医务人员手卫生依从性调查
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周建伟

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R192

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Compliance of hand hygiene among health care workers
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    摘要:

    目的对某院医务人员手卫生采取综合干预措施,比较干预前后医务人员手卫生执行情况,评价干预效果。方法2013年4—6月为该院医务人员手卫生基线调查阶段,2013年7月开始实施干预,2013年10—12月为干预后效果评价阶段。调查人员利用调查表,隐蔽观察医务人员手卫生执行情况。 结果通过多种干预措施,医务人员手卫生依从率为53.86%,显著高于干预前的38.02%,差异有统计学意义(χ2=181.82,P<0.05);内科、外科、重症监护室手卫生依从率均高于干预前(均P<0.05)。干预后,不同操作时机医务人员整体手卫生依从率为53.45%(2 044/3 824),显著高于干预前的41.87%(1 740/4 156)(χ2=107.2,P<0.05);除无菌操作,其余4个操作时机医务人员手卫生依从率均高于干预前(均P<0.05);不同岗位医务人员手卫生依从率均高于干预前(均P<0.05)。结论采取积极的手卫生干预措施,可有效提高医务人员手卫生依从性。

    Abstract:

    ObjectiveTo evaluate the intervention efficacy of hand hygiene of health care workers(HCWs) in a hospital before and after the comprehensive interventions were taken. MethodsThe baseline investigation stage was in AprilJune,2013 , intervention was performed from July,2013, postintervention efficacy evaluation stage was in OctoberDecember ,2013. Hand hygiene compliance was observed by investigators , and questionnaires were filled out.ResultsAfter multiple interventions were taken, hand hygiene compliance rate of HCWs increased from 38.02% to 53.86% (χ2=181.82,P<0.05), postintervention compliance rates of hand hygiene improved significantly  in departments of internal medicine, surgery and intensive care unit (all P<0.05).After intervention, the  overall hand hygiene compliance rate at different work opportunities rose from 41.87%(1 740/4 156) to 53.45%(2 044/3 824)(χ2=107.2,P<0.05);except sterile manipulation, the other 4 manipulation opportunities were all higher than preintervention(all P<0.05); HCWs of different  professions were all higher than preintervention(all P<0.05).ConclusionActive hand hygiene intervention can effectively improve hand hygiene compliance of HCWs.

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引用本文

宋舸,周建伟,等.医务人员手卫生依从性调查[J]. 中国感染控制杂志,2014,13(6):362-364. DOI:10.3969/j. issn.1671-9638.2014.06.011.
SONG Ge, ZHOU Jianwei, et al. Compliance of hand hygiene among health care workers[J]. Chin J Infect Control, 2014,13(6):362-364. DOI:10.3969/j. issn.1671-9638.2014.06.011.

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  • 收稿日期:2014-02-25
  • 最后修改日期:2014-03-26
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  • 在线发布日期: 2014-06-30
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