摘要
目的评价我国三级公立医院医护人员手卫生依从性及正确率,为疫情常态化形势下医疗机构采取院感防控措施提供依据。方法在PubMed、中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方及维普(VIP)数据库中,检索2017年11月—2020年11月的文献,使用NoteExpress 3.3筛选研究,Stata15进行Meta分析。结果共纳入研究18篇,医生和护士手卫生依从率分别为0.49(0.40~0.58)和0.61(0.52~0.69)。基于漏斗图的begg偏倚检验及Egger偏倚检验显示,医生组和护士组结果分别为,医生组P=0.876和0.807(>0.05),护士组P=1.00和0.790(>0.05),两组均不存在发表偏倚。医护手卫生依从率分别为50.00%和60.7%(χ^(2)=60.952,P<0.05);医护手卫生正确率分别为66.00%和76.90%(χ^(2)=75.759,P<0.05)。结论我国三级公立医院医护人员手卫生依从性较低,医院应采取措施,加强管理,降低医院感染风险。
Objective To evaluate the compliance and accuracy of hand hygiene of medical staff in tertiary public hospitals in our country,and to provide a basis for medical institutions to take measures to prevent and control nosocomial infections under the normalized situation of the epidemic.Methods Using PubMed,CBM,CNKI,WANFANG and VIP databases,the literatures from November 2017 to November 2020 were searched.NoteExpress 3.3 was to screen the research,and Stata15 was used to perform Meta analysis.Results A total of 18 studies were included.The 95%CI of hand hygiene compliance rate of doctors and nurses were 0.49(0.40~0.58)and 0.61(0.52~0.69),respectively.The results of the funnel chart of doctors and nurses and the begg bias test based on the funnel chart were P=0.876>0.05,P=0.807>0.05,P=1.00>0.05 P=0.790>0.05,and there was no publication bias in the study.The compliance rates of hand hygiene of doctors and nurses were 50.00%and 60.7%(χ^(2)=60.952,P<0.05);the correct rates of hand hygiene of doctors and nurses were 66.00%and 76.90%(χ^(2)=75.759,P<0.05).Conclusion The hand hygiene compliance of medical staff in tertiary public hospitals in our country is still low.The hospital should take measures to strengthen the management to reduce the risk of nosocomial infection.
作者
李慧
赵萍
刘鑫
李罡成
潘星月
李文娟
LI Hui;ZHAO Ping;LIU Xin;LI Gang-cheng;PAN Xing-yue;LI Wen-juan(Taixing People's Hospital,Taizhou Jiangsu 225400,China)
出处
《中国消毒学杂志》
CAS
2022年第1期65-68,共4页
Chinese Journal of Disinfection
基金
江苏省医院协会医院管理创新研究课题(JSYGY-3-2019-3-39)。
关键词
手卫生
医院感染
系统评价
依从性
hand hygiene
nosocomial infection
systematic review
compliance
