某医院医护人员手卫生依从性调查

目的了解医护人员手卫生状况,为进一步提高手卫生依从性提供依据。方法 2012—2014年某院采取多项手卫生干预措施,对每年8月1—31日医护人员手卫生依从性和各年度医院感染情况进行调查统计。结果 2012—2014年医护人员手卫生依从率分别为59.55%、62.13%和65.16%,呈增高趋势,(χ2=10.018,P=0.002);医院感染率分别为2.13%、1.48%和1.06%,呈降低趋势(χ2=82.377,P0.001);医生手卫生依从率(57.97%)低于护士(65.97%);不同手卫生时刻中接触患者前的手卫生依从率最低(41.32%),而接触患者体液后依从率最高(76.47%)。结论该院手卫生综合干预措施已初见成效,完善并提高医护人员手卫生依从性有利于预防医院感染。

Hand hygiene compliance among health care workers in a hospital

ObjectiveTo investigate hand hygiene status of health care workers (HCWs) in a hospital, and provide guides for improving hand hygiene compliance．MethodsHand hygiene intervention was adopted in a hospital between 2012 and 2014, hand hygiene compliance among HCWs and healthcare associated infection in patients between August 1 and August 31 of each year were investigated and analyzed statistically. ResultsIn 2102-2014, hand hygiene compliance rate of HCWs was 59.55%，62.13%,and 65.16% respectively, which showed a increased trend (χ2=10.018, P=0.002), HAI rate was 2.13%，1.48% and 1.06% respectively, which showed a decreased trend (χ2=82.377, P<0.001); hand hygiene compliance rate of doctors was lower than nurses  （57.97% vs 65.97%）; Of different hand hygiene moments, hand hygiene compliance rate was the lowest before touching a patient（41.32%）, and highest after body fluid exposure （76.47%）. ConclusionComprehensive hand hygiene intervention in this hospital has achieved preliminary results, improvement of HCWs’ hand compliance is helpful for preventing HAI.