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目的:通过了解我院临床护理人员对手卫生知识认知情况、执行率及影响洗手行为的相关因素,提高护理人员的手卫生,以达到预防和控制医院感染的目的。方法:随机抽取我院护理人员178名,采用自行设计调查问卷表进行调查对手卫生知识认知情况、洗手执行率及自我评价影响洗手行为的相关因素。结果:86.6%的护理人员掌握七步洗手法,45.53%掌握外科手消毒方法,83.92%掌握卫生洗手指征。护理人员认为影响洗手行为的主要因素为工作忙、洗手设备不方便,缺乏设施供应,未面临检查,缺乏指导及管理。结论:护理人员对手卫生知识认知程度不均衡,临床工作中手卫生执行率不理想,应加强洗手意识、管理及学习,普及及宣传手卫生知识,改善善手卫生设施,以预防和控制医院感染,提高医疗质量,保障医疗安全。
OBJECTIVE: To improve the hand hygiene of nurses by understanding the cognition, implementation rate and influencing factors of hand hygiene of clinical nurses in our hospital so as to achieve the purpose of preventing and controlling nosocomial infections. Methods: A total of 178 nursing staffs were randomly selected from our hospital. The self-designed questionnaire was used to investigate the cognition of hand hygiene knowledge, the rate of hand-washing and the factors that influence the hand-washing behavior. Results: 86.6% of nursing staff mastered the seven-step wash method, 45.53% mastered the surgical disinfection method, and 83.92% got the indication of sanitary hand washing. Nurses thought that the main factors affecting the handwashing behavior were busy work, inconvenient hand washing equipment, lack of facilities supply, lack of inspection, lack of guidance and management. Conclusion: The awareness of paramedical knowledge of nurses is not balanced, and the implementation rate of hand hygiene in clinical work is not satisfactory. The consciousness of hand washing, management and learning should be strengthened, the knowledge of hand hygiene should be popularized and disseminated, and the sanitation facilities should be improved so as to prevent and control hospitals Infection, improve medical quality, protect medical safety.