论文部分内容阅读
目的了解揭阳市二级以上综合医院医护人员的手部卫生认知水平、手卫生执行情况及影响因素。方法现场观察医护人员手卫生执行情况,问卷调查医护人员的手部卫生认知水平和影响手卫生执行因素及改进措施。结果医护人员接触病人黏膜、破损皮肤或伤口前和直接接触病人前洗手执行率为36.76%和29.51%;直接接触病人前、后(x2=15.32,P=0.001),接触病人黏膜、破损皮肤或伤口前、后(x2=8.95,P=0.002)以及医疗护理前、后(x2=9.63,P=0.001)的洗手执行率差异均有统计学意义;洗手方式以使用洗手液为主,占65.63%;干手方式以一次性纸巾擦干为主,占62.54%;医生使用白大褂擦手明显多于护士(x2=4.46,P=0.03);医护人员一次洗手超过30 s仅占14.98%;工作忙、经常洗手损伤皮肤是影响手部卫生依从性的主要因素。结论医护人员手部卫生知识掌握较好,但洗手执行率偏低。加强培训和完善洗手设施,提供快速手消毒剂等措施,使手卫生制度执行规范化。
Objective To understand the hand hygiene cognition, hand hygiene implementation and influential factors of medical staff in Jieyang second grade general hospital. Methods On-site observation of health care workers hand hygiene implementation, questionnaire survey health care staff’s hand hygiene awareness and influence hand hygiene implementation factors and improvement measures. Results Before and after direct contact with patients (x2 = 15.32, P = 0.001), the contact rate between the medical staff and the patient’s mucous membrane, the damaged skin or before the wound or the direct contact with the patient was 36.76% and 29.51% Before and after the operation (x2 = 8.95, P = 0.002), and before and after medical care (x2 = 9.63, P = 0.001), there were significant differences in the rate of hand-washing between the two groups %). The dry hands were mostly dry disposable paper towels, accounting for 62.54%; the doctors used white laboras to rub the hands more than the nurses (x2 = 4.46, P = 0.03); the medical staffs only accounted for 14.98% Busy and frequent hand-washing Damage to the skin is a major factor that affects hand hygiene compliance. Conclusion The hand hygiene knowledge of medical staff is better, but the implementation rate of hand washing is low. Strengthen the training and improvement of hand washing facilities, provide rapid hand disinfectant and other measures to standardize the implementation of hand hygiene system.