科室层面开展手卫生的现状分析及应对措施

Status Quo of Hand Hygiene at Department Level and Countermeasures

摘要: 摘 要 目的：探讨门诊手卫生开展过程中存在的问题及改善对策，以提高医务人员手卫生依从性，防止交叉感染，确保患者安全。方法：采用改良观察法对医务人员进行手卫生依从性及正确性调查，对问题采取相应的干预措施。结果50名医务人员手卫生依从性为53.7%，手卫生依从性较高的是护士22名占72%，其次依次为医生21名占58%，实习生4名占38.6，工人及保洁员3名占16.7%。医务人员在无菌操作前、接触患者体液后手卫生依从性高，依次为86%、83%，在接触患者前后及周围环境后手卫生依从性较低，依次为62%、62%、34%。结论：通过改良观察法减少了霍桑效应，获得真实的手卫生数据，及时干预手卫生，促使手卫生形成常态，确保医务人员手卫生主动性及正确性的提高。

Abstract: Objective: To explore the problems existing in the development of outpatient hand hygiene and the countermeasures to improve hand hygiene compliance of medical staff to prevent cross infection and ensure patient safety. Methods: A survey was conducted to investigate the compliance and correctness of hand hygiene among medical staff and to take appropriate interventions on the problems. Results: The hand hygiene compliance of 50 medical staff was 53.7%. In the hand health care, 22 were nurses, accounting for 72%, followed by 21 doctors, 58%, 4 trainees, 38.6%, 3 workers and cleaners, 16.7%. Before the aseptic operation, the hand hygiene compliance of the medical staff was 86% and 83%, and after touching the patient's body fluid, their hand hygiene compliance was low (62%, 62%, 34%, respectively). Conclusions: The improved observational method reduces the effect of Hawthorne, obtains real hand hygiene data, promptly interferes with hand hygiene, promotes the normalization of hand hygiene, and ensures the hand hygiene initiative and correctness of medical staff.