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目的研究医院内科病区的护士手卫生实践理论频数,为提高手卫生依从性提供基础依据。方法采用“一对一”跟踪观察的方法,在2008年7月~9月期间对该医院8个内科病区的护士手卫生实践理论频数进行观察。结果在2个月时间内,8个内科病区共观察到312个白昼工作小时,记录了3588次的手卫生机会,需采用皂液加流水洗手1658次,占46.2%;可采用含醇手消毒剂消毒手1930次,占53.8%。平均每个白昼工作小时需实施手卫生的频次为11.5±2.9次/h;8个内科病区之间的手卫生实践频次差异具有非常显著意义(F=18.057,P=0.000)。结论该医院内科病区护士在白昼工作时间段,平均手卫生理论频数为11.5±2.9次/h;各病区之间存在显著差异。
Objective To study the frequency of hand hygiene practice in nurses in medical wards in hospitals and provide the basis for improving hand hygiene compliance. Methods The “one to one” follow-up observation method was used to observe the theoretical frequency of hand hygiene practices in eight medical wards of the hospital from July to September in 2008. Results Within 2 months, a total of 312 day hours were observed in 8 medical wards and 3588 hand hygiene opportunities were recorded. Soap and water were used for 1658 times, accounting for 46.2% Disinfection hand disinfection 1930 times, accounting for 53.8%. On average, the frequency of hand hygiene was 11.5 ± 2.9 times / h in each working day of daytime. There was a significant difference (F = 18.057, P = 0.000) in the frequency of hand hygiene among 8 medical wards. Conclusion The frequency of theory of hand hygiene was 11.5 ± 2.9 times / h during the daytime working hours of nurses in medical Ward in the hospital. There were significant differences among the wards.