针灸科洗手依从性调查与干预后效果评价

Survey on the Acupuncture Department＇s Compliance of Hand-washing and the Effectiveness Evaluation after Intervention

目的提高针灸科医生洗手依从性，防止交叉感染，提高针灸治疗的安全性。方法直接观察法获取手卫生现状资料，针对存在问题通过改善手卫生设施，加强手卫生知识及手卫生操作培训等干预措施，采取自我报告、间接测量、询问患者、跟踪调查等方法进行效果评价。结果干预前手卫生执行率为14％，干预后手卫生执行率为79％。结论针灸是一种侵入性治疗手段，使用后的针灸针易被污染，手消毒不力就会增加感染疾病的风险，因此针灸科的手卫生必须引起医院感控人员的高度关注。

Objective To increase acupuncture doctors＇ compliance on hand-washing, with which cross-infection can be avoided and the security level of acupuncture can be raised. Methods To get the information on current situation of hand-washing by direct observation. Aiming at present issues, we adopted such measures as improving hand-cleaning facilities and intensifying training of hand health knowledge and hand health manipulations to prevent them. Such methods as self reporting, indirect measuring, inquiring patients, and tracking surveys were used to evaluate the effects. Results Executive rate of hand-cleaning was 14% and 79% before and after the measures＇ intervention respectively. Conclusion As needles are inserted into the skin for the treatment, these needles may contaminate the blood or tissue fluid of the patient. The insanitation of hand may increase this contagious risk. Therefore, we must guide the acupuncturists to pay attention to their hands sanitation.