护理技术操作中洗手及戴手套的执行情况分析

Analysis on execution situation of hands washing and gloves wearing in nursing procedures

目的探讨分析护理技术操作中执行洗手及戴手套的情况。方法采用操作考核与现场考察的方法对全院的122名护理人员在技术操作中执行洗手及戴手套的情况进行调查；采用问卷调查对157名护理实习生对洗手及戴手套的认识进行调查。结果在临床操作中洗手和戴手套的执行率低，戴手套仍未引起护理人员的重视，包括带教老师。不便于操作是戴手套执行率低的主要原因；在连续操作之间采用快速手消毒剂（ABHR）洗手具有可行性。结论从岗前培训抓起，应在护理技术操作制度和细节上体现洗手、戴手套，具体到“六步洗手法”和戴手套等，以提高执行的自觉性。

Objective To study the execution situation of hands washing and gloves wearing in nursing procedures. Methods A total of 122 nurses were surveyed by operation examination combined with site observation about the execution situation of hands washing and gloves wearing in nursing procedures. 157 nursing students were surveyed by questionnaires about the cognition of hands washing and gloves wearing. Results Performing rate of hands washing and gloves wearing was lower in clinical practice. Gloves wearing were ignored inclu- ding the teachers. Inconvenient to operate was the main cause without gloves. So, it was feasible to use alcohol - based hand rub （ABHR） to wash hands during continuous operation. Conclusions The training of standard precaution should be started from nursing school and the pre -job training, and in the nursing procedures it should be emphasized guide lines such as ＂ 6 -steps hand wash -technique＂, gloves wearing et al. Students should practice in the detail in order to improve the compliance.