深圳市医务人员手卫生现状调查

A SURVEY OF HAND HYGIENE STATUS OF MEDICAL STAFFS IN SHENZHEN

目的了解深圳市医务人员手卫生现状及其影响因素,以改善和提高手卫生质量。方法采用问卷调查和随机抽查方法,对本辖区内各级医疗机构医护人员手卫生执行情况进行了调查。结果深圳市医疗机构医务人员手部卫生知识掌握尚可,但洗手执行率普遍很低。接触病人黏膜、破损皮肤或伤口后洗手执行率仅31.40%,直接接触病人前洗手执行率仅9.76%。洗手方式以使用洗手液为主,占91.88%;干手方式以一次性纸巾擦干为主,占61.37%。工作忙、时间紧是影响手部卫生依从性的最主要因素。结论深圳市医务人员手卫生现状不理想,手卫生执行率较低,应强化手卫生意识,完善医院洗手设施,重点是强制执行手卫生制度。

Objective To find out current status of hand hygiene in health care settings in Shenzhen and investigate the influential factors, for the purpose of taking effective measures to improve the quality of hand hygiene as well as reduce overall infection rate in hospitals. Methods The complexion of hand hygiene was investigated by questionnaire in randomly sampled 994 medical staffs from hospitals at all levels, and the hand hygiene compliance （HHC） was observed in randomly sampled 249 medical staffs. Results The state of knowledge of hand hygiene among medical staffs in Shenzhen was relatively good, but the HHC was low. The HHC after contacting patients mucosa and wound of skin was the highest （31. 40% ）, while before contacting patient was the lowest （9.76%）. 91.88% of the medical staffs washed hands with hand sanitizer and 61.37% of the medical staffs dried hands with disposable paper towel. Heavy workload was regarded as the most important factor that influenced the HHC. Conclusions The hand hygiene status of medical staffs in Shenzhen was not satisfactory. It is necessary to strengthen the hand hygiene training, reinforce the consciousness about hand hygiene, improve hand hygiene facilities, and implement the superintendents＇instruction and supervision function on controlling nosocomial infection.