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目的了解呼伦贝尔大雁医院医护人员手卫生执行情况及不同操作时洗手和手消毒执行情况。方法调查对象为随机抽取的130名医护人员,自行设计调查问卷及现场调查相结合,应用χ2检验对调查结果进行统计学分析。结果不同科室医护人员手卫生执行情况(包括洗手、手消毒)按正确、部分正确、错误进行分类,结果显示差异有统计学意义(χ2=11.49,P<0.05);医护人员在执行不同操作时洗手和手消毒执行情况未见显著性差异,但常规和为传染病人检查、治疗、护理后以用流动水洗手比例较高分别为57.6%和48.1%,处理污物后手消毒者多(46.2%)。结论手卫生仍是目前医院感染管理的一个薄弱环节。需加强医护人员手卫生知识培训,提供有效的教育干预措施;加强相关法律、法规的知识培训,使医护人员执行手卫生行为成为一个主动的行为。
Objective To understand the implementation of hand hygiene of medical staff in Dayun Hospital of Hulun Buir and the implementation of hand-washing and hand disinfection in different operations. METHODS: A total of 130 health care workers randomly selected from the survey were surveyed and field surveys were designed by themselves. The results of χ2 test were used for statistical analysis. Results The implementation of hand hygiene (including hand washing and hand disinfection) in different departments and departments was classified correctly, partially correctly and incorrectly. The results showed that the difference was statistically significant (χ2 = 11.49, P <0.05); when the medical staff performed different operations There was no significant difference in the performance of hand-washing and hand-disinfection, but routine and hand-washing of infected patients were 57.6% and 48.1% respectively after washing, %). Conclusion Hand hygiene is still a weak link in the management of nosocomial infections. It is necessary to strengthen the hand hygiene knowledge training for health care workers and provide effective educational interventions; strengthen knowledge training of relevant laws and regulations, and make health care workers perform hand hygiene behaviors as an active act.