探讨手卫生工作推进  

Discuss on Hand Hygiene Promotion

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作  者:施颖[1] 

机构地区:[1]首都医科大学附属北京安贞医院感染管理办公室,北京100029

出  处:《中国卫生标准管理》2017年第13期146-147,共2页China Health Standard Management

摘  要:目的加强医疗机构医务人员手卫生工作,探索医务人员手卫生改善措施。方法由医院感染管理专职人员在医务活动的五个时刻,即接触患者前,无菌操作前,接触患者体液后,接触患者后,接触患者环境后,观察记录医务人员手卫生依从性。结果某院各个科室的依从性普遍介于20%~40%;医务人员接触患者后的洗手率依从性最高(接触患者后vs.接触患者前vs.接触患者的物品物面后:53.81%vs.38.14%vs.15.88%);护士应用洗手液洗手时间达标情况远较医生高(护士vs.医生:84.09%vs.42.86%);一次性手套使用情况仅占约一半(操作前戴手套vs.操作后更换手套:55.57%vs.49.76%);医生接触患者前后洗手情况普遍不佳(接触患者前vs.接触患者后:19.23%vs.37.29%)。结论影响手卫生行为的因素是多方面、多层次的,加强手卫生知识培训和考核、加强监督力度、进一步完善手卫生设施,可使手卫生工作进一步提高。Objective To explore the improvement measures of hand hygiene in medical workers. Methods To observe and record compliance of hand hygiene in medical workers on the five stages of medical behavior, which include before contact with patients, before sterile operation and after contact with body fluids of patients, after contact with the patient, after contact with the environment around patients. Results Compliance of hand hygiene in medical workers of a hospital was generally between 20% to 40%. Rate of hand hygiene after contact with the patients adherence to the highest(after contact with the patient vs.before contact with patients vs.after contact with the materials of patients(53.81% vs. 38.14% vs.15.88%). Nurses had a higher rate of standard time of hand hygiene than doctors(nurse vs.doctor: 84.09% vs. 42.86%). Rate of disposable gloves use by medical workers only accounted for about half(wearing gloves before operation vs.wearing gloves after operation(55.57% vs.49.76%). It has a badly compliance of hand hygiene before and after contact with patients(before contact with the patient vs.after contact with patients(19.23% vs.37.29%). Conclusion It has a various and multi-level influence factors of hand hygiene behavior. Strengthen the knowledge training and examination of hand hygiene and supervision and improving the facilities of hand hygiene can make the further improve of hand hygiene work.

关 键 词:医务人员手卫生 依从性 管理措施 

分 类 号:R187[医药卫生—流行病学]

 

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