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目的了解基层医务人员手卫生状况。方法采用调查问卷并结合现场观察手卫生过程的方法,对312名医务人员进行问卷调查。结果基层医院医务人员手卫生依从率为40.18%,接触患者前的手卫生执行率为31.01%,接触患者后的手卫生执行率为52.84%;护士手卫生执行率为47.78%,医生手卫生执行率为42.09%;妇产科执行率最高为63.89%,检验科最低为18.10%。鲍氏不动杆菌及金黄色葡萄球菌为检出最多的致病菌。医务人员手卫生知识掌握较好。六步洗手法较为繁琐、洗手指征掌握不全及工作忙没洗手时间是主要影响因素。结论宁海县基层医务人员手卫生知识掌握较好,但洗手执行率不高,需采取有效措施提高医务人员手卫生执行率。
Objective To understand the hand hygiene status of primary health care workers. Methods The questionnaire was used in combination with the method of hand hygiene observation on the spot to conduct a questionnaire survey on 312 medical staffs. Results The compliance rate of hand hygiene among medical staffs in primary hospitals was 40.18%, that of hand hygiene before contact with patients was 31.01%, that of hand hygiene after contact with patients was 52.84%, that of nurses was 47.78%, and hand hygiene The rate was 42.09%; Obstetrics and gynecology implementation rate was the highest 63.89%, laboratory minimum 18.10%. Acinetobacter baumannii and Staphylococcus aureus to detect the largest number of pathogens. Medical staff hand hygiene knowledge better. Six steps wash method is more complicated, incomplete hand washing instructions and busy working time are the main factors. Conclusion Ninghai County grass-roots medical staff better grasp of hand hygiene knowledge, but the implementation of hand-washing rate is not high, effective measures to be taken to improve the implementation of medical staff hand hygiene.