医护人员洗手依从性与控制医院感染的相关研究

Correlation studying on doctors and nurses' compliance and controlling nosocomial infection

目的:分析临床医护人员洗手现状,探讨适合临床实际工作的洗手方法与对策。方法:将监测科室900名医护人员随机分为5组,分别按诊疗操作后、传统习惯洗手、改用推荐新方法洗手及左、右手洗手方法进行微生物检测,并比较其效果。结果:诊疗操作后手带菌平均菌落数46 cfu/cm2,按传统习惯洗手平均菌落数14 cfu/cm2,改用推荐新方法洗手平均菌落数8 cfu/cm2,左手洗手平均菌落数6 cfu/cm2,右手洗手平均菌落数12 cfu/cm2。改用新推荐方法洗手的手卫生合格率为1.67%,与传统习惯洗手卫生合格率88.33%相比差异有统计学意义(P<0.01),左手洗手与右手洗手卫生合格率差异有统计学意义(P<0.01)。结论:改用推荐新方法洗手效果理想,明显优于传统的洗手方法,护士右利手者左手比右手洗的干净。

Objective： To discuss a proper clinical washing-hands method by analyzing clinical doctors and nurses＇ washing hands. Methods： To test 900 clinical workers＇ washing actualities by daubing randomly. To observe the microbial testing eligible rate after diagnosis and treatment, in washing hands with traditional custom, in washing hands by newly recommended method or both hands in practice. Results： The mean germ number of germ carrying after diagnosis and treat was 46 cfu/cm^2, which is 14 cfu/cm^2, in washing hands with traditiOnal custom, and 8 cfu/cm^2 in washing hands by newly recommended method, 6 cfu/cm^2 in left hand, 12 cfu/cm^2 in right one. Conclusion： The newly recommended method is a convenient, efficacious and proper clinical method. It is cleaner in washing left hand than right one, nurses wash more cleanly than doctors.