开展手卫生活动对医务人员手卫生依从性的影响

Effect of implementation of hand hygiene activities on hand hygiene compliance among health care workers

摘要:

目的了解开展手卫生活动对医务人员手卫生依从性的影响。方法某院2013年5—12月实施一系列手卫生干预措施，调查并比较2013年4—12月（干预前后）全院所有临床、医技部门医务人员手卫生依从性。结果手卫生活动的实施监管后，医务人员手卫生依从率由干预前的39.82%上升至干预后的80.77%，医生、护士和保洁人员手卫生依从率分别由41.09%、41.30%、34.33%，上升至83.87%、91.89%、59.54%，干预前后比较，差异均有统计学意义（均P＜0.001）。除重症监护病房（ICU）外，干预后外科、内科、放疗系统医务人员手卫生依从率均高于干预前（均P＜0.001）。干预后医务人员5个手卫生指征手卫生依从率均高于干预前（均P＜0.001），其中接触患者前手卫生依从率由23.88%上升至73.37%，清洁/无菌操作前由58.65%上升至94.23%。结论通过手卫生活动的实施及监管，医务人员的手卫生意识及依从性均有明显提高，并逐步建立起良好的手卫生习惯。

Abstract:

ObjectiveTo investigate the effect of implementation of hand hygiene(HH) activities on HH compliance among health care workers(HCWs).MethodsIn MayDecember 2013, a series of HH intervention measures in a hospital were implemented, compliance to HH among all clinical and laboratory HCWs in AprilDecember 2013 (before and after intervention) were surveyed and compared.ResultsAfter implementing HH activities, HH compliance rate of HCWs increased from 39.82% before intervention to 80.77% after intervention, HH compliance rates of doctors, nurses and cleaning staff increased from 41.09%,41.30% and 34.33% before intervention to 83.87%,91.89%, and 59.54% after intervention respectively， the differences between before and after intervention were all statistically significant (all P<0.001). Except intensive care unit, HH compliance rates of HCWs in departments of surgery, internal medicine, and radiotherapy were all higher than preintervention(all P<0.001). Compliance to five indications for HH among HCWs after intervention were all higher than preintervention(all P<0.001), HH  compliance rate before touching a patient increased from 23.88% to 73.37%，before clean/aseptic procedure increased from 58.65% to 94.23%.ConclusionThrough the implementation and supervision of HH activities, both the awareness and compliance of HH among HCWs have been significantly improved, good HH habit is gradually developed.