手术室护工手卫生的调查与分析

Investigation and analysis of hand hygiene of nursing staff in operating room

目的调查手术室护工手卫生现状,提高护工手卫生意识,以降低手术室医院感染率。方法将仙居县4所县级医院的23名护工作为研究对像,按照卫生部《医疗机构医务人员手卫生规范》中的标准,对其手进行采样,并采用发放调查问卷方式对手术室护工的手卫生执行情况进行调查。结果手术室护工手菌落数洗手前为(11.25±6.58)CFU/cm2;洗手后为(10.35±6.67)CFU/cm2,洗手前手术室护工手上的菌落数多于洗手后,差异无统计学意义;手术室护工手卫生的合格率洗手前为43.5%,洗手后为47.8%,手术室护工手卫生接触患者后及接触无菌物品后执行率分别为47.8%及52.2%。结论手术室护工手卫生状况不容乐观,手卫生执行率低,洗手依从性差。

OBJECTIVE To investigate the current situation of hand hygiene of the nursing staff in operating room so as to improve the awareness of hand hygiene and reduce the incidence of nosocomial infections.METHODS A total of 23nursing staff from four country level hospitals of Xianju were chosen as the study objects,then the hands of the subjects were sampled according to the medical personnel hand hygiene norms of the Ministry of Health,and the questionnaire survey was conducted for the current status of the hand hygiene.RESULTS The bacterial colony count of the operating room nursing staff＇s hands was（11.25±6.58）CFU/cm2 before the hand washing,（10.35±6.67）CFU/cm2 after the hand washing;the qualified rate of the hand hygiene was 43.5% before the hand washing,47.8% after the hand washing,48.8% ofter contacting the patients and 52.2% ofter contacting the sterilized objects.CONCLUSIONThe current situation of the hand hygiene of operating room nursing staff is not optimistic,with the execution rate of the hand hygiene low,the compliance with hand washing poor.