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目的了解医务人员手卫生执行情况,提高手卫生依从性,控制医院感染的发生。方法根据医院等级评审标准要求医院感染管理科设计医务人员手卫生依从性调查表,采用单盲的方法和随机抽查方式,随机对某院临床科室医务人员进行手卫生观察。结果共调查各级各类人员3 120人次,手卫生依从率为52.05%,其中医技人员依从率为59.18%,责任护士为55.04%,医师为47.03%,工勤人员为52.03%。影响医务人员手卫生的因素主要是手卫生意识不强,手卫生设施不完善,工作量大,人员配备不足等。结论该医院医务人员手卫生执行率较低,建议加强医务人员手卫生培训教育,完善手卫生设施,提高医务人员手卫生依从性,有效降低医院感染发生率。
Objective To understand the implementation of medical staff hand hygiene, improve hand hygiene compliance, and control the occurrence of nosocomial infections. Methods According to the hospital grade evaluation criteria, the hospital infection management department was asked to design the medical staff hand hygiene compliance questionnaire. The single-blind method and random sampling method were used to randomly conduct the hand hygiene observation on the medical staff in the clinical departments of a hospital. Results A total of 3 120 people at all levels were investigated. The compliance rate of hand hygiene was 52.05%. Among them, the compliance rate of medical technicians was 59.18%, that of responsible nurses was 55.04%, that of physicians was 47.03% and that of working staff was 52.03%. The main factors affecting the hand hygiene of medical staff are poor hand hygiene awareness, inadequate hand hygiene facilities, heavy workload and insufficient staffing. Conclusion The implementation rate of hand hygiene for medical staff in this hospital is relatively low. It is suggested that hand hygiene training and education for medical staff should be strengthened, hand hygiene facilities should be improved, hand hygiene compliance should be improved, and the incidence of nosocomial infections should be reduced effectively.