摘要
目的了解甘肃省兰州市部分医疗机构医院感染重点科室物体表面和医护人员手卫生状况,为加强对医院消毒工作的指导和规范手卫生行为,预防与控制医院感染提供依据。方法选择二级和三级医疗机构各1所,于2015—2018年监测和观察重点科室的物体表面和医护人员卫生手的细菌总数、手卫生依从性等。结果2015—2018年监测医院物体表面总合格率77.60%,卫生手总合格率78.85%,手卫生总依从率46.18%,三级医院物体表面合格率(84.17%)、卫生手合格率(83.42%)和手卫生依从率(53.55%)均高于二级医院,护理人员卫生手合格率(81.25%)及手卫生依从率(47.37%)均高于医生,不同年度物体表面合格率(χ^(2)=52.582)、卫生手合格率(χ^(2)=13.909)、手卫生依从率(χ^(2)=13.467)差异均有统计学意义(P<0.05)。结论监测医院的重点科室物体表面及医护人员卫生手合格率、手卫生依从率均不高,应进一步完善制度、加强培训,切实提高医护人员医院感染防控知识知晓率和参与度,从而降低医院感染发生率。
objective To master the senitary conditions of objects surface in the key departments of nosocomial infection in some medical institutions and hand hgiene of medical staffs,provide basis for strengthening the instruction to the disinfection in hospital and the regulation of hand hygiene behavior,and preventing and controling the nosocomial infection.Methods One secondary and one tertiary medical institutions were selected to monitor and observe the total number of bacteria on the surface of objects in the key departments and the sanitary hands of medical staffs,and the hand hygiene compliance,etc.from 2015 to 2018.Results The total qualified rate of objects surface was 78.85%,and the total compliance rate of hygienic hands was 46.18%.The qualified rate of objects surface(84.17%),the sanitary hands(83.42%)and the compliance rate of the hand hygiene(53.55%)in the tertiary medical institution were higher than in the secondary medical institution.The qualified rate of sanitary hands(81.25%)and the compliance rate of hand hygiene(47.37%)of nursing staffs were higher than that of doctors.There were statistical differences(P<0.05)in the qualified rates of objects surface(χ^(2)=52.582),sanitary hands(χ^(2)=13.909)and the compliance rate of hand hygiene(χ^(2)=13.467)in different years.Conclusions The qualified rate of objects surface in the key departments,the qualified rate of sanitary hand and the compliance rate of hand hygiene of the nursing staffs are not high.It is necessary to further perfect the regulations and strengthen the training,effectively improve the awareness rate of nosocomial infection and the degree of participation of medical staffs for reducing the incidence of nosocomial infection.
作者
董锟
兰光
申艳琴
张璟
张阳
DONG Kun;LAN Guang;SHEN Yan-qin;ZHANG Jing;ZHANG Yang(Gansu provincial center for Disease Control and Prevention,Lanzhou,730000,China)
出处
《疾病预防控制通报》
2022年第1期78-81,共4页
Bulletin of Disease Control & Prevention(China)
基金
甘肃省卫生健康行业科研项目(GSWSKY2020-24)。
关键词
医疗机构
物体表面
卫生手
手卫生依从性
Medical institution
Object surface
Sanitary hand
Hand hygiene
compliance
