外科系统医护人员手卫生状况与影响因素分析

Hand hygiene status of medical and nursing staffs in surgical system and influencing factors

目的:通过对外科系统医护人员手卫生状况的调查,了解手卫生现状与影响因素。方法:采用自行设计的手卫生知识调查表,对外科系统156例医护人员进行调查。结果:有92.95%的医护人员知道六步洗手法,10%认为戴手套可替代洗手或手消毒,医生、护士在接触患者前后和医疗、护理操作前后的洗手率差异均有显著性(P<0.05)。医生、护士洗手前后平均带菌量分别为45.127cfu/cm2、36.350cfu/cm2、8.236cfu/cm2、5.473 cfu/cm2。结论:通过洗手能有效去除手部的大部分细菌,管理者应加强手卫生知识培训与监管,提高医护人员的手卫生意识和质量,防控医院感染的发生。

Objective：To find out the status of hand hygiene and the influencing factors by a survey on the hand hygiene status of medical and nursing staffs in surgical system.Methods：A self-designed hand hygiene knowledge questionnaire was used to investigate 156 medical and nursing staffs in the surgical system.Results：92.95% of the medical and nursing staffs were aware of six-step washing hands,10% of them thought that wearing the gloves could replace hand-washing or hand disinfection,and there were significant differences in the hand-washing rates before and after they contacted with patients as well as before and after the medical operation and nursing before and after operation（P0.05）.The average bacteria-carrying amount of doctors and nurses before and after their washing hands was 45.127cfu/cm2,36.350 cfu/cm2,8.236cfu/cm2 and 5.473 cfu/cm2.Conclusion：Hand washing can remove most bacteria,managers should strengthen the hand hygiene knowledge training and supervision to improve staff hand hygiene awareness and quality and prevent and control hospital infection.