2016年貴州省黃果樹地區(qū)手衛(wèi)生調(diào)查分析

包名銀 汪平 周華文 何旻 曹瑋

摘 ? 要：目的 ?掌握醫(yī)務(wù)人員手衛(wèi)生依從性和正確率。方法 ?選取2016年1月～12月貴州省安順市人民醫(yī)院不同臨床科室中不同類型的醫(yī)務(wù)人員作為研究對(duì)象，采用直接觀察法，由院感專職人員用自制調(diào)查表，調(diào)查醫(yī)務(wù)人員手衛(wèi)生依從性和正確率，最后錄入Excel表中進(jìn)行分類統(tǒng)計(jì)。結(jié)果 ?共觀察到手衛(wèi)生指征總數(shù)10803次，執(zhí)行4381次，依從性率為40.55%，執(zhí)行正確3667次，正確率為83.70%;其中不同類型的醫(yī)務(wù)人員中，手衛(wèi)生依從性率最高和最低分別為護(hù)士（43.14%）和實(shí)習(xí)醫(yī)生（38.24%）;正確率最高為護(hù)士（84.60%），最低為實(shí)習(xí)護(hù)士（82.84%）;在5個(gè)手衛(wèi)生指征中，依從性率最高和最低分別為接觸患者血液/體液后（47.17%）和接觸患者周圍環(huán)境后（31.39%）;正確率最高和最低分別為接觸患者血液/體液后（85.22%）和接觸患者后（82.90%）。結(jié)論 ?護(hù)士手衛(wèi)生依從性率和正確率高于其他醫(yī)務(wù)人員，洗手指征中接觸血液/體液后的依從性率和正確率均高于其他洗手指征。應(yīng)注重各個(gè)手衛(wèi)生指征重要性的認(rèn)識(shí)，加強(qiáng)帶教老師手衛(wèi)生行為和習(xí)慣的宣傳，發(fā)揮護(hù)士在手衛(wèi)生方面的帶頭作用。

關(guān)鍵詞：手衛(wèi)生;醫(yī)務(wù)人員;調(diào)查分析;依從性

中圖分類號(hào)：R192 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 文獻(xiàn)標(biāo)識(shí)碼：A ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? DOI：10.3969/j.issn.1006-1959.2018.24.030

文章編號(hào)：1006-1959（2018）24-0107-03

Abstract：Objective ?To get to know the compliance and accuracy of hand hygiene among medical staff. Methods ?Different types of medical personnel in different clinical departments of Anshun people's Hospital of Guizhou Province from January to December 2016 were selected as the research objects，by means of direct observation and self-made questionnaire， the hand hygiene compliance and correct rate of medical staff were investigated. Finally， the data were entered into Excel table for classification and statistics. Results ?The total number of hand hygiene indications was 10803， 4381 were performed， the compliance rate was 40.55%， the correct execution was 3667， and the correct rate was 83.70%.Among the different types of medical staff， the highest and lowest compliance rate of hand hygiene were nurses （43.14%） and intern doctors （38.24%）， the highest correct rate （84.60%） and the lowest correct rate was （82.84%） intern nurses.Among the five hand hygiene indications， the highest and lowest compliance rates were after contact with blood / body fluid （47.17%） and the surrounding environment （31.39%）.The highest and lowest correct rates were after contact with blood / body fluid （85.22%） and after contact （82.90%） respectively.Conclusion ?The compliance rate and correct rate of hand hygiene compliance of nurses were higher than those of other medical staff. The compliance rate and correct rate of hand hygiene indication after contact with blood / body fluid were higher than those of other hand washing indications.Attention should be paid to the recognition of the importance of hand hygiene indicators，strengthen the propaganda of the teacher's hand hygiene behavior and habits， and play a leading role in the hand hygiene of the nurses.

Key words：Hand hygiene;Investigation;Investigation and analysis;Compliance

醫(yī)院感染問(wèn)題從2003年的SARS發(fā)生以來(lái)，越來(lái)越受到重視，尤其是近年來(lái)醫(yī)院感染暴發(fā)事件給患者的家庭和社會(huì)帶來(lái)不小的經(jīng)濟(jì)負(fù)擔(dān)及不良影響。由于醫(yī)院環(huán)境中的病原體可以通過(guò)醫(yī)務(wù)人員的手傳播給患者或在不同患者之間傳播[1]，易造成醫(yī)院交叉感染。據(jù)調(diào)查，強(qiáng)化醫(yī)護(hù)人員手衛(wèi)生干預(yù)可以提高醫(yī)護(hù)人員手衛(wèi)生知識(shí)的掌握，提高其手衛(wèi)生依從性，降低患者感染率[2]。……