医生与护理人员手卫生依从率对比分析

Comparison of hand hygiene compliance rates between doctors and nurses

摘要:

目的了解医生与护理人员手卫生执行现况，以便进一步针对性地加强医务人员手卫生管理。方法采用单盲调查方法，对全院临床科室的手卫生执行情况进行现场观察，收集数据进行统计分析。结果全院临床科室手卫生依从率为69.28%（309/446），其中ICU手卫生依从率最高(87.93%)，内科手卫生依从率最低(63.03%)，不同科室比较差异有统计学意义（P=0.001）。护理人员手卫生依从率高于医生（74.47% vs 39.39%），差异具有统计学意义（P＜0.001）；不同指征手卫生中依从率最低的是接触患者前（43.04%），医生在接触患者后、接触患者周围环境后手卫生依从率低于护理人员，差异有统计学意义（均P＜0.05）。结论医生手卫生依从率低于护理人员，不同手卫生指征中接触患者前手卫生依从率最低，应重点强化医生和护理人员接触患者前手卫生意识，有针对性的进行培训，减少医院感染的发生。

Abstract:

ObjectiveTo understand the current status of hand hygiene(HH) compliance among doctors and nurses, and strengthen the management of HH of health care workers(HCWs). MethodsOnthespot observation of HH implementation in clinical departments of the whole hospital was performed by a singleblind method, data were collected for statistical analysis. ResultsHH compliance rate of all clinical departments was 69.28%（309/446）, HH compliance rate of intensive care unit was the highest(87.93%)，department of internal medicine was the lowest(63.03%), there were significant differences among different departments（P=0.001）. Compliance rate of HH of nurses was higher than that of doctors（74.47% vs 39.39%），difference was significant（P＜0.001）； of different indications for HH, the lowest compliance rate was before contact patients（43.04%）， HH of doctors after contact with patients and patients’ surrounding were both lower than nurses, difference was significant(both P<0.05).  ConclusionHH compliance rate of doctors is lower than nurses, compliance rate  of HH is the lowest before contact patients, awareness of HH among doctors and nurses before contact patients should be emphasized, targeted training should be conducted, thus reduce the incidence of healthcareassociated infection.