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目的了解临床医务人员手卫生现状,寻找存在的问题并提出整改措施以提高手卫生依从性。方法采用提问方式对132名医务人员针对手卫生知识提问;采用随机抽样的方法,由受过专门培训的感染管理人员在对130名医务人员不知情的情况下,观察医务人员手卫生的依从性、合格率及影响因素。结果 85%的医务人员接受过手卫生知识的培训,90%的医务人员认为洗手可以降低医院感染,3%的医务人员认为洗手对治疗无影响;医务人员手卫生合格率均受诊疗操作前后的影响,操作前手卫生合格率为30.77%,操作后手卫生合格率为51.54%,两者比较差异有统计学意义(P<0.01)。结论应进一步改善医务人员手卫生行为,加大管理力度,并加强培训提高手卫生意识,进一步提高手卫生依从性,从而降低医院感染。
Objective To understand the status quo of hand hygiene in clinical staff, find the existing problems and propose corrective measures to improve hand hygiene compliance. Methods A questionnaire was used to ask 132 medical staffs about hand hygiene knowledge. Randomized sampling methods were used to observe the hand hygiene compliance of medical staffs by trained infection management personnel without the knowledge of 130 medical staffs. Pass rate and influencing factors. Results 85% of medical staff received training in hand hygiene knowledge, 90% of medical staff thought that hand washing could reduce nosocomial infection, and 3% of medical staff thought that hand washing had no effect on treatment. The passing rate of hand hygiene of medical staff was affected both before and after the operation , The pass rate of hand hygiene before operation was 30.77%, the pass rate of hand hygiene after operation was 51.54%, the difference between the two was statistically significant (P <0.01). Conclusions The hand hygiene behaviors of medical personnel should be further improved, management efforts should be intensified, training on hand hygiene awareness should be enhanced, hand hygiene compliance should be further improved, and hospital infection should be reduced.