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目的调查分析手术室医务人员感染知识及手卫生执行情况。方法对该院58名手术室医务人员感染知识及手卫生执行情况进行调查,并对调查结果进行分析。结果手术室医务人员感染知识平均知晓率为75.66%,知晓率在90%以上的为洗手指征、手消毒指征、标准七步洗手法(或外科洗手法)。低于50%的为医疗废物收集时的包装袋要求、医疗废物流失应急处理措施、医院感染法规颁布实施时间。12项手卫生执行情况中执行率超过50%的仅有3项,为从同一病人污染部位移动到清洁部位、接触破损伤口或皮肤后以及处理污染物品后。其余9项执行率均在50%以下,而接触病人前后以及接触不同的病人间的手卫生执行率最低。结论手术室医务人员感染知识水平较高,但手卫生执行率较低,执行现状堪忧,应对手卫生执行情况加强宣传教育和监督管理,以保证医务人员和手术患者的安全。
Objective To investigate and analyze the medical staff infection knowledge in the operating room and hand hygiene implementation. Methods The hospital operating room 58 operating room infection knowledge and hand hygiene implementation survey, and the survey results were analyzed. Results The average awareness rate of medical staff infection in the operating room was 75.66%. The rate of awareness was above 90% for hand-washing indications, hand disinfection indications, and standard seven-step handwashing (or surgical handwashing). Less than 50% of bags for medical waste collection requirements, medical waste loss emergency measures, hospital infection regulations promulgated time. Of the 12 hand hygiene practices, only 3 had an implementation rate of over 50%, for moving from the contaminated site of the same patient to a clean area, after touching the damaged wound or skin, and after handling the contaminated items. The remaining 9 implementation rates were all below 50%, with the lowest rate of hand hygiene implementation before and after contact with patients and between different patients. Conclusions There is a high level of infection knowledge among medical staff in the operating room. However, the implementation rate of hand hygiene is rather low and the current implementation status is rather worrisome. Publicity and education and supervision and management should be strengthened in order to ensure the safety of medical personnel and surgical patients.