摘要
目的对某院医务人员手卫生采取综合干预措施,比较干预前后医务人员手卫生执行情况,评价干预效果。方法 2013年4—6月为该院医务人员手卫生基线调查阶段,2013年7月开始实施干预,2013年10—12月为干预后效果评价阶段。调查人员利用调查表,隐蔽观察医务人员手卫生执行情况。结果通过多种干预措施,医务人员手卫生依从率为53.86%,显著高于干预前的38.02%,差异有统计学意义(χ2=181.82,P<0.05);内科、外科、重症监护室手卫生依从率均高于干预前(均P<0.05)。干预后,不同操作时机医务人员整体手卫生依从率为53.45%(2 044/3 824),显著高于干预前的41.87%(1 740/4 156)(χ2=107.2,P<0.05);除无菌操作,其余4个操作时机医务人员手卫生依从率均高于干预前(均P<0.05);不同岗位医务人员手卫生依从率均高于干预前(均P<0.05)。结论采取积极的手卫生干预措施,可有效提高医务人员手卫生依从性。
Objective To evaluate the intervention efficacy of hand hygiene of health care workers（HCWs）in a hospital before and after the comprehensive interventions were taken. Methods The baseline investigation stage was in April-June,2013 ,intervention was performed from July,2013,post-intervention efficacy evaluation stage was in October-December ,2013. Hand hygiene compliance was observed by investigators ,and questionnaires were filled out. Results After multiple interventions were taken,hand hygiene compliance rate of HCWs increased from 38.02% to 53.86% （χ^2= 181.82,P〈0.05）,post-intervention compliance rates of hand hygiene improved significantly in departments of internal medicine,surgery and intensive care unit （all P〈0.05）.After intervention,the overall hand hygiene compliance rate at different work opportunities rose from 41.87% （1 740/4 156）to 53.45% （2 044/3 824）（χ^2=107.2,P〈0.05）;except sterile manipulation,the other 4 manipulation opportunities were all higher than pre-intervention （all P〈0.05）;HCWs of different professions were all higher than pre-intervention（all P〈0.05）.Conclusion Active hand hygiene intervention can effectively improve hand hygiene compliance of HCWs.
出处
《中国感染控制杂志》
CAS
2014年第6期362-364,共3页
Chinese Journal of Infection Control
关键词
手卫生
洗手
依从性
医务人员
感染控制
hand hygiene
hand-washing
compliance
health care worker
infection control
作者简介
宋舸（1985-），男（汉族），江苏省常州市人，医师，主要从事疾病预防与控制研究。
[通信作者]周建伟E-mail：jwzhou@njmu．edu．cn
