医护人员洗手情况调查

Hand Hygiene Survey of Medical Staff

目的认识手卫生制度对医院感染控制的影响，探讨有效的手卫生执行措施。方法随机抽取258名医务人员，调查其洗手情况，同时对医院执行手卫生制度前（2004—2005年）、后（2006～2007年）的医院感染率作比较。结果医务人员洗手率低，进行一般操作前及进出Ⅱ类病区时洗手率仅为35．02％～49．42％，洗手合格率仅为54．17％；而执行手卫生制度后本院医院感染率下降达30．00％。结论手卫生制度是防止医院感染最重要的措施之一，而医务人员手卫生意识普遍不强，应从制定规范、加强监督及完善相应配套设施去保障医务人员的依从性。

OBJECTIVE To understand the situation of hand hygiene in our hospital to explore effective measures for implementation. METHODS 258 medical personnel, were investigated for the hand-washing, before and after the implementation of the hands of our health system to compare the nosocomial infection rate. RESULTS The low rate 35.02%-49.42% of medical personnel washed their hands before the normal operation in and out the II area. Hand-washing compliance rate was only 54. 17%; and after the implementation of our health system in hand, nosocomial infection rate decreased 30%. CONCLUSIONS Washing hands is important to prevent nosocomial infection, Medical personnel generally do not have a strong sense and we should start and strengthen the supervision and improve the supporting facilities to ensure the compliance of medical staff.