摘要
目的了解三级医院医务人员手卫生的现状，探索提高手卫生依从性的措施。方法采用现场盲法观察医务人员手卫生执行情况，并检测其手部病原菌分布情况。结果医务人员手卫生执行率44．49％，其中护士（47．24％）高于医师（39．90％），实习生最低（35．29％）；从科室类别看，以儿科手卫生执行率最高为51．40％，妇产科次之46．18％，外科最低40．00％。医务人员手卫生执行率在提供快速手消毒剂时明显高于未提供时（X^2=10，05，P〈0．01），而病房内有无洗手设施及洗手设施是否容易使用对手卫生执行率的影响差异无统计学意义（X^2=0．04、0．0l，P〉0．05）。手部携带细菌以革兰阳性菌为主，多见凝固酶阴性葡萄球菌、枯草杆菌等。结论三级医院医务人员手卫生执行率较低，因此营造良好的手卫生氛围，完善医院中的洗手设施，提供快速手消毒剂，提高医务人员手卫生依从性，才能有效减少医院感染的发生。
Objective To investigate the implementation situation of hand hygiene in tertiary hospital l explore measures for improving the compliance of medical staffs in hand hygiene. Methods The implementation situation of hand hygiene in medical staffs was evaluated by blinded observation and the pathogens in their hands were detected. Results The total implementation rate of hand hygiene was 44.49% and the rate was higher in nurses（ 47.24% ）than doctors （39.90%）, trainee was the lowest（35.29% ）. Among different departments, the implementation rate in pediatric was the highest（51.40%）, gynecology and obstetrics was the second（46.18%）, and surgical department was the lowest （40.00%）. Hand hygiene implementation rate was significantly higher in fast hand disinfectant was offered than not offered （ X^2 = 10.05, P 〈 0.01）. There were hand-washing facilities or the facilities were convenient to get had no significant impact on the implementation rate（ X^2 = 0.04, 0.01, P 〉 0.05）. The most common bacteria earried by hand was graropositive bacteria, such as coagulase-negative Staphylococci, Bacillus subtilis and so on. Conclusions Hand hygiene implementation rate is low in tertiary hospital, so it is urgent to create a good atmosphere of hand hygiene, in order to improve hand-washing facility, provide fast hand disinfectants to improve the compliance of medical staffs in hand hygiene, which can reduce the incidence of hospital infection.
出处
《国际流行病学传染病学杂志》
CAS
2011年第5期314-316,共3页
International Journal of Epidemiology and Infectious Disease
基金
广东省医学科研项目（A2009440）
关键词
医务人员
手卫生
医院感染
Medical staff
Hand hygiene
Hospital infection
