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目的:了解医务人员手卫生执行情况,建立切实可行的手卫生干预措施,提高其手卫生执行率。方法:采用隐蔽式现场观察的方法,调查不同科室200名医务人员接触病人前后、无菌操作前后、接触病人血液、体液后、脱手套后医务人员手卫生执行率。结果:该院医务人员手卫生执行率为55%,接触病人前、后分别是28.6%、62%,进行无菌操作前、后分别是43.4%、70%,接触病人血液、体液后是75%,脱手套后60%。结论:该院医务人员手卫生执行率有待改善,要加强手卫生相关知识的学习,总结经验,制定出相应的干预措施,降低医院感染率,减轻患者痛苦和经济损失。
OBJECTIVE: To understand the implementation of hand hygiene by medical personnel, establish practical hand hygiene interventions and improve the hand hygiene implementation rate. Methods: By means of concealed site observation, the medical staff hand hygiene rate after contact with patients’ blood and body fluids before and after aseptic operation was investigated before and after the 200 medical staff in different departments contacted the patients. Results: The implementation rate of hand hygiene was 55% in the hospital and 28.6% and 62% respectively before and after contact with patients. The rate of hand hygiene was 43.4% and 70% %, 60% off gloves. Conclusion: The implementation rate of hand hygiene for medical staff in this hospital needs to be improved. The study on hand hygiene knowledge should be strengthened, experience summed up, corresponding interventions should be drawn to reduce the hospital infection rate, alleviate the suffering and economic loss of patients.