医务人员手卫生现状与影响因素分析  

Correlated Factors Influencing Hand Hygiene among Medical Staff

作　　者：马小芳[1] 姜洪荣[1] 赵勇进[1] 刘雷[2] 

机构地区：[1]青岛市疾病预防控制中心,山东青岛266033 [2]山东省疾病预防控制中心,山东济南250014

出　　处：《中国卫生标准管理》2014年第8期65-70,共6页China Health Standard Management

摘　　要：目的了解影响临床医务人员手卫生依从性相关因素和手卫生现状,提高医务人员手卫生依从性。方法对全市9家二、三级医院的医院感染重点科室563名医护人员的手卫生进行采样监测;对306名医务人员进行了操作前后手卫生情况进行观察。结果 1手卫生监测外科手细菌监测合格率为87.8%;卫生手合格率为66.0%;手卫生依从性为16.0%。外科手消毒、卫生手消毒和手依从性合格率依次降低,差异有显著性(χ2=317.149,P<0.0001);无手卫生、洗手、手消毒、洗手+手消毒的合格率依次增高(χ2=18.489,P=0.0003);不同手卫生时间合格率随时间增加而提高(χ2=4.103,P=0.043)。2三级医院和二级医院外科手、卫生手监测合格率无显著性差异,但手依从性监测合格率均有显著性差异。(χ2=61.237,P<0.0001)。结论医护人员的手卫生情况不容乐观。应加强对医务人员手卫生培训,定期对医务人员洗手效果进行监测,正确洗手方法的推广,以促进医务人员对手卫生的认识从而提高手卫生依从性和手部的合格率,降低医院感染事件的发生。Objectives To learn the correlated factor s influencing the hand hygiene compliance among medical staff and status quo. Methods According to ＂Hospital Disinfection Sanitary Standard＂ （ GB 15982- 2012 ） issued by the Ministry of Health, the disinfection quality of 9 hospitals,including7 Grade II and 2 Grade III hospitals, in Qingdao City was evaluated. The 563 samples were detected for hand hygiene and 306 samples were observed for hand hygiene compliance of medical .staff.Chi-square test was used to compare the qualified rates among different samples and different levels of hospitals. All statistical analysis were conducted by using SPSS 17.0 and Excel 2003 software program. Results Significant differences were found among the qualified rates of three kinds of samples of hand hygiene, with gradually decreased rates in surgical hand antisepsis, antiseptic handrubbing and hand hygiene compliance （ χ^2=317-149, P〈0.0001 ） . Positive correlation was found between the qualified rates of antiseptic handrubbing and the manner or time of hand hygiene （ manner： χ^2=18.489, P=0.0003; time： χ^2=4.103, P=0.043 ） . The qualified rates of surgical hand antisepsis, antiseptic handrubbing had no significant differences between Grade III and II hospitals, whereas the rates of hand hygiene compliance was significantly different between Grade III and II hospitals （ χ^2=61.237, P〈0.0001 ） . Conclusions Hand hygiene stares quo of medical staff is severity.We should strengthen hospital infection training, monitoring and improve the proper wash method to reduce the incidence of hospital infection events.

关 键 词：医护人员 手卫生 影响因素 

分 类 号：R-05[医药卫生]