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目的了解某院医务人员手卫生现状,采取有效干预措施加强临床医务人员手卫生依从性。方法采用自行设计的手卫生依从性调查表,对临床科室的手卫生执行情况进行干预前后的现场调查。随机抽查医师、护士、保洁员和实习生,评估手卫生知晓率、手卫生依从性和洗手正确率。结果在规定的手卫生指征下,手卫生依从性从干预前的30.33%上升到干预后的60.63%(χ~2=70.186,P<0.001);手卫生知晓率从70.30%上升到90.91%(χ~2=44.634,P<0.001);洗手完全正确率从67.07%上升到95.77%(χ~2=22.278,P<0.001)。结论通过手卫生培训和现场干预,医务人员的手卫生意识和手卫生依从性大幅提高,达到了预期的效果。
Objective To understand the status of hand hygiene in medical staff in a hospital and to take effective interventions to improve hand hygiene compliance of clinical staff. Methods The self-designed hand hygiene compliance questionnaire was used to investigate the situation of hand hygiene in clinical departments before and after intervention. Physicians, nurses, cleaners and interns were randomly selected to assess hand hygiene awareness, hand hygiene compliance, and hand hygiene accuracy. Results Hand hygiene compliance increased from 30.33% before intervention to 60.63% after intervention (χ ~ 2 = 70.186, P <0.001), while the awareness of hand hygiene increased from 70.30% to 90.91% (χ ~ 2 = 44.634, P <0.001). The correct rate of hand washing increased from 67.07% to 95.77% (χ ~ 2 = 22.278, P <0.001). Conclusion Through hand hygiene training and on-site intervention, the hand hygiene awareness and hand hygiene compliance of medical staff have been greatly improved, and the expected results have been achieved.