开展手卫生活动对医务人员手卫生依从性的影响

目的了解开展手卫生活动对医务人员手卫生依从性的影响。方法某院2013年5-12月实施一系列手卫生干预措施，调查并比较2013年4-12月（干预前后）全院所有临床、医技部门医务人员手卫生依从性。结果手卫生活动的实施监管后，医务人员手卫生依从率由干预前的39.82%上升至干预后的80.77%，医生、护士和保洁人员手卫生依从率分别由41.09%、41.30%、34.33%，上升至83.87%、91.89%、59.54%，干预前后比较，差异均有统计学意义（均P＜0.001）。除重症监护病房（ICU）外，干预后外科、内科、放疗系统医务人员手卫生依从率均高于干预前（均P＜0.001）。干预后医务人员5个手卫生指征手卫生依从率均高于干预前（均P＜0.001），其中接触患者前手卫生依从率由23.88%上升至73.37%，清洁/无菌操作前由58.65%上升至94.23%。结论通过手卫生活动的实施及监管，医务人员的手卫生意识及依从性均有明显提高，并逐步建立起良好的手卫生习惯。

Effect of implementation of hand hygiene activities on hand hygiene compliance among health care workers

ObjectiveTo investigate the effect of implementation of hand hygiene(HH) activities on HH compliance among health care workers(HCWs).MethodsIn May December 2013, a series of HH intervention measures in a hospital were implemented, compliance to HH among all clinical and laboratory HCWs in April December 2013 (before and after intervention) were surveyed and compared.ResultsAfter implementing HH activities, HH compliance rate of HCWs increased from 39.82% before intervention to 80.77% after intervention, HH compliance rates of doctors, nurses and cleaning staff increased from 41.09%,41.30% and 34.33% before intervention to 83.87%,91.89%, and 59.54% after intervention respectively， the differences between before and after intervention were all statistically significant (all P<0.001). Except intensive care unit, HH compliance rates of HCWs in departments of surgery, internal medicine, and radiotherapy were all higher than pre intervention(all P<0.001). Compliance to five indications for HH among HCWs after intervention were all higher than pre intervention(all P<0.001), HH compliance rate before touching a patient increased from 23.88% to 73.37%，before clean/aseptic procedure increased from 58.65% to 94.23%.ConclusionThrough the implementation and supervision of HH activities, both the awareness and compliance of HH among HCWs have been significantly improved, good HH habit is gradually developed.