2007年至2011年医务人员洗手效果的监测分析及对策

Monitoring Analysis and Countermeasure of 2007-2011 Washing Effect of Medical Staff

目的观察医护工作者洗手效果,以利于针对性的监测医务人员的手卫生。方法观察我院医务人员在2007年1月至2011年12月手卫生的情况。结果在这5年,共有1457人次医护人员监测手卫生,其合格率为91.4%。临床医师的手卫生监测合格率为89.3%,护士的手卫生监测合格率为98.2%。在Ⅱ类环境中,医护人员的手卫生监测合格率为96.5%,在Ⅲ类环境中,医护人员手卫生合格率为91.4%。医护人员手卫生监测合格率为91.9%;实习生与进修医护人员手卫生监测合格率为80.7%。结论落实各级规章制度,增强医护人员的手卫生的意识,提高洗手卫生设备的质量,从而可减少院内感染的发生。

Objective Investigate the hand hygiene situation of medical staff in order to carry out supervising and monitoring on their hand hygiene pertinently. Methods The hand hygiene monitoring data from Jan 2007 to Dec 2011 were retrospectively analyzed. Results The total qualified rate of medical staff hand hygiene was 91.4%; the qualified rate of hand hygiene monitoring for doctors was 89.3%, and it was 98.2% for nurses; the qualified rate of medical staff working in the type- Ⅱ environment was 96.5%, and the qualified rate of those working in the type-Ⅲ environment was 91.9%; for medical students and refresher doctors, it was 80.7%. Conclusions The medical staff still lacks the knowledge on hands＇ cleanliness and disinfection. The supervisors should strengthen monitoring on hand hygiene; some new regulations should be established and practiced. The hand washing equipments should be updated; the medical staff＇s compliance of hand hygiene should be improved, and their conceptions of hand hygiene should be strengthened; all-sided originalities on hand hygiene should be carded out in order to reduce the occurring of hospital infections.