某医院医护人员手卫生依从性调查  

Hand hygiene compliance among health care workers in a hospital

作　　者：胡鹰鹰[1] 陈小琤[1] 刘宗明[1] 高玉荣[1] 王伟琦[1] 

机构地区：[1]航天中心医院,北京100049

出　　处：《中国感染控制杂志》2015年第5期339-341,共3页Chinese Journal of Infection Control

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。Objective To investigate hand hygiene status of health care workers （HCWs） in a hospital, and pro- vide guides for improving hand hygiene compliance. Methods Hand hygiene intervention was adopted in a hospital between 2012 and 2014, hand hygiene compliance among HCWs and healthcare-associated infection in patients be- tween August 1 and August 31 of each year were investigated and analyzed statistically. Results In 2102 - 2014, hand hygiene compliance rate of HCWs was 59.55%,62.13% ,and 65.16% respectively, which showed a increased trend （x^2 = 10. 018, P= 0. 002）, HAl rate was 2.13%,1.48% and 1.06% respectively, which showed a decreased trend （x^2 = 82. 377, P〈0. 001）; hand hygiene compliance rate of doctors was lower than nurses （57. 970/00 vs 65.97%） ; Of different hand hygiene moments, hand hygiene compliance rate was the lowest before touching a pa- tient（41.32%）, and highest after body fluid exposure （76.47%）. Conclusion Comprehensive hand hygiene intervention in this hospital has achieved preliminary results, improvement of HCWs＇ hand compliance is helpful for preventing HAI.

关 键 词：手卫生 洗手 依从性 医务人员 医护人员 手卫生时刻 医院感染 

分 类 号：R197.323[医药卫生—卫生事业管理]