门诊输液患者洗手现状的调查分析

目的了解门诊输液患者洗手状况及其影响因素，以便采取有效措施，提高患者的手卫生意识。方法对300例门诊成人输液患者进行洗手行为调查；检测其洗手前后的细菌菌落数；并现场观察输液室环境及可提供的洗手设施。结果门诊输液患者手的细菌菌落数高，超出医护人员标准20—36倍；执行正确洗手技术比例较低；输液室洗手设施简陋，不符合卫生洗手要求。结论应加强对门诊输液患者的洗手知识宣传教育，提高其对洗手重要性的认识，同时医院应改善输液室的洗手设施，以减少污染。

Investigation of hand washing state in patients undergoing infusion in outpatient clinic

Objective To investigate the hand washing state and its influencing factors in patients undergoing infusion in outpatient clinic in order to adopt measures to enhance the patients＇ consciousness of hand hygiene. Methods 300 adult patients undergoing infusion in outpatient clinic were investigated.The bacteria condition before and after washing hands was observed.The condition and washing apparatus in the infusion room were also evaluated. Results The bacteria amount in the hands of patients undergoing infusion was 20 to 36 times higher than the standard level.The washing apparatus was simple and did not reach the standard requirement. Conclusion We should strengthen the propaganda of hand hygiene knowledge to patients undergoing infusion and improve their recognition of the importance of hand washing. The hospital should improve the washing facilities to reduce hospital infeciton.