大流行期间手卫生(HH)的测量提出了更高的要求。本研究旨在描述中国2019年冠状病毒病(COVID-19)指南的HH依从性测量,并探讨观察到的影响因素。
合规性是根据17个时刻的标准衡量的合规机会百分比。合规标准包括HH行为,procedure,持续时间,手干燥法,以及计算它们的整体。观察到的影响因素包括不同的部门和地区以及保护动机。进行描述性分析和逻辑回归。
符合总体标准,HH行为,procedure,持续时间,手工干燥方法为79.44%,96.71%,95.74%,88.93%,和88.42%,分别,两者有显著差异(P<.001)。同时,半污染区(比值比[OR]=1.829,P<.001;OR=2.149,P=.001)和卫生区(OR=1.689,P=.004;OR=1.959,P=.015)的总体和手干法依从性均显著高于污染区。患者保护动机对HH行为的依从性(OR=0.362,P<.001)低于自我保护动机。
首先根据中国的COVID-19指南,使用17个时刻的不同标准测量HH依从性。HH合规性的衡量需要更清晰的定义和全面的实践。受污染的区域和患者保护的动机导致依从性降低,这可以通过分配更多的人力资源和增加监督和教育来解决。
Higher requirement is put forward in the measurement of hand hygiene (HH) during a pandemic. This study aimed to describe HH compliance measurement and explore observed influencing factors with respect to coronavirus disease 2019 (COVID-19)
guidelines in China.
Compliance was measured as the percentage of compliant opportunities based on criteria for 17 moments. The criteria for compliance included HH behavior, procedure,
duration, hand drying method, and the overall that counts them all. The observed influencing factors included different departments and areas and protection motivation. Descriptive analysis and logistic regression were performed.
The compliance of overall criteria, HH behavior, procedure,
duration, and hand drying method were 79.44%, 96.71%, 95.74%, 88.93%, and 88.42%, respectively, which were significantly different from each other (P < .001). Meanwhile, the overall and hand drying method compliance in semi-contaminated areas (odds ratio [OR] = 1.829, P < .001; OR = 2.149, P = .001) and hygienic areas (OR = 1.689, P = .004; OR = 1.959, P = .015) were significantly higher than those in contaminated area. The compliance with HH behavior for the motivation of patient-protection (OR = 0.362, P < .001) was lower than that for the motivation of self-protection.
HH compliance was firstly measured using different criteria for 17 moments according to COVID-19
guidelines in China. The measurement of HH compliance needs clearer definition and comprehensive practice. Contaminated areas and motivation of patient-protection contribute to lower compliance, which may be addressed by allocating more human resources and increasing supervision and education.