新生儿病房医护人员手卫生状况调查

Status of Hand Hygiene among Medical Staff in Neonatal Department:An Investigation

目的观察新生儿病室及新生儿重症监护病房(NICU)医务人员手卫生执行情况,为有目的的培训和管理提供可靠依据。方法自行设计观察表及问卷,采用SPSS12.0软件包进行资料分析,统计率、构成比及χ2检验。结果观察共计645人次接触患者前后的手卫生执行情况,医师与护士之间、护士与护师之间接触患者前后的手卫生执行情况差异无统计学意义(P>0.05);工作年限<3年与>5年两组之间在接触患者前后的手卫生执行情况差异有统计学意义(P<0.01);工作年限在3～5年和>5年两组之间戴手套前后手卫生执行情况差异有统计学意义(P<0.05);医师与进修医生之间的手卫生执行情况差异有统计学意义(P<0.01);医护人员对六步洗手法及手卫生的认知达到98.3%,有97.8%的医护人员知道接触患者及操作前后洗手或用手消毒剂进行手消毒处理,其知识来源经过培训的有86.7%;对于手卫生与医院感染之间的关系,95.0%的人知道或部分知道。结论做好手卫生不仅要提供可靠的、便捷的环境条件,而且要加强培训、检查和监督管理。

OBJECTIVE To observe the hand hygiene-compliance among medical staff in the neonatal intensive care unit （NICU）, and to provide a reliable basis for the purpose of the proper training and management. METHODS The status of hand hygiene compliance among medical staff was recorded according to the hand washing directions and their knowledge about hand hygiene as well as the relationship between hand hygiene and nosocomial infection were investigted. RESULTS There were 645 times-personnel of hand hyqiene compliance among medical staffs and there was no stotistical significance between doctors and nurses, hut with statistical significance between medical staffs of less 3 years length of service （P〉0. 05） ; and more 5 years, length of service also between doctors. There were 98.3% of medical staffs being aware of health care law for six-step hand-washing and hand hygiene 97.8 % being aware of hand hygiene compliance and 86.7 % obtained knowledge after proper training, but most of them did not know the relationship between hand hygiene and hospital infection. CONCLUSIONS A good hand hygiene compliance need not only a reliable and convenient environment, but also training, inspection, supervision and management.