26所基层民营口腔诊所医务人员手卫生现况调查

Hand hygiene status of health care workers in 26 private dental clinics

目的调查十堰市区基层民营口腔诊所医务人员手卫生现况。方法2019年9—11月采用便利抽样法对十堰市区民营口腔诊所医务人员手卫生现况进行隐蔽式调查,分析并比较不同岗位类别医务人员的手卫生依从率及正确率。结果共调查民营口腔诊所26所,设有专用洗手设施的仅17所(占65.38%),配有快速手消毒剂的12所(46.15%)。隐蔽式观察102名医务人员,观察有效手卫生时机2183次,医务人员实际执行572次,手卫生依从率26.20%,正确率25.52%(146次)。不同岗位类别医务人员的手卫生依从率、正确率比较,差异均有统计学意义(均P<0.001)。护士的手卫生依从率(30.80%)、正确率(31.85%)较其他岗位人员高。医务人员在接触患者体液后的依从率(76.24%)和正确率(40.26%)较其他手卫生时刻高,接触患者前后的手卫生依从率最低,仅为15.38%、24.72%。医务人员不同手卫生时刻的依从率、正确率比较,差异均有统计学意义(均P<0.001)。结论基层民营口腔诊所医务人员手卫生依从率和正确率均较低,急需相关部门加强对基层民营口腔诊所的手卫生管理。

Objective To investigate hand hygiene(HH)status of health care workers(HCWs)in private dental clinics in Shiyan City.Methods From September to November 2019,the convenient sampling method was used to conduct a covert survey on HH status of HCWs in private dental clinics in Shiyan City,compliance rate and accuracy rate of HH of HCWs in different post categories were analyzed and compared.Results A total of 26 private den-tal clinics were investigated,of which only 17(65.38%)had special hand washing facilities,and 12(46.15%)had alcohol-based hand rub.102 HCWs were observed covertly,2183 times of effective HH opportunities were observed,HCWs actually performed 572 times of HH,HH compliance rate and accuracy rate were 26.20%and 25.52%(146 times)respectively.There were significant differences in HH compliance rate and accuracy rate among HCWs in different posts(all P<0.001).HH compliance rate(30.80%)and accuracy rate(31.85%)of nurses were higher than HCWs in other posts.HH compliance rate(76.24%)and accuracy rate(40.26%)of HCWs after contacting patients’body fluids were higher than those at other times,HH compliance rate before and after contacting patients was the lowest,only 15.38%and 24.72%respectively.Compliance rate and accuracy rate of HCWs at different HH opportunities were statistically significant(all P<0.001).Conclusion Compliance rate and accuracy rate of HH of HCWs in private dental clinics are low,and it is urgent for relevant departments to strengthen the management of HH in private dental clinics.