摘要
目的了解我国医院医务人员手卫生清洁执行及手卫生设施情况。方法采用现场观察的方法对北京、上海、广州3城市不同级别医院进行了手清洁卫生行为的调查。结果医务人员在接触患者后洗手率为56.5%,明显高于接触患者前及接触物品后手卫生执行率(35%);接触患者前的手卫生执行率以护士最高(39.3%);接触患者后的手卫生执行率以医生为最高(61.0%);从科室类别看,妇产科的手卫生执行情况最好,洗手设施中肥皂的提供率约83.3%,ABHR的提供率达56%,但ABHR的使用率只有14.2%。结论我国医务人员手卫生执行状况亟待改善,提高手卫生执行率是一项涉及行为学的系统工程,应加强培训,提高医务人员,重点是医生的手卫生执行率。
OBJECTIVE To evaluate the hand hygiene compliance （HHC） in China. METHODS The field observation for hand hygiene compliance, the hand hygiene material and equipment were performed in parallel in 8 hospitals from Beijing, Shanghai and Guangzhou. RESULTS It was shown that the average hand hygiene compliance before contacting patient was 35. 3%, much lower than the compliance after contacting patient （56.50%）. The nurse＇s HHC （39.3%） was the best among groups before contacting patient, but the physicians took the first place of HHC after contacting patient. The best discipline in HHC was gynecology and obstetrics departments, especially before contacting patient and after contacting other surface, comparatively the worst was the surgeons. Most of hospitals （83.3%） provided the unmedicated detergent for handwashing. The alcohol-based hand rub（ABHR） for hand disinfection was available （56%） in many hospitals, in contrast the HHC with ABHR was quite low （14.2%）. CONCLUSIONS These results indicated that the HHC is relatively low and improving adherence to hand hygiene practice is a multidisciplinary and systematic approach in China. It might be essential for promoting the HHC of health care workers, especially the physicians and surgeons, to strengthen the education and enlarge the continuous investment for some hard-ware improvement.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2006年第2期140-142,共3页
Chinese Journal of Nosocomiology
关键词
医院感染
手卫生
Hospital infection
Management
Hand hygiene
