摘要
目的了解重症监护病房医务人员操作前、后及出病房前手卫生的执行情况。方法采用过程监测的方法。结果操作前、后手卫生执行率分别为54.55%、47.00%;两组比较差异无统计学意义;侵入性操作前、后的手卫生执行率分别为68.75%和66.67%;侵入性操作前后医师手卫生情况与护士比较差异无统计学意义;手卫生时采用流动水洗手60.52%,使用快速手消毒剂39.47%;护士使用快速手消毒剂情况好于医师,两组比较差异有统计学意义(P<0.01)。结论重症监护病房医务人员手卫生执行率亟待提高,除加强相关知识培训、提高医务人员手卫生意识、加强督导外,医院应当加强专项资金的投入,加强手卫生的硬件建设,从而提高医务人员手卫生的依从性,降低医院感染的发生。
OBJECTIVE To learn about the implementation of hand-hygiene of the ICU medical staff before and after the operation or before they go out the ward.METHODS The process monitoring method was used.RESULTS The implementation rate of the hand-hygine before and after the operation was 54.55% and 47.0%;the difference between the two groups had no statistical significance.The rates of implementation of hand-hygiene between doctors and nurses before and after invasive procedures were 68.75% and 66.67%.The hand-hygiene before and after the invasive procedures between doctors and nurses had no statistically significant difference;hand-hygiene when using the flowing water or washing their hands with fast hand disinfectants were 60.52% and 39.47%;nurses using fast hand disinfectant were better than the doctors,which had significanct difference between these two groups（P0.01）.CONCLUSIONS The ICU medical staff need to raise the implementation rate of hand-hygiene,in addition to strengthen the relevant knowledge and training,to heighten the medical staff hand-hygiene awareness enhance the supervision,the hospital should arrange the investment in special funds to strengthen the hand-hygiene of the hardware construction,and enhance the medical staff hand-hygiene compliance and reducing the incidence of nosocomial infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第23期3707-3708,共2页
Chinese Journal of Nosocomiology
