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目的:了解某儿童医院医务人员手卫生现状。方法:采取直接观察法和隐蔽观察法对该院医务人员手卫生现状进行现场观察。结果:隐蔽观察法观察手卫生时机数1588个,实际执行手卫生849次,依从率53.46%。直接调查法共调查7315个手卫生时机数,实际执行5090个,手卫生依从率为69.58%。随机抽考洗手204次,正确洗手198次,手卫生正确率为97.12%。结论:该院医务人员手卫生正确率较高,手卫生依从率较低。霍桑效应可影响医务人员的手卫生依从性。
Objective: To understand the hand hygiene status of medical staff in a children’s hospital. Methods: Direct observation and covert observation were used to observe the current status of hand hygiene in medical staff in this hospital. Results: The concealed observation method to observe the number of hand hygiene 1588, the actual implementation of hand hygiene 849 times, the compliance rate of 53.46%. A total of 7315 hand hygiene opportunities were investigated by direct investigation. The actual number of hand hygiene was 5090 and that of hand hygiene was 69.58%. 204 random hand-washing test, the correct hand-washing 198 times, the hand hygiene correct rate was 97.12%. Conclusion: The medical staff in this hospital have a higher correct rate of hand hygiene and lower rate of hand hygiene compliance. The Hawthorne effect can affect the hand hygiene compliance of medical personnel.