【摘要】 目的了解临床医务人员手卫生现状,分析不规范洗手的原因并提出改进措施。方法通过问卷调查和现场采样检测的方式对病房和门诊共计340名医务人员进行调查。结果医务人员洗手前手部带菌量平均值为(161.21±8.98)CFU/cm2,洗手后为(15.87±6.96)CFU/cm2,洗手后手部带菌量明显减少(t=5.32,P<0.001)。病房医务人员在无菌操作前后、接触每位患者前后、非工作状态时的洗手率分别为59.46%、51.89%、97.84%,均高于门诊医务人员的43.87%、29.03%、84.52%(两两比较,分别χ2=8.22,P<0.01;χ2=18.16,P<0.005;2χ=18.08,P<0.01)。护士在无菌操作前后、接触每位患者前后的洗手率分别为73.43%、49.76%,均明显高于医生的19.55%、28.57%(两两比较,分别2χ=14.98,P<0.005;χ2=94.24,P<0.005)。结论临床医务人员普遍存在不重视手卫生和不规范洗手问题,亟需加强培训教育,特别是对门诊的医务人员和住院部医生。更多还原

【Abstract】 Objective To investigate hand hygiene of health care workers(HCWs),and analyze the causes of non-standard handwashing and bring forward improvement measures.Methods Three hundred and forty HCWs in clinical wards and outpatient department were surveyed by questionnaires and on the spot hand sampling.Results The average bacteria count in hands before and after handwashing were(161.21±8.98)CFU/cm2 and(15.87±6.96)CFU/cm2,bacteria count was obviously lower after handwashing(t=5.32,P<0.001).The rate of handwashing of HCWs in clinical wards before and after sterile manipulation,contact each patient and non-working period was 59.46%,51.89% and 97.84% respectively,which was higher than that(43.87%,29.03% and 84.52%,respectively) in HCWs of outpatients department respectively(χ2=8.22,P<0.01;χ2=18.16,P<0.005;χ2=18.08,P<0.01,respectively),the rate of handwashing of nurses before and after sterile manipulation,contact each patient was 73.43% and 49.76%,respectively,which was higher than that(19.55% and 28.57% respectively) of doctors(χ2=14.98,P<0.005;χ2=94.24,P<0.005,respectively).Conclusion It is common phenomenon that HCWs ignore hand hygiene and are not in compliance with standard handwashing,so it is necessary to strengthen the HCWs training.更多还原