某医院医护人员手卫生依从性调查
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王伟琦

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R197.323

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Hand hygiene compliance among health care workers in a hospital
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    摘要:

    目的了解医护人员手卫生状况,为进一步提高手卫生依从性提供依据。方法2012—2014年某院采取多项手卫生干预措施,对每年8月1—31日医护人员手卫生依从性和各年度医院感染情况进行调查统计。结果2012—2014年医护人员手卫生依从率分别为59.55%、62.13%和65.16%,呈增高趋势,(χ2=10.018,P=0.002);医院感染率分别为2.13%、1.48%和1.06%,呈降低趋势(χ2=82.377,P<0.001);医生手卫生依从率(57.97%)低于护士(65.97%);不同手卫生时刻中接触患者前的手卫生依从率最低(41.32%),而接触患者体液后依从率最高(76.47%)。结论该院手卫生综合干预措施已初见成效,完善并提高医护人员手卫生依从性有利于预防医院感染。

    Abstract:

    ObjectiveTo investigate hand hygiene status of health care workers (HCWs) in a hospital, and provide guides for improving hand hygiene compliance.MethodsHand hygiene intervention was adopted in a hospital between 2012 and 2014, hand hygiene compliance among HCWs and healthcareassociated infection in patients between August 1 and August 31 of each year were investigated and analyzed statistically. ResultsIn 2102-2014, hand hygiene compliance rate of HCWs was 59.55%,62.13%,and 65.16% respectively, which showed a increased trend (χ2=10.018, P=0.002), HAI rate was 2.13%,1.48% and 1.06% respectively, which showed a decreased trend (χ2=82.377, P<0.001); hand hygiene compliance rate of doctors was lower than nurses  (57.97% vs 65.97%); Of different hand hygiene moments, hand hygiene compliance rate was the lowest before touching a patient(41.32%), and highest after body fluid exposure (76.47%). ConclusionComprehensive hand hygiene intervention in this hospital has achieved preliminary results, improvement of HCWs’ hand compliance is helpful for preventing HAI.

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胡鹰鹰,陈小琤,刘宗明,等.某医院医护人员手卫生依从性调查[J]. 中国感染控制杂志,2015,14(5):339-341. DOI:10.3969/j. issn.1671-9638.2015.05.014.
HU Yingying, CHEN Xiaocheng, LIU Zongming, et al. Hand hygiene compliance among health care workers in a hospital[J]. Chin J Infect Control, 2015,14(5):339-341. DOI:10.3969/j. issn.1671-9638.2015.05.014.

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  • 收稿日期:2014-10-10
  • 最后修改日期:2015-01-12
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  • 在线发布日期: 2015-05-30
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