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目的调查新生儿重症监护病房(NICU)医务人员手卫生执行现状及影响因素。方法2014年1~12月由本院新生儿科医院感染监测人员在NICU不定时观察并记录各种临床操作时及不同医务人员手卫生执行情况,按实际手卫生例次/标准手卫生例次×100%计算(标准手卫生例次即按照手卫生指征应进行手卫生的例次),得出各临床操作时及不同医务人员手卫生依从率。结果共调查600例次,本院NICU医务人员总体手卫生依从率为75.5%,接触患儿体液后手卫生依从率最高,达100%,无菌操作前90.2%,接触患儿环境后最低,为49.4%。护士洗手依从率最高,达81.2%,医生为75.4%,实习/进修人员最低,仅64.2%。结论本院NICU医务人员手卫生依从性较高。但无菌操作前、接触患儿环境后、实习/进修人员手卫生意识还有待加强。
Objective To investigate the current status of hand hygiene implementation in NICU medical staff and its influential factors. Methods From January 2014 to December 2014, our hospital neonatal hospital infection monitoring staff observed and recorded the situation of hand hygiene implementation in various clinical operations and different medical staff from time to time in NICU. According to the actual hand hygiene routine / standard hand hygiene routine × 100% (standard hand hygiene cases that hand hygiene indications should be hand hygiene cases), draw the clinical practice and different medical staff hand hygiene compliance. Results A total of 600 cases were surveyed. The overall hand hygiene compliance rate of NICU medical staff in this hospital was 75.5%. The highest rate of hand hygiene compliance was 100% after the contact with the body fluid of the infants, 90.2% before the aseptic operation, 49.4%. The highest rates of hand-washing by nurses were 81.2%, 75.4% for doctors and 64.2% for internships / fellows. Conclusion Our hospital NICU medical staff have high compliance with hand hygiene. However, prior to the aseptic operation, the hand hygiene awareness of the internship / fellowship needs to be improved after exposure to the children’s environment.