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目的研究外科护士手卫生实践理论频数,为开展手卫生依从性督查提供基础依据。方法采用直接观察研究的方法,对医院7个外科病区的护士手卫生进行调查。结果自2008年3月10日-7月20日,7个外科病区共观察了474个白昼工作时间段,记录了5887次的手卫生情况,需采用皂液加流水洗手3620次(61.49%),可采用含醇手消毒剂搓手2267次(38.51%),平均每个工作小时需实施手卫生的频次为(12.4±2.4)次/h(95%CI:12.2~12.6);7个外科病区的在岗护士人数的平均护士与病床之比为0.33±0.18,护士与病床比例系数与手卫生频次经相关性检验,差异有统计学意义(r=0.410,P<0.01)。结论医院外科病区护士平均手卫生理论频数为(12.4±2.4)次/h,护士与病床比例系数与手卫生频次呈正相关。
Objective To study the frequency of hand hygiene practices in surgical nurses and provide the basis for hand hygiene compliance inspection. Methods A direct observation method was used to investigate the hand hygiene of nurses in 7 surgical wards in the hospital. Results From March 10 to July 20, 2008, a total of 474 daytime working hours were observed in 7 surgical wards and 5,887 hand hygiene events were recorded. Washing hands with soap and water for 3620 times (61.49% ), Hand rubbing with alcohol hand rubbing 2267 times (38.51%), the average number of hand-hygiene required for each working hour (12.4 ± 2.4) /h(95%CI:12.2~12.6); 7 The average nurse-to-bed ratio of nurses in the surgical ward was 0.33 ± 0.18. The correlation coefficient between nurse-patient ratio and hand hygiene frequency was statistically significant (r = 0.410, P <0.01). Conclusion The average frequency of hand hygiene theory was (12.4 ± 2.4) times per hour for nurses in surgical wards of hospitals. There was a positive correlation between nurse-patient ratio and hand hygiene frequency.