全国多中心ICU医务人员手卫生正确性分析

A national multi-centre study of accuracy of hand hygiene of health care workers in ICUs

目的了解我国ICU医务人员手卫生的正确性,为进一步改善手卫生正确性提供科学依据。方法 2013年10月-2014年9月采用多中心研究的方式,选取全国47所医院共66个ICU,使用统一的调查表,依据《医务人员手卫生规范》进行判定,每月对医务人员手卫生正确性进行调查;所有数据录入EXCEL表格,应用SPSS17.0进行统计分析。结果 47所医院医务人员手卫生正确率为83.48%;其中华东地区的手卫生正确率最高89.08%;内科ICU医务人员手卫生正确率最高89.05%,其他ICU最低为67.34%;2013年第四季度医务人员手卫生正确率最低52.83%,2014年手卫生正确率提升较多且较稳定。结论我国在不同地区、不同ICU类型、不同季度的医务人员手卫生正确率存在差异,医务人员手卫生正确性水平仍有可提升的空间,需在重点科室、重点环节加强手卫生管理。

OBJECTIVE To investigate the accuracy of hand hygiene of the health care workers in ICUs so as to provide scientific basis for further improvement of accuracy of hand hygiene.METHODS A multi-centre study was conducted from Oct 2013 to Sep 2014,totally 66 ICUs from 47 hospitals were included in the study,the uniform questionnaire was adopted,and the accuracy of hand hygiene of the health care workers was investigated every month according to the Medical Personnel Hand Hygiene Norms.All of the data were input into the EXCEL table,and the statistical analysis was performed with the use of SPSS 17.0software.RESULTS The rate of correct hand hygiene of the health care workers from 47 hospitals was 83.48%,and the rate of correct hand hygiene of the health care workers from the hospitals in eastern China was highest（89.08%）;the rate of correct hand hygiene was highest（89.05%）among the health care workers from the ICUs of internal medicine departments and was lowest（67.34%）among the health care workers from the ICUs of other departments.The rate of correct hand hygiene of the health care workers was lowest（52.83%）in the fourth quarter of 2013,and the rate of correct hand hygiene was increased and stable in 2014.CONCLUSION The rate of correct hand hygiene of the health care workers varies in the region,ICU,and quarter.There is still some room for improvement of hand hygiene accuracy of the health care workers.It is necessary to strengthen the hand hygiene management in the key departments and key links.