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目的了解海口市第四人民医院检验科医务人员洗手依从性,并进行针对性预防干预,控制院内感染。方法2013-11对海口市第四人民医院27名检验科医务人员进行洗手依从性调查并进行干预,2016-11对被干预的27名检验科医务人员再次进行调查。结果医师在干预前直接接触患者前洗手率为14.29%(3例)、无菌操作后24.00%(6例)、接触患者血液体液后27.27%(9例)、接触患者环境物品后37.93%(11例)、连续为不同患者进行操作后15.56%(7例)、摘手套后21.94%(5例)明显低于干预后(95.24%、88.00%、90.91%、86.21%、93.33%和78.26%),差异有统计学意义(P<0.05);医护在干预后直接接触患者前洗手率为100%(93例)、无菌操作后98.29%(115例)、接触患者血液体液后97.90%(140例)、接触患者环境物品后99.17%(120例)、连续为不同患者进行操作后98.79%(163例)、摘手套后96.55%(28例)均高于干预前(35.48%、24.79%、24.78%、25.62%、29.70%和37.93%),差异有统计学意义(P<0.05);预防干预后医务人员的洗手依从率都较高,其中医师的洗手依从率(94.12%)明显高于医护的洗手依从率(60.00%),两组医务人员的洗手依从率差异显著(P<0.05),具有统计学意义。结论检验科医务人员应该对手卫生现状进行预防干预,提高洗手依从性,预防医务人员被感染,并且减少医院内感染现象的发生。
Objective To understand the medical staff in the laboratory of the Fourth People’s Hospital of Haikou City to observe the compliance of hand hygiene and carry out targeted preventive intervention to control the nosocomial infection. Methods 2013-11 Conducted a hand hygiene compliance survey and intervened on 27 medical staff in the laboratory of the Fourth People’s Hospital of Haikou City. In 2016-11, 27 medical staff in the laboratory were intervened again. Results Before the intervention, physicians directly contacted the patients before treatment, the rate was 14.29% (3 cases), aseptic operation 24.00% (6 cases), contact with the patient’s blood after fluid 27.27% (9 cases), contact with the patients after the environmental items 37.93% 11 cases, 11.56% (7 cases), 21.94% (5 cases) after continuous operation for different patients were significantly lower than those after intervention (95.24%, 88.00%, 90.91%, 86.21%, 93.33% and 78.26% ), The difference was statistically significant (P <0.05); medical care in the direct contact with the patient before intervention was 100% (93 cases), 98.29% (115 cases) after aseptic operation, 97.90% 140 cases), 99.17% (120 cases) were in contact with patients’ environmental articles, 98.79% (163 cases) after continuous operation for different patients, 96.55% (28 cases) after picking gloves were higher than before intervention (35.48%, 24.79% , 24.78%, 25.62%, 29.70% and 37.93%, respectively), the difference was statistically significant (P <0.05). The medical staff’s compliance rate after hand-washing was higher than that of the control group (94.12%) The compliance rate of hand hygiene (60.00%) was significantly different between the two groups (P <0.05), which was statistically significant. Conclusion Laboratory medical staff should make preventive interventions on the status of hand hygiene, improve the compliance of hand washing, prevent medical staff from being infected, and reduce the occurrence of nosocomial infections.