某医院医护人员手卫生执行情况调查

Investigation of Hands Hygiene of Medical Staff of a Hospital

目的了解呼伦贝尔大雁医院医护人员手卫生执行情况及不同操作时洗手和手消毒执行情况。方法调查对象为随机抽取的130名医护人员,自行设计调查问卷及现场调查相结合,应用χ2检验对调查结果进行统计学分析。结果不同科室医护人员手卫生执行情况(包括洗手、手消毒)按正确、部分正确、错误进行分类,结果显示差异有统计学意义(χ2=11.49,P<0.05);医护人员在执行不同操作时洗手和手消毒执行情况未见显著性差异,但常规和为传染病人检查、治疗、护理后以用流动水洗手比例较高分别为57.6%和48.1%,处理污物后手消毒者多(46.2%)。结论手卫生仍是目前医院感染管理的一个薄弱环节。需加强医护人员手卫生知识培训,提供有效的教育干预措施;加强相关法律、法规的知识培训,使医护人员执行手卫生行为成为一个主动的行为。

[ Objective] To understand the implementation of hands hygiene, cleaning and disinfection of medical staff in different operations. [ Methods] A total of 130 medical staff were randomly selected to conduct investigation, self-designed questionnaire and on-site investigation were adopted, X2 test was used to analyze the results statistically. [ Results ] The implementation of hands hygiene { hands cleaning and hands disinfection ） among medical staff in different departments was classified as correctness, partial correctness and error; the difference was significant （ X2 = 11.49, P 〈 0.05 ）. The differences of implementation of hands cleaning and disinfection between different operations were not significant, but the proportions of hands cleaning by water flow after examination, treatment and nursing for patients with conventional and infectious diseases were high （57.6% and 48.1%, respectively }. The proportion of hands disinfection after dealing with dirt was highest {46.2% }. [ Conclusion] Hands hygiene is still a weak link of hospital management. The knowledge training of hand hygiene among the medical staff should be strengthened and the effective education interventions should be provided, the training of relevant laws and regulations should be strengthened to make the implementation of hands hygiene a proactive behavior for medical staff.