某综合医院手卫生依从性现状调查

Current status of hand hygiene compliance of health care workers in a general hospital

摘要:

目的了解某院医务人员手卫生依从性，探讨干预措施。方法设计调查表，由医院感染管理专职人员通过暗访、随机抽考等方式进行调查。 结果2013年7—9月调查医务人员1 188人次，手卫生依从率为61.87％，其中洗手正确率58.90％。护士的手卫生依从率（71.00%）高于医生（57.80%）及其他医务人员（32.14%），洗手正确率（65.43%）高于其他医务人员（38.89%），差异均有统计学意义（均P＜0.0125）。不同时机不同岗位医务人员手卫生依从性略有差异，“接触患者血液/体液/伤口敷料后”的手卫生依从率最高，为81.58％；“接触患者前”的手卫生依从率最低，为34.62％。调查中仅有297人次使用快速手消毒剂，占总人次数的25.00％。结论该院医务人员手卫生依从性有待进一步提高。

Abstract:

ObjectiveTo investigate hand hygiene compliance of health care workers (HCWs) in a hospital, and evaluate intervention measures.MethodsQuestionnaires were designed and filled out by HAI management professionals through unannounced visits and random quiz. ResultsFrom July to September 2013, a total of 1 188 HCWs were surveyed , hand hygiene compliance rate was 61.87%, of which handwashing correct rate was 58.90%.Hand hygiene compliance rate of nurses  (71.00%) was higher than doctors (57.80%) and  other HCWs (32.14%)，correct hand washing rate (65.43%) was higher than other HCWs (38.89%) (P<0.0125) . Hand hygiene compliance of different work opportunities and different professions were different slightly, hand hygiene compliance rate after contact with patients’ blood, body fluid and wound dressing was the highest(81.58%);hand hygiene rate before contact with patients was the lowest(34.62%) .Only 297 patients (25.00%) used rapidly act hand disinfectant. ConclusionHand hygiene compliance rate of HCWs in this hospital need to be  improved.