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目的了解重症监护病房医务人员手卫生现状,研究影响手卫生的因素。方法通过问卷调查和现场观察的方法 ,对本医院重症监护病房医务人员手卫生消毒情况进行了调查。结果本医院ICU部分医务人员对手卫生知识概念模糊,但对手卫生指征及洗手方法掌握较好。有96%的医务人员认为手卫生重要;有90%的医务人员最习惯的手卫生方式是洗手,只有10%的医务人员习惯快速手消毒剂擦手消毒方式。影响手卫生依从性的因素主要是没有时间,洗手频率太高,怕损伤皮肤,洗手设施不方便等。结论 ICU医务人员手卫生知识欠缺,洗手执行率受主客观因素影响明显,应加强相关知识培训和制度落实。
Objective To understand the hand hygiene status of medical staff in intensive care unit and to study the factors affecting hand hygiene. Methods The situation of hand hygiene disinfection of medical personnel in intensive care unit of our hospital was investigated through questionnaire survey and field observation. Results The concept of hygiene knowledge of opponents in ICU of some hospitals was vague, but the indications of hand hygiene and methods of hand washing were better. 96% of medical staff think that hand hygiene is important; 90% of the medical staff are most accustomed to hand hygiene is to wash their hands, only 10% of medical staff accustomed to rapid hand disinfectant hand rub disinfection. Affect hand hygiene compliance is mainly due to lack of time, frequent hand-washing, fear of skin damage, inconvenient hand-washing facilities. Conclusion The lack of knowledge of hand hygiene in ICU medical staff, the implementation rate of hand-washing is significantly affected by the subjective and objective factors, and relevant knowledge training and system implementation should be strengthened.