医院感染控制文化建设对手卫生依从性的影响  

Impact of healthcare-associated infection control culture construction on hand hygiene compliance

作　　者：章琦 李倩[1] 张雪琴[1] 王晓艳[1] 李宝珍[1] 平宝华[1] 楚萌 叶峰[1,2] ZHANG Qi;LI Qian;ZHANG Xueqin;WANG Xiaoyan;LI Baozhen;PING Baohua;CHU Meng;YE Feng(Department of Healthcare-associated Infection Control,The First Affiliated Hospital of Xi’an Jiao Tong University,Xi’an 710061,China;Department of Infectious Diseases,The First Affiliated Hospital of Xi’an Jiao Tong University,Xi’an 710061,China)

机构地区：[1]西安交通大学第一附属医院医院感染控制办公室,陕西西安710061 [2]西安交通大学第一附属医院感染性疾病科,陕西西安710061

出　　处：《中国感染控制杂志》2025年第2期247-252,共6页Chinese Journal of Infection Control

摘　　要：目的评价医院感染控制文化建设对医务人员手卫生依从性的影响,进而为加强医院感染管理提供依据。方法选取西安市某院医务人员为研究对象。以世界手卫生日为契机,举办手卫生暨医院感染防控系列宣传活动。2024年4月1—30日为活动前阶段,2024年5月1—31日开展手卫生暨医院感染防控系列宣传活动,2024年6月1—30日为活动后调查阶段,2024年12月1—31日对全院包括重点科室等分批次开展手卫生依从性调查。比较不同阶段手卫生依从情况。结果自手卫生暨医院感染防控系列宣传活动后,医务人员手卫生依从率提高。护理人员手卫生依从率由70.15%上升至85.11%;接触患者前医务人员手卫生依从率由47.83%上升至78.38%;差异均有统计学意义(均P<0.05)。2024年12月1—31日对全院包括重点科室等分批次开展手卫生依从性调查结果表明,重点部门医疗、护理人员手卫生依从率高于全院相同岗位人员,差异均有统计学意义(均P<0.05);重点部门无菌操作前和接触患者后手卫生依从率均高于全院相同手卫生时机,差异均有统计学意义(均P<0.05)。结论手卫生暨医院感染防控系列宣传活动可提高医务人员手卫生依从率。医院感染管理人员应当加强对普通科室的关注,进而全面提高医务人员手卫生依从率。Objective To evaluate the impact of healthcare-associated infection(HAI)control culture construction on the hand hygiene(HH)compliance of health care workers(HCWs),and provide a basis for strengthening HAI management.Methods HCWs in a hospital in Xi’an City were selected as the research objects.On the occasion of World HH Day,a series of publicity activities on HH as well as HAI prevention and control were held.Pre-activities period was April 1-30,2024.During May 1-31,2024,a series of publicity activities on HH as well as HAI prevention and control were carried out.The post-activities investigation period was June 1-30,2024.During December 1-31,2024,HH compliance survey was carried out in batches in the whole hospital(including key departments).HH compliance at different stages was compared.Results After a series of publicity activities on HH as well as HAI prevention and control,HCWs’HH compliance rate was improved.HH compliance rate of nursing staff increased from 70.15%to 85.11%;HH compliance rate of HCWs before contacting with patients increased from 47.83%to 78.38%;both with statistically significant difference(both P<0.05).During December 1-31,2024,a batch survey on HH compliance of the whole hospital(including key departments)showed that the HH compliance rates of medical and nursing staff in key departments were higher than those of the whole hospital,and the differences were statistically significant(all P<0.05).HH compliance rates before aseptic operation and after contacting with patients in key departments were both higher than those of the whole hospital,and the differences were statistically significant(all P<0.05).Conclusion Publicity activities on HH as well as HAI prevention control can improve HH compliance rate of HCWs.HAI managers should pay more attention to the general departments and improve HH compliance rate of HCWs.

关 键 词：医院感染 手卫生 依从性 文化建设 

分 类 号：R197.323.4[医药卫生—卫生事业管理]