医护人员手卫生规范抽样调查分析  

Analysis on sampling survey of medical staff hand hygiene norm

作　　者：石虹 官龙建[2] 成燕[3] 侯章梅 杨薇[3] 

机构地区：[1]重庆市黔江中心医院放射科,409000 [2]重庆市第三人民医院供应中心,400014 [3]重庆市第三人民医院感染管理科,400014

出　　处：《检验医学与临床》2015年第14期2009-2010,2013,共3页Laboratory Medicine and Clinic

基　　金：重庆市卫生局医学科研计划项目(2013-2-100)

摘　　要：目的了解医务人员手卫生规范执行情况,进一步加强教育和持续监管,提高医护人员手卫生依从性和正确率,为预防感染发生提供参考依据。方法对黔江中心医院2012~2014年重症监护室、手术室、放射科、供应室4个临床科室,90名高、中、初级职称医护人员进行了手卫生规范进行调查,采用了SPSS14.0统计学软件包处理数据分析。结果通过强化教育和持续监管,医护人员手卫生知识培训考核合格率,高级职称由16.67%提高至47.62%;中级职称由33.33%上升至67.65%;初级职称由26.19%上升至74.29%;医护人员手卫生依从性、手卫生正确率,逐年有明显提高,差异有统计学意义（P〈0.05）。结论加强手卫生管理,充分发挥医院感染管理三级网络监控及感控小组成员作用,强化监管,定期组织专题培训,可规范医务人员手卫生行为,减少医院感染发生。Objective To understand the executive situation of medical staff hand hygiene norms,further strengthen the education and continuous supervision,improve the compliance and accuracy of medical staff hand hygiene to provide reference for preventing the infection occurrence.Methods The survey of hand hygiene norm was performed in ICU,operating room,department of radiology,supply room and 4clinical departments,90 high,middle and junior titles medical staff in a hospital during 2012-2014.The obtained data were processed by using the SPSS14.0statistical software package.Results The qualification rate of medical staff hand hygiene knowledge training and assessment by strengthening education and continuous supervision was increased from 47.62% to 16.67%for senior titles,from 33.33%to 67.65% for intermediate titles and from 26.19% to 74.29% for junior titles;the compliance and accuracy of hands hygiene were significantly improved year by year,the difference was statistically significant（P0.05）.Conclusion Strengthening the hand hygiene management,fully playing the role of the hospital infection control three-stage network monitoring and infection control team member,reinforcing supervision and regularly organizing the special training can standardize the medical staff hand hygiene behaviors and reduce the occurrence of hospital infections.

关 键 词：手卫生 标准预防 医院感染 

分 类 号：R195.3[医药卫生—卫生统计学]