医护人员洗手依从性调查分析及干预措施研究

目的 探讨提高医护人员洗手的依从性的方法,进而降低院内感染的发生率.方法 采用隐蔽性方法对广州市甲、乙、丙3所三甲医院内科、外科、妇科、儿科、ICU、急诊、普通门诊等科室210名医护人员进行洗手依从性的观察并进行问卷调查,了解医护人员对洗手的认识情况和执行情况,分析影响依从性的因素将洗手依从性接近的两所医院的医护人员分别设为试验组和对照组,试验组给予一系列综合干预.结果 问卷调查显示:医护人员洗手知识知晓率为96.6%,自评洗手依从性为95.1%,但隐蔽性观察结果显示操作前后依从率分别为39.3%和53.0%,平均依从性只有46.2%;试验组经采取一系列干预措施后,操作前后洗手的依从性分别为76.7%和85.8%,明显高于对照组的35.2%和48.7%.结论 医护人员对洗手有正确认识,但未能切实贯彻到行动中,知行分离.通过加强医护人员洗手的教育和监督,改善洗手条件等综合措施可提高医护人员洗手的依从性.

Sdudy on the investigation of hand-washing compliance in clinical medical staffs and intervention

Objective To investigate the actuality of medical staffs'hand-washing nowadays,find the factors which influence the medical staffs'hand-washing compliance and discuss the intervenient measure of enhancing hand-washing compliance.Methods 210 medical staffs were investigated and were observated purposely by the researchers in secret who have got training.Results The hand-washing compliance rate among medical staffs was low(46.2%),after intervention the hand-washing compliance rate in experiment group(81.3%)were significantly higher than that in control groop(42%).Conclusion The medical staffs understood the knowledge of hand-washing but didnt do it according to the criterion completely.Enhancing the hand-washing compliance rate is depending on some conditiond,which are as follows:(1)Strengthen the training of all staffs by different kinds of metrheds;(2)The leaders pay more attention to;(3)Training and education must be persevered in.