某综合医院手卫生依从性现状调查
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荣丽娟

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R192

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

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荣丽娟,钟振锋,王宏,等.某综合医院手卫生依从性现状调查[J]. 中国感染控制杂志,2014,13(6):359-361. DOI:10.3969/j. issn.1671-9638.2014.06.010.
RONG Lijuan, ZHONG Zhenfeng, WANG Hong, et al. Current status of hand hygiene compliance of health care workers in a general hospital[J]. Chin J Infect Control, 2014,13(6):359-361. DOI:10.3969/j. issn.1671-9638.2014.06.010.

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  • 收稿日期:2014-01-10
  • 最后修改日期:2014-02-23
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  • 在线发布日期: 2014-06-30
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