连云港市第一人民医院感染病区医护人员手卫生依从性调查及对策

目的分析了解连云港市第一人民医院感染病区医护人员手卫生依从性的现状,探讨一系列科学、合理、切实可行的手卫生干预方法,以提高医护人员手卫生的依从性。方法采用自行设计的调查问卷并结合现场观察手卫生过程的方法,了解感染病区医护人员对手卫生知晓情况,评估医护人员手卫生的依从性。结果感染病区86.0%的医护人员接受过手卫生知识的培训,但手卫生依从性仅为45.8%。接触患者前的手卫生依从性仅为30%,接触2位患者之间手消毒依从性仅为35.0%,接触患者后的手卫生依从性达90.0%。结论医护人员手卫生的意识薄弱,手卫生相关知识缺乏,手卫生管理制度落实不到位。有必要总结一套合理有效的干预方案提高医护人员手卫生的依从性,降低医院感染率,减轻患者痛苦和经济损失。

Investigation and Countermeasures of Hand Hygiene Compliance among Medical Staff in Infection Department of the First People's Hospital of Lianyungang City

[Objective] To analyze the current situation of hand hygiene compliance among medical staff in infection department of the First People＇s Hospital of Lianyungang city, study a series of scientific, rational and feasible intervention methods for hand hygiene, so as to improve the hand hygiene compliance among medical staff.[Methods]With the combination of self-design questionnaire and spot observation on hand hygiene process, the awareness of knowledge about hand hygiene among medical staff in infection department was studied, and the hand hygiene compliance of medical staff was evaluated.[Results]86.0% of medical staff in infection department had been trained for knowledge about hand hygiene, but the hand hygiene compliance was only 45.8%. The hand hygiene compliance before contacting patients was 30%, that between contacting two patients was 35.0%, and that after contacting patients reached 90%.[Conclusion]The awareness of hand hygiene among medical staff was weak, staff lacked the knowledge about hand hygiene, and the management system of hand hygiene could not be implemented. In order to improve the hand hygiene compliance among medical staff, reduce the nosocomial infection rate, alleviate patients＇ pain and reduce their economic loss, it is necessary to sum up a set of rational and feasible intervention methods.