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目的了解西安市属医疗机构医护人员手卫生现状,为改善手卫生状况、控制院内感染的发生提供科学依据。方法依据WS/T313-2009《医务人员手卫生规范》,随机采样监测医护人员的手卫生情况。结果 3年共采样543份,合格321份,合格率为59.1%,2011-2013年合格率依次为62.2%、52.9%和62.7%,不同年度间差别无统计学意义(P>0.05)。三级医院医护人员手卫生合格率(68.3%)高于二级医院(55.9%),两者间差别有统计学意义(P<0.05);Ⅱ类环境医护人员手卫生合格率(85.9%)明显高于Ⅲ类环境(50.2%),两者间差异有统计学意义(P<0.01)。结论西安市属医疗机构医护人员手卫生合格率总体偏低,应加强手卫生的教育培训,严格执行医护人员手卫生规范,进一步控制减少医院内感染的发生。
Objective To understand the status quo of hand hygiene in health care workers in medical institutions in Xi’an and to provide a scientific basis for improving the status of hand hygiene and controlling the occurrence of nosocomial infections. Methods Based on WS / T313-2009 “Hand hygiene regulations for medical staffs”, hand hygiene conditions of medical staff were monitored by random sampling. Results A total of 543 samples were obtained in 3 years, with 321 qualified ones. The pass rate was 59.1%. The pass rates in 2011-2013 were 62.2%, 52.9% and 62.7%, respectively. There was no significant difference between years (P> 0.05). The passing rate of hand hygiene of medical staff in tertiary hospitals was higher than that of secondary hospitals (68.9%) (55.9%), the difference was statistically significant (P <0.05) Which was significantly higher than that of type Ⅲ environment (50.2%), the difference was statistically significant (P <0.01). Conclusion Xi’an medical institutions are generally low quality of hand hygiene of medical staff, should strengthen hand hygiene education and training, strictly enforce the hand hygiene norms of medical staff, and further control to reduce the occurrence of nosocomial infections.