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目的对不同级别综合性医院感染科护士的手卫生状况研究分析。方法选取6家不同级别综合性医院的感染科护士共计120名进行手卫生相关的问卷调查研究,采集所得数据进行统计学分析。结果从总体来说,6家不同级别综合性医院的感染科护士手卫生执行不规范,手卫生依从率仅为24.30%,处于较低水平。从医院级别上来看,三级医院感染科护士手卫生依从率为30.33%,显著高于二级医院感染科护士的手卫生依从率22.67%,两者比较差异有统计学意义(P<0.05)。影响不同级别综合性医院感染科护士手卫生依从性的主要因素一致,包括①护理部未制定针对手卫生的奖惩制度;②手卫生清洁剂、消毒剂会刺激护士皮肤;③护士自感工作太忙,忘记洗手。结论不同级别综合性医院的感染科护理人员手卫生依从性均不高,尤其是二级综合性医院,手部卫生状况亟待提高。护理管理者应尽早制定针对护士手卫生依从性的奖惩制度,论证并选取刺激性小的清洁剂和消毒剂,加强宣传教育和管理,确保感染科护士手卫生依从性的逐步提高。
Objective To analyze and analyze hand hygiene status of infectious nurses in general hospitals of different levels. Methods A total of 120 infertility nurses from 6 hospitals of different levels were selected for hand hygiene related questionnaire and the data were collected for statistical analysis. Results Overall, hand hygiene of infection nurses in 6 general hospitals of different levels was not standardized, and the hand hygiene compliance rate was only 24.30%, which was at a low level. From the perspective of hospital level, the compliance rate of hand hygiene among infectious staff nurses in tertiary hospitals was 30.33%, significantly higher than that of second-level hospital infectious staff nurses (22.67%), the difference was statistically significant (P <0.05) . The main factors affecting the hand hygiene compliance of nurses in different levels of general hospital infection department are the same, including ① the nursing department does not formulate a reward and punishment system for hand hygiene; ② hand hygiene cleaners and disinfectants will stimulate the nurses’ skin; Busy, forget to wash your hands. Conclusions Hand hygiene compliance among nursing staff in infectious departments in different levels of general hospitals is not high, especially in the second level general hospitals. The hand hygiene needs to be improved urgently. Nursing managers should formulate reward and punishment system for hand hygiene compliance of nurses as soon as possible, demonstrate and select small irritant cleaners and disinfectants, strengthen publicity and education and management, and ensure the gradual improvement of hand hygiene compliance of infectious nurses.