基层医护人员手卫生状况及其影响因素的分析

摘要

目的：了解影响基层医护人员执行手卫生依从性原因，探索提高手卫生依从性的措施。方法：自行设计“医护人员手卫生依从性调查表”，自2012年7-12月笔者所在医院感染科专职人员每天早上轮流到5个病区查房，采取直接观察法，对全院临床科室91名医护人员的手卫生依从性进行调查。结果：因手卫生的设施不完善，人力资源缺乏、手卫生意识低等原因，笔者所在医院医护人员的手卫生依从性只有23.4%。结论：改善手卫生设施，增强医护人员手卫生意识，加大监管力度，才能提高医务人员的手卫生依从性。%Objective:To acquaintance the reasons of influencing primary medical staff’s hand hygiene compliance and explore the measures of enhancing hand hygiene compliance.Method:Designed a“Questionnaire of Medical Staff’s Hand Hygiene Compliance”independently.From July to December of 2012,the full-time staff in the Nosocomial Infection Department taked turns to 5 ward rounds every morning,adopted a direct observation method to investigate the hand hygiene compliance of more than 150 medical staff in clinical departments of the hospital.Result:The hand hygiene compliance of the medical staff in the hospital were just 23.4%,because of the imperfect equipment of hand hygiene,lack of the human resources and lack of the consciousness of hand hygiene.Conclusion:To increase hand hygiene compliance of the medical staff,we should improve our hand hygiene facilities,strengthen the consciousness of medical staff hand hygiene and increase supervision.