基于point-of-care理念的手卫生设施设置现状调查

 目的 基于point-of-care （POC）理念调查某三级甲等综合性教学医院手卫生设施的设置现状。方法 采用横断面方法调查该院各诊疗区域主要供医务人员使用的手卫生设施种类、数量、位置、设施完备程度，以及速干手消毒剂的消耗量。结果 调查102个区域，1 165间诊疗用房，手卫生设施配置率为96.48%，洗手池完备率为91.37%%，不同区域完备率比较，差异有统计学意义（P<0.01）。80.53%的速干手消毒剂设置符合POC理念，59.51%的普通病区病室速干手消毒剂设置符合POC理念，速干手消毒剂设置符合POC理念比例高的科室手消毒剂消耗量相对较高。结论 手卫生设施的设置和改进应强化POC理念，以提高手卫生依从性和预防医院感染的发生。

Current status of setting of hand hygiene facilities based on the concept of point-of-care

Objective To investigate the setting status of hand hygiene (HH) facilities in a tertiary first-class comprehensive teaching hospital based on the concept of point-of-care (POC). Methods A cross-sectional survey was conducted on the type, number, location, facility completeness of HH facilities and consumption of alcohol-based hand rub used by health care workers in each diagnosis and treatment section of this hospital. Results 102 sections were surveyed, there were 1 165 diagnosis and treatment rooms, setting rate of HH facilities was 96.48%, completeness rate of hand washing sink was 91.37%, there was significant difference in completeness rate in diffe-rent sections (P < 0.01). 80.53% of alcohol-based hand rub setting complied with the POC concept, 59.51% of alcohol-based hand rub setting in the general wards complied with the POC concept, consumption of hand disinfec-tant was relatively higher in departments with high conformity to POC concept for the setting of alcohol-based hand rub. Conclusion The setting and improvement of HH facilities should strengthen the POC concept to improve HH compliance and prevent the occurrence of healthcare-associated infection.