手卫生促进活动的实施及效果评价  

Evaluation on the implementation and efficacy of hand hygiene promotion activities

作　　者：刘小丽[1] 梁建生[1] 许慧琼[1] 邓兵[1] 徐桂兰[1] 朱军生[1] 

机构地区：[1]武汉市疾病预防控制中心武汉市医院感染管理质量控制中心,湖北武汉430015

出　　处：《中国感染控制杂志》2014年第5期291-295,共5页Chinese Journal of Infection Control

摘　　要：目的探讨切实可行的手卫生干预方法,以提高医务人员手卫生依从性。方法在武汉地区20所医疗机构开展手卫生促进活动,同时采用问卷调查和现场观察的方法评价干预前后的变化。结果经干预后,医务人员手卫生知识水平明显提高,直接接触患者前的医务人员手卫生执行率从60.59%(143/236)上升至84.08%(243/289)(χ2=36.82,P<0.001);干预科室的医院感染率从干预前的39.33%(118/300)下降至干预后的31.20%(83/266)(χ2=4.07,P=0.04),差异均有统计学意义。结论采取积极有效的手卫生促进活动,对提高医务人员手卫生依从性有明显的促进作用,可降低医院感染发生率。Objective To explore feasible methods of hand hygiene intervention,and improve the compliance with hand hygiene among health care workers （HCWs）.Methods Hand hygiene promotion activities were carried out in 20 medical institutes of Wuhan city,questionnaires and field observation were used to evaluate the change before and after the intervention.Results After intervention,hand hygiene knowledge among HCWs increased significantly, the compliance rate of hand hygiene rose from 60.59% （143/236）to 84.08%（243/289）（χ2=36.82,P〈0.001）be-fore direct contact with patients;healthcare-associated infection （HAI）in patients in intervened department de-creased from 39.33% （118/300）to 31.20%（83/266）（χ2=4.07,P=0.04）,the difference was statistically signifi-cant （P〈0.05）.Conclusion Taking positive and effective hand hygiene promotion activities can obviously enhance hand hygiene compliance of HCWs,and reduce the incidence of HAIs.

关 键 词：医务人员 手卫生 洗手 医院感染 感染控制 干预 

分 类 号：R192[医药卫生—卫生事业管理]