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目的了解社康中心医务人员的手卫生执行现状,评价综合干预措施的效果。方法采取培训与教育、监督与管理和完善洗手设施等干预措施,比较医务人员手卫生干预前后各项指标的差异。结果被调查的420人平均手卫生依从率由35.1%提高到61.2%,手卫生正确执行率由34.5%提高到72.22%,手部样品合格率由87.9%提高到97.3%,三项指标干预前后差异均有统计学意义(P<0.01)。结论采取综合干预措施能有效提高社康中心医务人员手卫生依从性,但干预措施需要坚持长期执行并不断完善。
Objective To understand the hand hygiene implementation status of medical staff in community health centers and to evaluate the effect of comprehensive interventions. Methods The interventions such as training and education, supervision and management, and improvement of hand washing facilities were taken to compare the differences of various indicators before and after hand hygiene intervention. Results The average hand hygiene compliance rate of 420 people surveyed increased from 35.1% to 61.2%, the correct implementation rate of hand hygiene increased from 34.5% to 72.22%, and the passing rate of hand samples increased from 87.9% to 97.3% The differences were statistically significant (P <0.01). Conclusion Comprehensive interventions can effectively improve hand hygiene compliance among medical staff in community health centers. However, interventions need to be implemented consistently and continuously.