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目的对某基层医院的手卫生状况进行调查与分析,并对发现的问题进行整改。方法观察外科病区和综合ICU的医护等人员98名在未告知医务人员的情况下,采用隐蔽性观察方法严密监测,根据WHO制订的“5大手卫生指证”监测对于接触患者前后的操作,物品消毒以及摘手套后等的手卫生执行情况结果。结果医务人员诊疗操作前洗手依从率只有5.7%,诊疗操作后洗手依从率为56.3%。其中医生洗手依从率为45.6%,护士洗手依从率为78.4%,卫生员洗手依从率为29.4%。结论加强医院手卫生管理,对发现的问题进行整改,可以提高医护人员的手卫生达标情况,减少医院交叉感染的发病率。
Objective To investigate and analyze the hand hygiene status of a grassroots hospital and rectify the problems discovered. Methods To observe the medical ward and integrated ICU medical staff and other 98 were not informed of medical staff, the use of covert observation method to monitor closely, according to WHO developed “5 large hand health certificate” to monitor the operation before and after contact with patients , Article disinfection, hand hygiene performance after hand removal and the like. Results The compliance rate of medical staff before treatment was only 5.7%. The compliance rate of hand-washing after diagnosis and treatment was 56.3%. Among them, doctors’ compliance rate of hand washing was 45.6%, that of nurses was 78.4% and that of health workers was 29.4%. Conclusion Strengthening hospital hand hygiene management and rectifying the problems discovered can improve the hand hygiene standard of medical staff and reduce the incidence of hospital cross infection.