2005年胶州市医护人员手卫生情况调查

Survey of Hand Hygiene In Health Care Settings of Jiaozhou City in 2005

[目的]了解本市医护人员手卫生情况,调查影响手卫生的因素,制定相应的工作制度或采取有效的措施,提高医护人员手清洗、消毒的依从性,从而降低手造成医院感染的发生率。[方法]从各级医疗机构(市直医院、市直以下医院)Ⅲ类环境医护人员中随机抽取180名对其进行手卫生问卷调查和手卫生情况检测。采样方法、活菌计数均按国家卫生部颁布的《消毒技术规范》要求进行。[结果]医护人员消毒洗手合格率为81.7%、每次进行诊疗操作前主动洗手率仅占28.0%、手卫生意识薄弱、规范洗手的依从性差、医疗机构洗手设施、设备不完善、医院管理对医护人员手卫生缺乏明确要求。[结论]本市医护人员手卫生状况不容乐观,有待采取相应对策提高医护人员手卫生情况。

To find out,in Jiao Zhou City,current status of hand hygiene in health care settings, and investigate the relevant factors;To improve the compliance of hand hygiene of medical personnel by developing working mechanism or taking effective measures to reduce overall infection rate in hospitals. [Methods] Using questionnaire and direct hand hygiene testing, randomly sampled 180 doctors and nurses from hospitals at all levels （category III environment） ,including hospitals directly under city government administration and those at lower levels. Sampling method and accounting of live bacteria were in accordance with the＂Technique Regulation of Disinfection＂ issued by MOH. [Results]The rate of eligible hand hygiene practices of medical personnel is just 81.7 %. Rate of hand washing before performing medical procedure is just 28. 0%. Understanding of hand hygiene among health care personnel is weak,and so is the compliance of hand hygiene practices in proper steps. Insufficient hand cleaning facilities and equipments were found in hospitals, and lack of clear hand hygiene requirements for medical personnel from hospital administrations was also observed. [Conclusion]It is necessary to take prompt action and measure to improve hand-hygiene practices in health-care facilities in Jiao Zhou City.