Concealed investigation on status and countermeasures of hand hygiene of health care workers in a tertiary comprehensive teaching hospital
10.3969/j.issn.1671-9638.2018.11.015
- VernacularTitle:某三级综合教学医院手卫生暗访调查现状及对策研究
- Author:
Xiao-Chun WU
1
;
Xiu-Juan QU
;
Yuan-Li CHEN
Author Information
1. 中山大学附属第五医院
- Keywords:
health care worker;
cleaner;
hand hygiene;
compliance;
compliance rate;
correct rate;
healthcare-as-sociated infection
- From:
Chinese Journal of Infection Control
2018;17(11):1019-1021,1025
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the status of hand hygiene(HH)of health care workers(HCWs)in a tertiary hospital in Zhuhai.Methods HH compliance of doctors,nurses,and cleaners randomly selected from 15 clinical de-partments in the whole hospital was observed through concealed observation by medical interns in October-Novem-ber 2016.Results HH compliance rate and correct rate of clinical departments in the whole hospital were 33.44%(1 131/3 382)and 59.86%(677/1 131)respectively,there was a significant difference in the compliance rate of HH among different types of HCWs (χ2 ＝12.610,P＝0.002),HH compliance rate from high to low was nurses (35.85%),cleaners (32.28%),and doctors (29.50%).Of five HH moments,HCWs’HH compliance rate after patient’s body fluid exposure was the highest (69.74%),while after touching patient surroundings was the worst (25.03%).HH compliance rates of HCWs with different occupations at different HH moments were all significant-ly different (all P＜0.05),HH compliance rates of doctors before aseptic procedure and after patient’s body fluid exposure were higher than nurses(71.25% vs 32.44%;82.86% vs 69.78%,respectively),HH compliance rate of nurses was highest after touching a patient(40.06%).Conclusion HH status in this hospital is not optimistic,HH compliance rate and correct rate are low,HH compliance rates of HCWs with different occupations and at different HH moments are both different,which need to be improved.
