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目的观察医院科室管理人员率先执行《医务人员手卫生规范》对医务人员手卫生措施执行力的影响,提升手卫生执行率。方法采用现场调查方法,通过临床科室管理人员实际行为和示范作用,对临床医务人员手卫生实施干预。结果实施教育干预措施前的第2季度,洗手液和速干手消毒液5个科室每个床位平均日消耗量为13.28 ml;实施教育干预措施后的第4季度,每个床位平均日消耗量为17.25 ml。干预之后的第3、4季度,每个科室医务人员手卫生执行率和合格率都高于干预前的第2季度。结论临床科室管理者率先示范作为对科室医务人员手卫生行为有明显促进作用。
Objective To observe the influence of hospital department managers in implementing the “Regulations on Hand Hygiene for Medical Staff” on the execution ability of hand hygiene measures for medical staff and to improve the implementation rate of hand hygiene. Methods The method of field investigation was used to intervene the hand hygiene of clinical medical staff through the actual behavior and demonstration effect of clinical department managers. Results In the second quarter before the implementation of educational interventions, the daily average daily consumption of hand sanitizer and hand sanitizer disinfectant was 13.28 ml per bed; in the fourth quarter after implementing educational intervention, the average daily consumption per bed Is 17.25 ml. In the third and fourth quarters after the intervention, the hand hygiene implementation rate and passing rate of medical personnel in each department were higher than the second quarter before intervention. Conclusion Clinical department managers took the lead in demonstrating the role of department health workers in hand hygiene.