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目的:通过对手卫生的真实依从率进行调查与分析,可以更真实的了解医务人员手卫生的执行情况。方法:随机选取2015年10月-11月我院各科室工作的医护人员洗手时刻共1100次,采用随机观察法暗访手卫生的依从性。结果:医护人员的手卫生时刻样本总量分别为416例、684例,手卫生依从率分别为42.3%、50.0%。其中医生无菌操作前、接触患者前、接触患者后、接触体液后、接触患者周围环境后的手卫生依从率分别为33.0%、38.1%、59.4%、100%、34.0%;护士以上洗手时刻的手卫生依从率分别为34.4%、37.2%、63.2%、97.1%、54.0%。结论:医护人员的手卫生依从性总体欠佳,护士的手卫生依从性高于医生。
Objective: To investigate and analyze the true compliance rate of opponent’s health so as to get a more realistic understanding of the implementation of hand hygiene for medical personnel. Methods: A total of 1,100 times of handwashing were randomly selected from October 2015 to November 2015 in all the departments of our hospital. The random observation method was used to investigate the compliance of hand hygiene. Results: The total sample of hand hygiene time of medical staff were 416 cases and 684 cases respectively, and the hand hygiene compliance rates were 42.3% and 50.0% respectively. Among them, the compliance rates of hand hygiene before contact with patients and before contact with patients were 33.0%, 38.1%, 59.4%, 100% and 34.0%, respectively; The hand hygiene compliance rate was 34.4%, 37.2%, 63.2%, 97.1%, 54.0% respectively. Conclusion: The hand hygiene compliance of health care workers is generally poor, and the hand hygiene compliance of nurses is higher than that of doctors.