医务人员手卫生依从率及手卫生方法调查分析  

Compliance Rate and Practices of Hand Hygiene of Medical Personnel

作　　者：贾会学[1] 贾建侠[1] 赵艳春[1] 赵秀莉[1] 任军红[1] 原景[2] 穆金智 陆德生 杨锐萍 李六亿[1] 

机构地区：[1]北京大学第一医院感染管理科,北京100034 [2]北京中医药大学附属护国寺中医医院感染管理科,北京100034 [3]内蒙古林业总医院感染管理科,内蒙古牙克石022150 [4]大理市第一人民医院感染管理科,云南大理671000

出　　处：《中华医院感染学杂志》2010年第21期3341-3343,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解医务人员手卫生的依从率、手卫生方法及其影响因素,为改进手卫生提供科学依据。方法在医务人员不知情的情况下,由受过专门培训的调查员,按照统一的方法和表格,观察医务人员手卫生的执行情况。结果医务人员手卫生的依从率为34.8%,且随科室、专业、区域不同而异,同时操作前手卫生依从率(22.7%)显著低于操作后(46.9%),差异有统计学意义(P<0.01);操作前后的手卫生合格率分别为75.3%和56.0%;在不合格的手卫生方法中,操作前后揉搓时间不足占的比例最高,分别为43.2%和51.7%。结论医务人员手卫生的依从率有待提高,并根据不同的情况采取有针对性的手卫生改进措施,并加强手卫生方法的培训。OBJECTIVE To investigate the compliance, practices and the influencing factors hand hygiene （HH） of in order to provide the scientific bases for the improvement of hand hygiene. METHODS The HH practices of the medical personnel were observed and recorded by using single-blind method. All the investigators after speciallytrained did this work according to the uniform method and investigating forms. RESULTS The total compliance rate of HH of medical personnel was 34. 8%, which varied among different departments, posts and working areas. The compliance rate of HH of medical personnel after operation （46.9 %） was significantly higher than that before operation （22.7%） （P〈0. 001）. The proportions of correct HH before and after operation were 75. 3% and 56.0%, respectively, the highest proportion was the insufficient hand rubbing time, the proportions of the practices before and after operation were 43.2 % and 51.7 %, respectively. CONCLUSION The compliance rate of HH of medical personnel needs to be improved. The pertinent measures to improve HH should be taken according to different situations, and the training of HH practice should be enhanced.

关 键 词：手卫生 依从率 方法 调查 

分 类 号：R181.32[医药卫生—流行病学]