中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
6期
339-344,352
,共7页
雷晓婷%林红%孙慧%吴荣华
雷曉婷%林紅%孫慧%吳榮華
뢰효정%림홍%손혜%오영화
手卫生%依从率%医院感染%系统综述%Meta分析
手衛生%依從率%醫院感染%繫統綜述%Meta分析
수위생%의종솔%의원감염%계통종술%Meta분석
Kex words] hand hygiene%compliance rate%healthcare-associated infection%systemic review%Meta analysis
目的:对2010-2012年我国综合性医院医务人员手卫生依从率进行系统分析。方法检索中国生物医学文献数据库(CBM)、中国期刊全文数据库(CNKI)、万方数据库(Wan Fang)、维普信息资源系统(VIP)及PubMed数据库,收集2010-2012年我国综合性医院医务人员手卫生依从率的文献,使用Comprehensive Meta A-nalysis V2软件和Stata12.0软件进行 Meta分析。结果共纳入文献90篇,各文献间存在异质性(Q=48118.32,P<0.01),采用随机效应模型。医务人员合并手卫生依从率为47.83%(95% CI:43.27%~52.42%);不同职业类别分层,医生合并手卫生依从率为40.36%(95% CI:35.42%~45.49%),护士为46.70%(95% CI:41.81%~51.65%),未进行职业分类的医务人员为40.72%(95% CI:27.75%~55.13%)。亚组分析,医生合并手卫生依从率与护士比较,差异无统计学意义(Q=3.12,P>0.05);接触患者后医务人员合并手卫生依从率为54.33%(95% CI:44.76%~63.59%),高于接触患者前的20.21%(95% CI:14.12%~28.06%)(Q=32.59,P<0.01);现场观察医院人员合并手卫生依从率为70.91%(95% CI:70.71%~71.10%),高于隐蔽观察的41.20%(95% CI:37.55%~44.94%)(Q=247.66,P<0.01)。结论2010-2012年我国综合性医院医务人员总体手卫生依从率低,医院应提高手卫生依从性,降低医院感染风险。
目的:對2010-2012年我國綜閤性醫院醫務人員手衛生依從率進行繫統分析。方法檢索中國生物醫學文獻數據庫(CBM)、中國期刊全文數據庫(CNKI)、萬方數據庫(Wan Fang)、維普信息資源繫統(VIP)及PubMed數據庫,收集2010-2012年我國綜閤性醫院醫務人員手衛生依從率的文獻,使用Comprehensive Meta A-nalysis V2軟件和Stata12.0軟件進行 Meta分析。結果共納入文獻90篇,各文獻間存在異質性(Q=48118.32,P<0.01),採用隨機效應模型。醫務人員閤併手衛生依從率為47.83%(95% CI:43.27%~52.42%);不同職業類彆分層,醫生閤併手衛生依從率為40.36%(95% CI:35.42%~45.49%),護士為46.70%(95% CI:41.81%~51.65%),未進行職業分類的醫務人員為40.72%(95% CI:27.75%~55.13%)。亞組分析,醫生閤併手衛生依從率與護士比較,差異無統計學意義(Q=3.12,P>0.05);接觸患者後醫務人員閤併手衛生依從率為54.33%(95% CI:44.76%~63.59%),高于接觸患者前的20.21%(95% CI:14.12%~28.06%)(Q=32.59,P<0.01);現場觀察醫院人員閤併手衛生依從率為70.91%(95% CI:70.71%~71.10%),高于隱蔽觀察的41.20%(95% CI:37.55%~44.94%)(Q=247.66,P<0.01)。結論2010-2012年我國綜閤性醫院醫務人員總體手衛生依從率低,醫院應提高手衛生依從性,降低醫院感染風險。
목적:대2010-2012년아국종합성의원의무인원수위생의종솔진행계통분석。방법검색중국생물의학문헌수거고(CBM)、중국기간전문수거고(CNKI)、만방수거고(Wan Fang)、유보신식자원계통(VIP)급PubMed수거고,수집2010-2012년아국종합성의원의무인원수위생의종솔적문헌,사용Comprehensive Meta A-nalysis V2연건화Stata12.0연건진행 Meta분석。결과공납입문헌90편,각문헌간존재이질성(Q=48118.32,P<0.01),채용수궤효응모형。의무인원합병수위생의종솔위47.83%(95% CI:43.27%~52.42%);불동직업유별분층,의생합병수위생의종솔위40.36%(95% CI:35.42%~45.49%),호사위46.70%(95% CI:41.81%~51.65%),미진행직업분류적의무인원위40.72%(95% CI:27.75%~55.13%)。아조분석,의생합병수위생의종솔여호사비교,차이무통계학의의(Q=3.12,P>0.05);접촉환자후의무인원합병수위생의종솔위54.33%(95% CI:44.76%~63.59%),고우접촉환자전적20.21%(95% CI:14.12%~28.06%)(Q=32.59,P<0.01);현장관찰의원인원합병수위생의종솔위70.91%(95% CI:70.71%~71.10%),고우은폐관찰적41.20%(95% CI:37.55%~44.94%)(Q=247.66,P<0.01)。결론2010-2012년아국종합성의원의무인원총체수위생의종솔저,의원응제고수위생의종성,강저의원감염풍험。
Objective To assess the prevalence of hand hygiene compliance rates of health care workers (HCWs) at general hospitals in China in 2010-2012. Methods Literatures about hand hygiene compliance of HCWs from 2010 to 2012 were retrieved from China Biology Medicine disc (CBM),China National Knowledge Infrastructure (CNKI),Wan Fang database,VIP ,and PubMed database ,Comprehensive Meta Analysis V2 software and Stata 1 2 .0 software were adopted to conduct statistical analysis . Results Ninety literatures were selected with heterogeneity (Q= 48 118.32,P<0.01),random effect model was used. The overall hand hygiene compliance rate of HCWs was 47.83% (95% CI:43.27% -52.42% );When stratified by occupation group,the overall compliance rate of doctors,nur-ses,and unclassified HCWs was 40.36% (95% CI:35.42% -45.49% ),46.70% (95% CI:41.81% -51.65% ),and 40.72% (95% CI:27.75% -55.13% )respectively. According to subgroup analysis,there was no statistical difference in compliance rate between doctors and nurses(Q= 3.12,P>0.05);the compliance rate after patient contact was higher than before patient contact (54.33% [95% CI :44.76% -63.59% ]vs 20.21% [95% CI:14.12% -28.06% ])(Q= 32.59, P<0.01 );hand compliance rate from field observation was higher than from covert observation (70.91% [95% CI :70.71% - 71.10% ]vs 41.20% [95% CI:37.55% -44.94% ])(Q= 247.66,P<0.01).Conclusion The overall hand hygiene compliance rate of HCWs in 2010-2012 was low,in order to reduce the risk of healthcare-associated infec-tion,hand hygiene compliance of HCWs need to be increased .