基层医院医务人员手卫生执行情况调查分析与干预措施

Survey and intervention of medical personnel's hand sanitation in basic-level hospitals

目的:了解医务人员手卫生执行情况,建立切实可行的手卫生干预措施,提高其手卫生执行率。方法:采用隐蔽式现场观察的方法,调查不同科室200名医务人员接触病人前后、无菌操作前后、接触病人血液、体液后、脱手套后医务人员手卫生执行率。结果:该院医务人员手卫生执行率为55%,接触病人前、后分别是28.6%、62%,进行无菌操作前、后分别是43.4%、70%,接触病人血液、体液后是75%,脱手套后60%。结论:该院医务人员手卫生执行率有待改善,要加强手卫生相关知识的学习,总结经验,制定出相应的干预措施,降低医院感染率,减轻患者痛苦和经济损失。

Objective To explore the execution performance of medical personnel＇s hand sanitation, establish practical and feasible intervention of hand sanitation ,and enhance its hand sanitation execution rate. Method Unnoticed investigation was used. 200 medical personnel from different administrative offices were investigated on hand sanitation execution rate before and after their contact with patients, before and after aseptic operation, after contacting patients＇ blood and body fluid, and after removing gloves. Results The hand sanitation execution rate of the medical personnel in the hospital was 55%,before and after the contact with patients 28. 6% and 62%,before and after aseptic operation 43. 4% and 70%, after eontacting patients＇ blood and body fluid 75%, and after removing gloves 60% ConclusionThe hand sanitation execution rate of the medical personnel in the hospital should be improved ,and the related hand sanitation knowledge should be enhanced. Corresponding intervention measures should be taken so as to reduce hospital infection percentage and patient pains.