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目的:了解心理科包括心理病房、门诊及其配套部门医务人员手卫生状况并分析影响因素,为改进精神专科医院医务人员手卫生工作提供依据。方法:由统一培训的调查员,按照统一的调查表,采用单盲法,对心理病房、门诊及其配套部门医务人员手卫生执行情况进行现况调查,采用SPSS15.0进行统计学分析。结果:医务人员手卫生依从率为30.08%,且随部门、岗位及接触类型和顺序不同而不同;检验人员手卫生依从率最高为63.64%,护士为36.28%,均明显高于医师的25.40%,护工的依从率最低,仅为17.74%;检验科和心理科病房手卫生依从率较高,分别为60.00%和46.74%,门诊最低(17.95%);医务人员不同操作前的手卫生依从率为13.06%,远低于操作后的35.14%,差异有统计学意义(P<0.01)。结论:精神专科医院医务人员手卫生依从性较低,医院应针对影响因素采取干预措施,提高医务人员手卫生意识。
OBJECTIVE: To understand the status of hand hygiene in psychology wards, including mental wards, outpatients and their ancillary departments, and to analyze the influencing factors so as to provide basis for improving hand hygiene of medical staff in psychiatric hospitals. Methods: Investigators of unified training conducted a survey based on a unified questionnaire using the single-blind method to survey the hand hygiene status of medical personnel in mental wards, clinics and their ancillary departments, and analyzed the data by SPSS15.0. Results: The hand hygiene compliance rate of medical staff was 30.08%, which differed with department, post and contact type and order. The highest hand hygiene compliance rate of examiners was 63.64% and that of nurses was 36.28%, which were significantly higher than that of physicians’ 25.40% , While the compliance rate of care workers was the lowest, only 17.74%. The hand hygiene compliance rates of the laboratory and psychology department were 60.00% and 46.74% respectively, the lowest was outpatient clinic (17.95%). The medical staff’s compliance rate before hand operation Was 13.06%, which was much lower than 35.14% after operation, the difference was statistically significant (P <0.01). Conclusion: The hand hygiene compliance of medical staff in mental hospital is relatively low. The hospital should take intervention measures according to the influencing factors to improve the hand hygiene awareness of medical staff.