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目的:探讨提高供应室人员手卫生的干预措施,并对干预后的效果进行评价。方法:采用自制调查表的方法了解手卫生依从性差的原因,进而制定相应的干预措施。采用隐蔽式现场观察法对比手卫生干预前后手卫生依从性。结果:通过调查掌握了手卫生依从性差的原因,并制定了干预措施。干预前后医务人员手卫生执行水平分别为45.63%和70.26%,其中护士手卫生执行水平分别为49.75%和74.47%,护工手卫生执行水平分别为39.56%和63.97%,差异均有统计学意义。证明干预措施效果显著。结论:本调查显示我科室手卫生干预前医务人员手卫生依从性只有45.63%,其中护士手卫生依从性为49.75%,明显高于护工手卫生依从性(39.56%)。且护士掌握正确洗手方法明显高于护工,但二者对洗手指征的掌握均很差。经过调查发现手卫生差的原因主要包括认识不足,知识缺乏;工作繁忙,依从性低;设备不足,操作麻烦;频繁洗手,损伤皮肤;从众心理,缺乏监管这五大方面。我院通过提高认识,增强培训;按劳分配,合理安排;更新用物,改善方法;完善制度,加强监控等干预措施,可以显著提高了全体工作人员手卫生的依从性。
OBJECTIVE: To explore interventions to improve hand hygiene in supply room staff and evaluate the effect after intervention. Methods: The method of self-made questionnaire to understand the reasons for the poor compliance of hand hygiene, and then develop the appropriate interventions. Contrast the hand hygiene compliance before and after hand hygiene intervention with concealed field observation. Results: The reasons for poor hand hygiene compliance were investigated and interventions were developed. Before and after intervention, the implementation level of hand hygiene of medical staff was 45.63% and 70.26% respectively, of which, the implementation level of hand hygiene was 49.75% and 74.47% respectively, while that of handicapped workers was 39.56% and 63.97%, respectively. The differences were statistically significant. Prove the effect of interventions significantly. Conclusion: This survey shows that only 45.63% of medical staff hand hygiene compliance before hand hygiene intervention in our department, of which hand hygiene compliance is 49.75%, which is significantly higher than that of hand hygiene (39.56%). And nurses to master the correct method of washing hands was significantly higher than the care workers, but both have poor grasp of hand-washing indications. After investigation, it is found that the causes of poor hand hygiene mainly include lack of knowledge, lack of knowledge, busy work, low compliance, lack of equipment, troublesome operation, frequent hand washing and skin damage, herd mentality and lack of supervision in these five aspects. Our hospital can significantly improve hand hygiene compliance of all staff by raising awareness and training, distributing according to work and making reasonable arrangements, updating supplies, improving methods, improving system and strengthening monitoring and other intervention measures.