新冠肺炎疫情前后某三甲医院手卫生依从性调查分析

Investigation and analysis on hand hygiene compliance rate among health care workers at a tertiary care hospital before and after the COVID-19 epidemic

目的评估新冠肺炎疫情前后手卫生依从性及戴手套行为。方法通过现场观察、记录并填写调查表,比较某三甲医院医务人员在新冠肺炎疫情前后(2019年2—5月和2020年2—5月)手卫生依从率及戴手套的行为。结果共评估了939名医务人员,新冠肺炎疫情前后分别观察了3735次和4412次手卫生机会。新冠肺炎疫情后手卫生依从率81.14%,高于疫情前的75.93%(χ^(2)=32.837,P<0.01)。新冠肺炎疫情后未执行手卫生中戴手套的比率为33.53%,高于疫情前的27.03%(χ^(2)=8.677,P<0.01)。结论新冠肺炎疫情后手卫生依从性提高,但戴手套时,手卫生依从率降低。

Objective To assess hand hygiene compliance(HCW)rate among health care workers before and after the COVID-19 epidemic and gloves wearing behavior.Methods Field investigation,recording and questionnaire were used to compare hand hygiene compliance rate among health care workers before(Feb.to May in 2019)and after(Feb.to May in 2020)the COVID-19 epidemic and gloves wearing behavior.Results Overall,939 HCW were assessed before and after COVID-19,with 3735 and 4412 observations of hand hygiene opportunities,respectively.We observed a significantly higher HH compliance after COVID-19(81.14%vs 75.93%,χ^(2)=32.837,P<0.01).The HCWs that wearing gloves were respectively 27.03%and 33.53%before and after COVID-19,and difference were significant(χ^(2)=8.677,P<0.01).Conclusion The COVID-19 pandemic positively influences HH compliance,but HH rate is lower when gloves are worn.