摘要
目的比较聚维酮碘刷手法和免刷手法对手术室护士手部皮肤状况的影响。方法 2013年6月-2014年12月采用随机数字表抽样法随机抽查3家三级甲等医院手术室护士共150名,编号排序后用随机数字表分为对照组和研究组,每组75人。对照组采用传统聚维酮碘刷手的外科洗手方法,研究组采用免刷手的外科洗手方法,两组洗手完毕均按手术工作要求戴无菌手套。比较两组手部皮肤状况和消毒效果。结果对照组洗手后发生皮肤干燥34例(45.3%),脱屑9例(12.0%),紧绷感51例(68.0%),过敏5例(6.7%);研究组洗手后发生皮肤干燥19例(25.3%),脱屑0例(0.0%),紧绷感21例(28.0%),过敏0例(0.0%);两组以上状况发生率差异均有统计学意义(P<0.05)。两组外科手消毒的效果均能达到《消毒技术规范》标准,细菌总数≤5 cfu/cm2,未检出致病菌。结论免刷手法能达到外科手消毒要求,且可保护手术室护士手部皮肤。
Objective To compare the effects of povidone iodine handwashing with brush and brush-free handwashing on the hand skin condition of nurses in operation room.Methods A random sampling method was used to choose 150 nurses from the operation room of a grade-3 class-A hospital as our study subjects from June 2013 to December 2014.They were randomly divided into control group and study group according to the random number table with 75 in each.The control group used the traditional povidone iodine handwashing with brush,while the study group applied brush-free handwashing method.Then,we compared the hand skin condition and disinfection effect of these two kinds of handwashing methods.Results The control group had dry skin in 34 nurses（45.3%）,dry desquamation in 9（12.0%）,tight feeling in 51（68.0%）,and allergy in 5（6.7%）.The study group had dry skin in 19 nurses（25.3%）,dry desquamation in 0（0.0%）,tension in 21（28.0%）,and allergy in 0（0.0%）.The differences between the two groups were statistically significant（P〈 0.05）.Conclusion The brush-free handwashing method is able to achieve the requirements of surgical hand disinfection,and can protect the skin of nurses in operation room.
出处
《华西医学》
CAS
2016年第7期1270-1272,共3页
West China Medical Journal
基金
十堰市科技局2013年度指导性科技计划项目[十科发(2013)20号]~~
关键词
手术室护士
聚维酮碘刷手法
免刷手法
皮肤状况
Nurses in operation room
Povidone iodine handwashing with brush
Brush-free handwashing
Skin condition
