2013年潍坊市二级以上医疗机构内镜室和透析室手卫生设施现况调查

目的了解潍坊市二级以上综合医院内镜室、透析室手卫生设施配置和使用情况,为完善手卫生设施配置及使用,推动手卫生规范进行提供依据。方法于2013年9~12月对全市26家二级以上综合医院的内镜室、透析室的手卫生设施配置和使用的基本情况进行调查,对结果进行统计分析。结果我市二级以上综合医院手卫生设施配置规范化程度较低,内镜室人均洗手水龙头数量为0.35个,非手触式洗手水龙头配置率为54.64%,一次性擦手纸巾配置率仅17.53%,干手机配置率为7.22%,洗手液配置率为32.99%,内镜室人均每月速干手消毒剂使用量为79.29ml,均摊到每位患者身上为2.83ml,折合成使用次数为1.89次,透析室的非手触式洗手水龙头配置率、洗手液配置率方面高于内镜室(P<0.05),大型综合医院的非手触式洗手水龙头配置率高于一般综合医院(P<0.01)。结论潍坊市二级以上综合医院内镜室、透析室在手卫生设施配置的规范化程度上存在较大缺陷,洗手设施数量总体不足,非手触式水龙头比例较低,洗手液的配备严重不足,干手方式不规范,速干手消毒剂的使用尚未普及。

Survey on the Current Status of Hand Hygiene Facilities in the Endoscope Rooms and Dialysis Rooms in the General Hospitals above the Second Level,Weifang City, 2013

Objective To understand the facility settings and the using condition of hand hygiene in the endoscope rooms and dialysis rooms in the general hospitals above the second level, so as to provide the basis for improving hand hygiene facilities as well as its usage and also enhancement of hand hygiene regulation. Methods A survey was conducted on the primary situations of facilities and using conditions of hand hygiene in endoscope rooms and dialysis rooms of 26 general hospitals above the second level in Weifang city, to get the basic information, record and analyze the results. Results The allocation standardization degree was relatively low. In details, the amount of water faucet in endoscope rooms per capita was 0, 35 ,meanwhile the allocation rate of untouchable faucet was 54.64% ,and disposable hand-wiping towel was only about 17.53%, hand dryer 7.22%, liquid soap 32.99%. Besides, the monthly usage of alcohol-based hand rub in endoscope rooms was 72.29 ml, with 2.83 ml shared to per patience respectively, i. e. , 1.89 times usage per month. The allocation rate of untouchable faucet as wellas liquid soap in dialysis rooms was higher than that in endoscope roos（P〈0.05） The allocation rate of untouchable faucet in large-scale general hospitals was higher than medium-scale general hospitals（ P 〈0.01）. Conclusion In the endoscope rooms and dialysis rooms in the general hospitals above the second level,the hand hygiene facilities remain to be improved in terms of regulation and standardization. The general quantity of washing facilities are insufficient, the percentage of untouchable faucets is low, liquid soaps are seriously inadequate, hand drying method can not conform to related standards, and quick-drying hand disinfectant is not yet popularized.