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目的为了解中国医疗卫生机构手卫生工作的落实情况,查找手卫生效果的影响因素,为进一步提出改善措施、开展临床干预提供相关参考,进而保障医疗安全。方法采用现场调查及督导的方式,统一回收问卷。问卷采用Epidata3.1录入,应用Excel、SPSS16.0进行资料描述性分析、χ~2检验。结果二级医疗机构的医务人员手卫生依从性及手卫生产品的消耗量在不同级别医疗机构中最低;不同人群手卫生的正确性差异明显,正确的手卫生方式仍需规范,医务人员更倾向于使用速干手消毒剂。结论进一步完善适合自身的管理制度,培训过程中应采取集中培训与重点人群、重点细节相结合方式,加强医务人员手卫生培训力度,做好逐级培训,完善基础设施的配备,提升整体手卫生工作水平。
Objective To understand the implementation status of hand hygiene in medical and health institutions in China, find out the influencing factors of hand hygiene effects and provide reference for further improving measures and clinical interventions so as to ensure medical safety. Methods By means of field investigation and supervision, the questionnaires were collected uniformly. Questionnaire using Epidata3.1 entry, application of Excel, SPSS16.0 descriptive analysis, χ ~ 2 test. Results The medical staff compliance and the hand hygiene products consumption in the second-level medical institutions were the lowest in different levels of medical institutions. The correctness of the hand hygiene was obvious in different groups, and the correct hand hygiene methods still needed to be standardized and the medical staff preferred Use dry hands disinfectant. Conclusion To further improve its own management system, the training process should focus on the combination of crowd training, key groups and key details to strengthen hand hygiene training of medical staff, training at different levels, improve the allocation of infrastructure and improve the overall hand hygiene Working level.