内科

目的探讨品管圈活动对提高重症医学科医护人员在接触多重耐药菌病人前穿隔离衣依从性的影响。方法成立品管圈小组，对重症医学科医护人员接触多重耐药菌病人前穿隔离衣的现状进行调查，针对他们不穿隔离衣的原因进行鱼骨图分析，利用柏拉图把握重点找出关键问题，制定预期目标。采取先考核摸底，针对医护人员不同的知识架构及不同的知识水平进行相关的培训，培训达标后再接触多重耐药菌病人。结果医护人员在接触多重耐药菌病人前穿隔离衣的依从性从品管圈活动前的42.9%提高到80%，差异有统计学意义（P＜0.01）。结论开展品管圈活动能明显提高医护人员在接触多重耐药菌病人前穿隔离衣的依从性，降低多重耐药菌病人交叉感染率。

ObjectiveTo study the influence of quality control circle activity on improving medical staffs＇compliance on wearing isolation gowns before contact to multiple drug-resistant patients in intensive care unit. MethodsThe quality control circle group was setted up, the present situation of medical staffs wearing isolation gowns before contact to multiple drug-resistant patients in intensive care unit was investigated, the reasons of not wearing isolation gowns were analysed by Fishbone analysis, Plato analysis was used to identify the key problems, and then the expectation aim was setted. Medical staffs were received relevant training according to the different structure of knowledge, and were examined before training, the staffs who contact to multiple drug-resistant patients must past the examined after training. ResultsAfter the implementation of quality control circle activity, the compliance on the wearing isolation gowns among medical staffs was improved from 42.9% to 80%, the difference was statistically significant (P＜0.01). ConclusionsDeveloping the activity of quality control circle can improve the medical staffs′ compliance on wearing isolation gowns before contact to multiple drug-resistant patients, which can reduce the probability of crossing infection.

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