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目的了解解放军第174医院重症监护病房医务人员卫生洗手方法的情况,提高洗手的正确性,加强医院感染预防隔离措施。方法采用现场检查和问卷调查方法,对重症监护病房医务人员洗手方法进行调查。结果重症监护病房洗手指征总执行率为68.9%,在执行无菌操作之前和侵入性操作之后以及接触血液分泌物之后洗手执行率依次为86.0%、92.0%和100.0%。洗手方法正确者占73.7%,洗手达到规定时间者只占42.0%。洗手正确率低的原因主要是未进行相关知识教育,缺乏监督监测制度。结论重症监护病房医务人员洗手主要指征执行率相对较高,但洗手方法的正确性有待提高。
Objective To understand the method of sanitary hand washing of medical staff in the 174th Hospital of People’s Liberation Army in intensive care unit, to improve the correctness of hand washing and to strengthen preventive measures against nosocomial infection. Methods The methods of on-the-spot inspection and questionnaire survey were used to investigate the method of hand-washing of medical staff in intensive care unit. Results The total implementation rate of hand-washing indications in ICU was 68.9%. The implementation rates of hand-washing before and after invasive procedure and after contacting blood secretions were 86.0%, 92.0% and 100.0% respectively. Hand washing methods correctly accounted for 73.7%, wash only reach the prescribed time 42.0%. The reason for the low rate of hand-washing is mainly lack of relevant knowledge education and lack of supervision and monitoring system. Conclusion The execution rate of the main indications of handwashing by medical staff in ICU is relatively high, but the correctness of handwashing method needs to be improved.