摘要
目的了解宜昌市城区各级医院医务人员手卫生执行情况,探讨提高手卫生执行率的途径。方法现场调查该市城区37所医院医务人员手卫生执行情况,发放问卷调查影响手卫生执行的因素。结果 37所医院共调查医务人员238名,总体手卫生执行率为32.38%(125/386),其中三级医院为46.81%,二级医院为53.19%,民营医院为23.53%,乡镇卫生院为7.69%,其他一级医院为17.95%,各医院间医务人员手卫生执行率差异有统计学意义(P<0.05)。接触患者前、进行无菌操作前、体液暴露后、接触患者后、接触患者周围环境后和脱手套后6项手卫生指征执行率中,进行无菌操作前(89.58%,43/48)和脱手套后(80.49%,33/41)手卫生执行率最高。护士的手卫生执行率为54.82%(74/135),显著高于其他组(P<0.01);妇产科医务人员手卫生执行率为83.78%(31/37),显著高于其他科室(P<0.01)。37所医院中,18.92%配备有非手触式水龙头,43.24%配备有干手设施。洗手后,39.76%(33/83)的医务人员用一次性纸巾擦手或风干机吹干手,13.25%(11/83)自然晾干双手,46.99%(39/83)用工作服擦手。影响医务人员手卫生执行的前3位因素是:工作太忙(42.86%)、未引起足够重视(38.24%)、手卫生设施不足(36.56%)。结论宜昌市城区医院总体手卫生执行率低,手卫生执行状况亟待改进。
Objective To investigate the hand hygiene compliance among healthcare workers（HCWs） in hospitals in Yichang, and evaluate the approach to improve hand hygiene compliance. Methods Questionnaires of hand hygiene compliance were filled out by HCWs at 37 hospitals. Results A total of 238 HCWs were surveyed, the overall hand hygiene compliance rate was 32. 38%（125/386）, and the rates varied significantly with the kinds of the hospitals as below： 46. 81% in tertiary, 53.19% in secondary, 23.53% in private, 7.69% in township, and 17.95% in primary, hand hygiene compliance rate was significantly different among all hospitals（P〈0. 05）. Of 6 time points for hand hygiene （before contact with patients, before aseptic procedure, after body fluid exposure, after contact with patients, after contact with environmental surface in the vicinity of patients, and after glove removal）, hand hygiene compliance rates before aseptic procedure and after removing gloves were the highest, which was 89. 58% （43/48） and 80. 49% （33/41） respectively. Nurses＇ hand hygiene compliance rate was 54. 82% （74/135）, which was significantly higher than in the other groups （P〈0. 01）; of all departments, hand hygiene compliance rate of HCWs in obstetrics and gynecology was 83. 78% （31/37）, which was significantly higher than in the other departments （P〈0.01）. Of all hospitals, 18. 92% equipped with non-touch taps and 43.24% equipped with hand-drying facilities. After washing, 39. 76% （33/83） HCWs used tissue or hand drying facilities, 13. 25% （11/83） dried hands naturally, and 46. 99% （39/83） wiped hands with their uniforms. The major factors influencing the hand hygiene compliance were heavy workload （42. 86%）, insufficient attention （38. 24%） and hand hygiene facilities （36.56%）. Conclusion The overall hand hygiene compliance rate in Yichang is low, hand hygiene compliance need to be improved.
出处
《中国感染控制杂志》
CAS
2012年第6期425-429,共5页
Chinese Journal of Infection Control
关键词
手卫生
洗手
医务人员
医院感染
感染控制
hand hygiene
hand washing
health care worker
healthcare-associated infection
infection control
