论文部分内容阅读
目的了解消毒供应中心包装区工作人员的手卫生状况,制定改进措施。方法对包装区工作人员进行手卫生问卷调查、现场观察工作人员手卫生依从性,对戴手套操作和徒手操作人员分组进行手卫生后分别进行监测。结果手卫生知识方面护士优于护工,影响手卫生依从性因素较多;现场观察戴手套操作和徒手操作人员手卫生执行率分别为55.5%和60.0%;戴手套操作组和徒手操作组手卫生监测结果显示两组人员六步洗手后手卫生合格率均为100%,随着工作时间的延长,戴手套操作组在手消后工作30 min、60 min、90 min后合格率分别下降为94.4%、78.7%、62.9%;徒手操作人员六步洗手后工作30、60、90 min手卫生合格率分别下降为95.8%、83.3%、72.9%。结论消毒供应中心检查包装区工作人员的手卫生依从性有待提高,在工作高峰期或连续工作期间,可以选择涂擦快速手消毒剂来替代六步洗手法。手卫生效果应持续动态监测,连续工作超1 h应及时重新予以洗手或擦快速手消毒剂消毒。
Objective To understand the hand hygiene status of staff in the disinfection supply center packing area and to make improvement measures. Methods The hand hygiene questionnaire was conducted in the packing area, and hand hygiene compliance of the staff was observed on the spot. The hand glove operation and hand operation staff were grouped for hand hygiene respectively. Results Nurses in hand hygiene knowledge were better than those in nursing care and there were many factors that affected hand hygiene compliance. The hand hygiene rate of wearing glove and hand practitioners was 55.5% and 60.0% respectively on the spot. Gloved operation group and hand operation group hand hygiene The monitoring results showed that the pass rate of hand hygiene in both groups was 100% after six steps of handwashing. With the extension of working hours, the wearing rate of gloved operation group dropped to 94.4 after working for 30min, 60min and 90min respectively %, 78.7% and 62.9% respectively. After passing the hand six times, the qualified rate of hand hygiene dropped to 95.8%, 83.3% and 72.9% respectively. Conclusion The disinfection supply center should check the hand hygiene compliance of the staff in the packing area to be improved. In the peak of work or continuous working period, you can choose to rub the rapid hand disinfectant instead of the six-step hand-washing method. Hand hygiene effects should be continuous dynamic monitoring, continuous work over 1 h should be promptly re-washed or rubbed the hand disinfectant disinfection.