医护人员手卫生依从性及正确率的Meta分析  

Meta analysis on hand hygiene compliance and correct rate among doctors and nurses

作　　者：程龙慧[1] 丁洁[1] 肖培[1] 宗亚玲 

机构地区：[1]安徽省妇幼保健院安徽医科大学附属妇幼保健院,安徽合肥230001

出　　处：《中国感染控制杂志》2018年第2期126-131,共6页Chinese Journal of Infection Control

摘　　要：目的系统评价我国大陆地区二级以上医院医生、护士手卫生依从性和正确率,为手卫生促进工作提供数据支持。方法在中、英文数据库中系统搜索我国大陆地区2015年以后开展的手卫生研究文献,由研究人员按照相关标准对文献进行评价,并严格按照文献纳入、排除标准筛选出合格文献提取数据,采用Meta分析法分析不同等级医院、不同科室的医生和护士手卫生依从性、正确率。结果护士手卫生依从性总体高于医生,医生、护士手卫生依从率分别为55.9%(95%CI:45.9%,65.8%)、66.0%(95%CI:58.8%,73.1%);医生、护士手卫生正确率分别为65.2%(95%CI:53.6%,76.9%)、67.9%(95%CI:56.9%,78.9%);三级医院医生、护士手卫生依从率均高于二级医院,ICU科室医生、护士手卫生依从率及正确率均高于普通科室。结论我国大陆地区医护人员手卫生依从性和正确率均有待进一步提高,需特别加强基层医院和普通科室中手卫生促进工作。Objective To systematically evaluate the compliance and correct rate of hand hygiene（HH） among doctors and nurses in secondary and above hospitals in China's Mainland,and provide data support for HH promotion. MethodsLiteratures about study on HH in China's Mainland after 2015 were retrieved from Chinese and English databases, researchers evaluated the literatures according to the relevant standards, screened the qualified literatures and extracted the data strictly according to the inclusion and exclusion criteria, Meta analysis was adopted to analyze the compliance and the correct rate of HH of doctors and nurses in different levels of hospitals and at different departments.ResultsThe overall compliance rate of HH of nurses was higher than doctors, compliance rates of HH of doctors and nurses were 55.9% （95%CI： 45.9%, 65.8%） and 66.0%（95%CI： 58.8%, 73.1%） respectively;HH correct rates of doctors and nurses were 65.2% （95%CI： 53.6%, 76.9%） and 67.9%（95%CI： 56.9%, 78.9%） respectively. Compliance rates of HH of doctors and nurses in tertiary hospitals were both higher than secondary hospitals, compliance and correct rates of HH of doctors and nurses in intensive care unit were both higher than general departments.ConclusionThe compliance and correct rate of HH in China's Mainland need to be further improved, especially the promotion in primary hospitals and general departments.

关 键 词：医护人员 手卫生 依从性 依从率 正确率 

分 类 号：R192[医药卫生—卫生事业管理]