某医院皮肤性病科医务人员手卫生依从性现状调查

Hand hygiene compliance of dermatological and venereological healthcare workers in a hospital

摘要:

目的  调查皮肤性病科医务人员手卫生依从性现状。方法  通过自制调查问卷，对65例皮肤性病科医务人员进行手卫生依从性现场调查。结果  绝大多数（86.2%）皮肤性病科医务人员知晓手卫生对控制医院感染的重要性，但其平均手卫生依从率只有54.06%。针对不同岗位医务人员的手卫生依从率比较，经χ2检验，可知不同岗位间的依从率不全相等（χ2=8.429，P =0.015）；其中，医技人员的平均手卫生依从率为47.74%，明显低于医师的55.13%和护理人员的56.35%。医务人员在接触患者前、无菌操作前、接触体液后、接触患者后和接触患者周围区域后的平均手卫生依从率依次为29.75%、71.59%、83.78%、51.47%和42.86%，经χ2检验，医务人员在上述不同时间的手卫生依从率不全相等（χ2=262.956，P =0.000，）；不同岗位医务人员不同时间的手卫生依从性比较，差异有统计学意义。表明工作繁忙是影响手卫生执行的首要因素，而洗手设施不完善对手卫生执行影响最小。结论  皮肤性病科医务人员的手卫生依从性较低，需要采取宣教、培训、督导等干预措施，提高医务人员手卫生意识和依从性。

Abstract:

Objective To investigate hand hygiene compliance of healthcare workers in the Department of Dermatology and Venereology. Methods Sixty-five healthcare workers were surveyed on site regarding hand hygiene compliance through a self-designed questionnaire. Results The vast majority of healthcare workers understood the importance of hand hygiene in controlling hospital-acquired infections. However, the overall hygiene compliance rate was only 54.06% on average, while the hygiene compliance rates of medical staff from different positions were different (χ2 = 8.429, P = 0.015), with medical technicians having a significantly lower rate (47.74%) than doctors (55.13%) and nursers (56.35%). The hand hygiene compliance rates before patient-contact (29.75%), before aseptic-tasks (71.59%), after body fluid-exposure (83.78%), after patient-contact (51.47%) and after contact with patient surroundings (42.86%) were not all identical (χ2 = 262.956, P = 0.000); there were also differences in compliance rates between different professions at different time. In addition, heavy workloads were the main factor influencing hand hygiene performance, while the insufficient facilities had the least impact. Conclusions Hand hygiene compliance of healthcare workers in the Department of Dermatology and Venereology is low. Therefore, education, training, monitoring and other interventions are required to improve hand hygiene awareness and compliance.