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目的了解荆州市院前急救医护人员手卫生状况及其影响因素。方法采用问卷调查方法,调查85名院前急救人员手卫生执行状况;采用手部菌落采样法调查试验组45人(加强六步洗手法教育和使用手消毒剂)、对照组40人的手部污染状况。并调查救护车上的洗手设备情况。结果院前急救人员手卫生执行率低。两组院前急救人员出诊中、洗手后的平均菌落数与手合格率差异均有统计学意义(P<0.01)。14辆救护车上有洗手设备的仅6辆,但均不能正常使用。结论院前急救人员自我保护意识强于保护患者的意识。救护车上手卫生设施缺失严重,院前急救人员手部污染严重,出诊前按常规的六步洗手法洗手不现实,但在救护车上用快速手消毒剂擦手是切实可行的,是减少手部细菌污染的好办法。
Objective To understand the status of hand hygiene in prehospital emergency medical staff and its influencing factors in Jingzhou City. Methods A questionnaire survey was conducted to investigate the hand hygiene status of 85 pre-hospital emergency workers. The hand-colony sampling method was used to investigate 45 patients in the experimental group (six-step manual education and hand disinfection), and 40 control subjects Pollution status. And investigate the condition of the hand-washing equipment on the ambulance. Results Prehospital emergency personnel hand hygiene implementation rate is low. The average number of colonies after washing the hands and the pass rate of the two groups were statistically significant (P <0.01). Only 14 of the 14 ambulances had hand-washing equipment, but none of them used properly. Conclusion Prehospital emergency workers are more self-protective than those who protect their patients. The lack of health facilities on the ambulance, serious hand polluting hospital emergency staff, according to the conventional six-step wash before washing practice is not realistic, but the ambulance with a quick hand disinfectant hand-wiping is feasible to reduce the hand Department of bacteria a good way to pollution.