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目的探讨影响手卫生依从性的因素。方法观察佩戴不同手套行清洁性操作、污染物处理性操作及生活护理性操作前后洗手执行率的情况,并进行操作前与脱手套后菌落计数比较。结果①不戴手套无论进行何种操作,手部携菌量均相似;②佩戴不同手套后手部携菌量有不同程度下降,以橡胶手套下降最明显,同时洗手执行率也不同程度的下降,以橡胶手套者降幅最为明显;③不同操作洗手执行率不同,以污染物处理性操作最高,生活护理性操作最低。结论手卫生依从性与操作类别、手套种类和习惯性认识密切相关。建立长效监督机制,对提高手卫生依从性至关重要。
Objective To explore the factors that affect hand hygiene compliance. Methods To observe the implementation rate of hand-washing before and after cleaning operation, pollutant-handling operation and nursing-care operation with different gloves, and compare the count of the colony before and after the operation. Results ① No gloves were used to carry the same amount of bacteria in the hands; ② After wearing different gloves, the amount of bacteria in the hands dropped to different extents, the most obvious drop was in rubber gloves, and the rate of hand-washing decreased to some extent , The most obvious decline in rubber gloves; ③ different operation rate of implementation of different handwashing, pollutant handling the highest operating life care operation lowest. Conclusion Hand hygiene compliance is closely related to the type of operation, the type of gloves and the habitual awareness. Establishing a long-term monitoring mechanism is essential to improve hand hygiene compliance.