开展手卫生活动对医务人员手卫生依从性的影响
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欧阳立志

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R197.323

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

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周艳华,晏娟,伍俊玲,等.开展手卫生活动对医务人员手卫生依从性的影响[J]. 中国感染控制杂志,2016,15(3):186-188. DOI:10.3969/j. issn.1671-9638.2016.03.011.
ZHOU Yanhua, YAN Juan, WU Junling, et al. Effect of implementation of hand hygiene activities on hand hygiene compliance among health care workers[J]. Chin J Infect Control, 2016,15(3):186-188. DOI:10.3969/j. issn.1671-9638.2016.03.011.

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  • 收稿日期:2015-04-25
  • 最后修改日期:2015-12-08
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  • 在线发布日期: 2016-03-30
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