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目的了解某院外科医护人员手卫生现状。方法通过观察和发放调查表掌握医护人员手卫生的依从性、手卫生相关知识和手卫生相关影响因素。结果调查发现护士的手卫生执行率高于医生;接触患者后手卫生执行率为64.66%,远高于接触患者前的41.98%;医生、护士对六步洗手法知晓率较高,分别为86.30%和91.30%;医生对洗手指征的掌握高于护士;影响外科医务人员洗手原因前3位分别是工作量大顾不上洗手(74.47%),洗手用品等洗手设施少(71.27%),担心频繁洗手对皮肤过度刺激(42.02%)。结论应加强对外科医护人员手卫生管理,开展手卫生知识宣传和培训,切实提高医护人员手卫生依从性,控制院内感染。
Objective To understand the status of hand hygiene of surgical staff in a hospital. Methods To observe and hand out the questionnaire to grasp the hand hygiene compliance, hand hygiene knowledge and hand hygiene related factors. Results The survey found that the implementation rate of hand hygiene in nurses was higher than that in doctors. The implementation rate of hand hygiene in contact with patients was 64.66%, much higher than that of 41.98% before the contact with patients. The doctors and nurses had higher awareness of six-step hand-washing methods, which were 86.30 % And 91.30% respectively. The first 3 doctors who wash hands were higher than the nurses. The first 3 were doctors who did not wash their hands heavily (74.47%), the others (71.27%) did not wash their hands, Worried about frequent hand washing on the skin over-stimulation (42.02%). Conclusion The hand hygiene management of surgical staff should be strengthened, publicity and training of hand hygiene knowledge should be carried out, the hand hygiene compliance of medical staff should be improved, and the nosocomial infection should be controlled.