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目的了解某综合医院医务人员手卫生依从率与正确率情况。方法采用暗访的方式,对该医院在岗医务人员的手卫生执行情况进行调查与评估。结果共调查该医院在岗医务人员490次手卫生执行指征,手卫生依从率为31.43%,手卫生方法正确率为95.45%。医生手卫生依从率为21.43%,护士手卫生依从率为35.78%,医辅人员手卫生依从率为30.43%。医生和护士的手卫生方法正确率分别为93.33%和97.44%,医辅人员手卫生方法正确率仅71.43%。暗访医务人员手卫生依从率显著低于日常监测结果。结论该医院医务人员手卫生依从率较低,医生与护士手卫生方法正确率较高,亟待提高手卫生执行力。
Objective To understand the compliance rate and correct rate of hand hygiene among medical staff in a general hospital. Methods The method of unannounced visits was used to investigate and evaluate the implementation of hand hygiene of on-the-job medical personnel in the hospital. Results A total of 490 hand hygiene indications of medical staff in the hospital were investigated. The compliance rate of hand hygiene was 31.43%. The correct rate of hand hygiene was 95.45%. The compliance rate of medical hand hygiene was 21.43%, that of nurses was 35.78%, and that of medical staff was 30.43%. The correct rate of hand hygiene for doctors and nurses was 93.33% and 97.44%, respectively, and the correct rate of hand hygiene for medical staff was only 71.43%. Unannounced visits to medical staff hand hygiene compliance was significantly lower than the daily monitoring results. Conclusion The compliance rate of hand hygiene among medical staffs in this hospital is low, and the hand hygiene methods of doctors and nurses are correct. Therefore, it is urgent to improve the hand hygiene execution ability.