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目的:探讨提高医务人员手卫生依从性,有效预防和控制医院感染的发生。方法:随机抽取外科、妇科的医生和护士作为对照组,内科、产科的医生和护士作为观察组,对照组共47人,观察组共49人,对照组给予常规手卫生知识培训及考核,观察组每月通报手卫生依从性检查及手表采样培养结果,对手卫生依从性差的医生或护士进行个别谈话及强化教育;在冼手处张贴醒目的六步洗手法及外科洗手法示范流程图;将医务人员手卫生纳入质量评分和绩效考核,评选每月手卫生之星等。结果:观察组手卫生依从性及洗手后手表细菌培养合格率明显高于对照组,观察组手表细菌培养结果明显优于对照组,两组上述指标比较,差异均有统计学意义(P<0.01)。结论:手卫生干预措施对于提高医务人员的手卫生依从性,有效预防和控制医院感染发生是确有成效的。
Objective: To improve the hand hygiene compliance of medical staff and effectively prevent and control the occurrence of nosocomial infection. Methods: Surgical and gynecological doctors and nurses were randomly selected as the control group, medical and obstetric doctors and nurses as the observation group, the control group of 47 people, the observation group of 49 people, the control group given conventional hand hygiene knowledge training and assessment, observation Group monthly hand hygiene compliance check and watch sample culture results, the poor health of doctors or nurses to conduct individual talks and strengthen education; posted in Shin hand-eye-catching six-step wash method and surgical hand wash method demonstration flow chart; Medical staff hand hygiene into quality scores and performance appraisal, selection of hand hygiene stars a month. Results: The compliance rate of hand hygiene in the observation group and the pass rate of bacterial culture in the hands after washing were significantly higher than those in the control group. The results of bacterial culture in the observation group were significantly better than those in the control group. There was significant difference in the above indexes between the two groups (P <0.01) ). Conclusion: Hand hygiene interventions are effective in improving hand hygiene compliance and preventing and controlling nosocomial infections effectively.