口腔专科医院医务人员手卫生依从性干预效果

Effectiveness of intervention in hand hygiene compliance among health care workers in a stomatological hospital

摘要:

目的提高口腔专科医院医务人员的手卫生依从性，有效降低医院感染率。方法依照世界卫生组织推荐的《手卫生指南》及《手卫生实施方案》，制订系统、循序渐进的口腔专科医院手卫生促进方案，分5个步骤进行：全院戒备、基线调查、实施改进、跟踪调查和回顾分析。对比手卫生促进活动前后医务人员的手卫生依从性。结果通过手卫生促进活动，医务人员手卫生知识问卷调查平均得分由之前的58.33分提高至77.40分，提升了32.69%；平均手卫生依从率由24.28%（59/243）上升至49.81%（133/267），差异有统计学意义（χ2=35.331，P=0.000）；5个手卫生时刻的手卫生状况也有较大改善。结论手卫生促进活动对口腔专科医院医务人员的手卫生依从性有显著影响。

Abstract:

ObjectiveTo improve hand hygiene compliance among healthcare workers (HCWs) in a stomatological hospital， and effectively reduce healthcareassociated  infection(HAI) rate.MethodsAccording to WHO hand hygiene guideline and implementation scheme of hand hygiene, a systemic and step by step hand hygiene promotion plan was formulated, the plan was divided into five steps: full alert, baseline investigation, improvement, tracking, and retrospective analysis. Hand hygiene compliance among HCWs before and after the promotion of activities was analyzed and compared.ResultsThrough hand hygiene promotion activities, the questionnaires showed that average score of knowledge about hand hygiene among HCWs enhanced from 58.33  to 77.40 (increased by 32.69%); the average hand hygiene compliance rate increased from 24.28%（59/243）to 49.81%（133/267），the difference was significant（χ2=35.331，P =0.000）；hand hygiene status at five moments for hand hygiene improved markedly.ConclusionHand hygiene promotion has a significant influence in hand hygiene among HCWs in this stomatological hospital.