgrouptomanagehandwashingbe—havioroftheescortsscientifically．ByestablishingaQCCteamandconductingsurveysonthistopic，wefiguredoutthekeyfactorsoflowcomplianceofhand—washing，andtookmeasurestopushforwardhand

7、—washingquality．ResultsThescoreofhandhygieneawareness，theactualwashcompliance，graspinglevelofsix-stephandwashingmethodandtheeffectafterwashingweresignifi—cantlyhigherintheexperimentalgroupthaninthecontrolgroup(P％0．01foral1)．ConclusionApplicationofQCCcaneffectivel

8、yimprovecomplianceofhandwashingandwashingeffectfortheescorts，decreaseinfectionrateofthepatientsaftertransplantation，andimprovenursingqualityandmedical1eve1．Key