院科两级医务人员手卫生依从性和正确率调查结果比较

Contrast of Compliance and Accuracy of Hand Hygiene between Department and Hospital Medical Staff

目的通过比较医院感染管理科与临床科室医院感染管理小组两级组织调查医务人员手卫生依从性和正确率结果,分析导致差异较大的原因,采取多项干预措施提高科室对手卫生执行情况的调查水平和能力。方法统计分析2013年1月-12月医院感染管理科和25个医院感染管理小组观察的手卫生依从性和正确率,医院和科室均使用"WHO的标准观察表格",采用单盲法观察医务人员的手卫生执行情况。结果医院调查的手卫生依从性和正确率分别是64.97%和87.78%,科室调查的手卫生依从性和正确率分别是90.54%和93.37%,两级组织调查结果比较,差异有统计学意义(χ2=286.2,P<0.001;χ2=532.6,P<0.001)。结论加强科室手卫生执行及观察方法的培训、检查指导监测及考核等多项干预措施,提高调查人员的工作责任心及观察水平和能力,使调查数据能真实反映实际情况并能督促医务人员执行好手卫生,从而降低因医务工作者手引起的医院感染,为患者提供安全的就医环境。

Objective To compare the investigation results of compliance and accuracy of hand hygiene in medical staff achieved by Hospital Infection Management Department and Department Infection Management Teams,and analyze the reasons for differences of the results and take measures to improve the investigation ability of hand hygiene in hospitals.Methods We statistically analyzed the results of compliance and accuracy of hand hygiene from January to December 2013 investigated by the infection management department and 25 infection management teams.Both the hospital and departments used ＂WHO Standard Observation Form＂.Single-blind method was used to observe the implementation of hand hygiene in medical staff.Results The hospital infection management department investigation showed that hand hygiene compliance and accuracy were 64.97%and 87.78%,respectively,while the investigation by infection management teams showed that hand hygiene compliance and accuracy were 90.54%and93.37%,respectively.The differences between the investigation results of two-level organizations were statistically significant（χ~2=286.2,P〈0.001;χ~2=532.6,P〈0.001）.Conclusions We should take measures to enforce the training of hand hygiene implementation and the observation method,and improve the guidance and assessment,promote investigators＇ working responsibility and observation ability,so that the survey data can accurately reflect the actual situation to urge medical staff to form good hand hygiene habits.