医务人员手卫生执行现状调查分析

Hand Hygiene Compliance among Medical Staff:An Investigation

目的了解临床医务人员手卫生执行现状,探讨提高医务人员手卫生依从性的措施,从而减少医院感染的发生。方法采用自行设计的调查问卷并结合现场观察手卫生过程的方法,对医院30个临床科室的120名医务人员进行手卫生知识和执行率的调查。结果81.7%的医务人员接受过手卫生知识的培训;89.2%的医务人员认为洗手可减少医院感染,2.5%的医务人员认为手卫生对临床治疗结果无影响;接触患者前手卫生执行率为30.8%,接触患者后手卫生执行率为49.2%,两者比较,差异有统计学意义(P<0.01)。结论医务人员手卫生意识薄弱,手卫生相关知识缺乏,执行率低;应加强宣传教育,提高医务人员手卫生知识,推广使用快速手消毒剂,提高医务人员手卫生依从性,降低医院感染。

OBJECTIVE To find out the hand hygiene compliance among medical staff of our hospital, and discuss how to reduce the hospital infection. METHODS The questionnaires designed by ourself were used to observe the hand hygiene compliance on the scene and the hand hygiene knowledge among 120 Medical persons from 30 clinical departments and offices. RESULTS 81. 7% Of the medical staff had accepted the education of the hand hygiene knowledge; 89.2% of the medical staff considered washing hands could reduce the hospital infection. Only 2.5% of them considered hand hygiene had no relation to clinical treating result. 30.8% Of medical staff washed their hands before contacting patients and 49. 2% of them washed their hands after contacting patients. It showed significant difference between the two groups （P〈0.01）. CONCLUSIONS The consciousness of hand hygiene among medical staff is weak. We should strengthen education and improve hand hygiene knowledge. At the same time, we should improve the appliances and fast hand disinfectant to improve compliance.