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目的了解中医院医务人员手卫生现状及其影响因素,为提高手卫生质量提供科学依据。对象采用问卷调查和现场采样的方法,对武汉市2所中医院医务人员手卫生现状进行调查与监测。结果接触患者前、后医务人员自评手卫生执行率分别为65.5%和92.4%。经常遵循标准洗手法的医务人员占58.8%,有60.5%医务人员洗手用皂液,采用自然晾干和纸巾擦干者占66.1%。医务人员手卫生质量平均总合格率为88.71%,医生与护士手卫生合格率分别为81.82%和96.23%。工作紧张成为影响医务人员手卫生依从性的主要影响因素。结论中医院医务人员自评手卫生执行率较高,规范性欠佳,手卫生合格率偏低,应提高手卫生依从性。
Objective To understand the status quo of hand hygiene in medical staff of Chinese medicine hospital and its influencing factors, and to provide a scientific basis for improving the quality of hand hygiene. Subjects were surveyed and field sampling methods to investigate and monitor the hand hygiene status of medical staff in 2 Chinese medicine hospitals in Wuhan. Results Before and after contact with patients, the implementation rate of self-assessment of health workers was 65.5% and 92.4% respectively. 58.8% of them regularly follow the standard method of handwashing, and 60.5% of them wash their hands with soapy liquid, taking 66.1% of them to dry naturally with paper towels. The average total pass rate of hand hygiene for medical staff was 88.71%, and the passing rate of hand hygiene for doctors and nurses was 81.82% and 96.23% respectively. Work stress has become the main influencing factor of hand hygiene compliance of medical personnel. CONCLUSIONS: The implementation rate of hand hygiene for self-assessment by medical staffs in hospitals of TCM hospitals is high, the standardization is not good, and the passing rate of hand hygiene is low, so hand hygiene compliance should be improved.