摘要
目的了解医院ICU医务人员对手卫生的认知、接触患者前、后及脱手套后的手卫生执行情况以及相关因素。方法采用自行设计的调查问卷并结合隐蔽现场观察ICU医务人员手卫生依从性。结果医务人员对洗手的时间、使用肥皂或皂液流水洗手和快速洗手液指征的区别及手消毒剂的知识方面认识不完整或存在误区;临床医师、护士和保洁在执行接触患者之前,手卫生依从率分别为40.3%、36.8%和30.0%;在影响洗手、速干手消毒剂的因素中工作忙和认为用流动水洗手最可靠为主要因素。结论在拥有完善的手卫生设施、配备快速手消毒条件下,尚需加强手卫生培训教育,提高手卫生的依从性,从而提高医院感染控制水平。
OBJECTIVE To learn the hand hygiene reasons affecting the hand hygiene performance in cognition and compliance rate of ICU medical staff and the hospital. METHODS Medical staff of ICU were selected by questionnaire. On-site covert check method has been used to survey the hand hygiene compliance. RESULTS The knowledge about the time of hand washing, the diffepent hand washing methods and their indications existed some less cognition or miscognition among medical staff in ICU. The main factors affecting the hand hygiene performance were busy at work and reliable effect on using stream water wash hand. The compliance of hand hygiene after surgical procedures was respectively 40. 3% of doctors, 36. 8% of nurses and 30. 0% of cleaning workers. CONCLUSIONS On providing public health facilities and sufficient alcohol scrape hand, training and education in hand hygiene and other measures should be strengthened so as to better control hospital infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2009年第18期2452-2454,共3页
Chinese Journal of Nosocomiology
关键词
医院感染
手卫生
依从性
Hospital infection
Hand hygiene
Compliance
