乡镇卫生院医务人员手卫生现状调查

目的了解卫生部《医务人员手卫生规范》颁布后中心乡镇卫生院医务人员手卫生执行状况及影响因素。方法采用问卷法调查医务人员手卫生知识和手卫生设施;现场观察医务人员手卫生执行情况。结果医务人员手卫生执行率为21.5%;接触患者前与接触患者后医务人员执行手卫生相比较,两者差异有极显著统计学意义(P<0.01)。护士手卫生依从率为28.7%,医生手卫生依从率为12.8%,护士手卫生依从率比医生要好,两者比较差异有极显著统计学意义(P<0.01)。乡镇医院医务人员手卫生知识水平比较低,医院手卫生设施差。结论乡镇医院医务人员手卫生知识水平相对比较低;意识不强,手卫生执行率低,医院手卫生设施不完善。应重视手卫生规范的实施,通过加强培训,宣传教育,改善手卫生设施,以进一步提高手卫生执行率。

Survey on hand hygiene of medical staff in township hospitals

Objective To understand the status of hand hygiene among township health center medical staff and its influencing factors after enacting Standard for hand hygiene for healtheare workers in healtheare settings by the Ministry of health. Methods The questionnaire survey was conducted for the knowledge about hand hygiene of the medical staff and hand hygiene facilities;The performance of hand hygiene in the medical staff was checked. Results The implementation rate of hand hygiene in the medical staff was 21.5 percent. There were statistical difference （P〈0.01） before and after contact with patients in the performance of hand hygiene. The compliance rate of Nurses was 28.7% better than that 12.8% of the doctors with a significant difference （P〈0.01）. Conclusion The knowledge about hand hygiene in township hospital medical staff is relatively low and consciousness is not strong with low execution rate of hand hygiene. The more attention should be paid for increasing performance rate of hand hygiene by enhancing the training, education, and improving hand hygiene facilities, and so on.