手术人员手卫生认知水平与洗手依从率调查  

Investigation of operation personnel hand hygiene cognition and compliance in operation room

作　　者：郭月琼[1] 白蓉[2] 黄艳[2] 邱菊红[3] 熊欢[1] 

机构地区：[1]武汉市中心医院北院手术室,430034 [2]武汉市中心医院北院护理部,430034 [3]武汉市中心医院北院院感办公室,430034

出　　处：《中华现代护理杂志》2013年第25期3081-3083,共3页Chinese Journal of Modern Nursing

摘　　要：目的 了解手术人员手卫生认知水平和洗手依从率现状,探讨相应的整合管理策略,以提高手卫生依从率,控制手术感染.方法 采用问卷调查68名手术室护士和46名医师共114名手术人员手卫生认知情况,并现场监测受访人员的洗手依从率.结果 受访护士组手卫生认知得分平均（78.43±7.71）分；手术医师得分平均（67.39±7.76）分,麻醉医师得分平均为（60.32±4.46）分,3组比较差异有统计学意义（F=5.090,P＜0.01）；不同职称、年龄手术相关人员手卫生认知评分比较差异均有统计学意义（P＜0.05）；护士组的洗手依从率为71.39％,医师组为47.81％,两组差异有统计学意义（x2=37.746,P＜0.01）.结论 接受调查的手术相关人员手卫生认知水平总体令人满意,但手卫生的依从率观测除暴露一些普遍问题的存在,不同职业角色和职业背景的受访者还各有其特殊性.应采取整合管理策略加强手卫生培训与监督,从而提高手术医护人员的手卫生依从率.Objective To investigate the realistic status of hand hygiene cognition and execution rate among the operation-room personnel,in order to provide the corresponding integrated manage strategy for surgical site infection reduction.Methods Investigation of hand hygiene cognition and execution rate were performed among the 114 operation-room personnel with 46 doctors and 68 nurses.Results Hand hygiene cognition scores and execution rate of circuit nurses respectively were （78.43 ± 7.71） and 71.39% （4 183/5 839）,meanwhile （62.44 ± 9.82） and 47.81% （2 395/5 009） of the surgeon and the anesthesiologist,which emerged significant diversity between these two group （P 〈 0.01）.Conclusions Integrated hand management should be performed to insure the hand hygiene compliance,resulting in minimizing the surgical infection.

关 键 词：手术人员 手卫生 认知 依从性 整合管理 

分 类 号：R472.3[医药卫生—护理学]