摘要
目的了解医院儿外科系统医护人员手卫生知识掌握与执行依从性现状及特点,以提高手卫生依从性。方法对209名外科系统医护人员进行了手卫生知识考试,手卫生依从性问卷调查和手卫生现场观察。结果与初级及以下职称比较,中级及以上职称人员手卫生知识掌握不全面(χ2=5.78,P=0.016);各手卫生执行时机回答执行率与现场观察执行率基本一致;医护人员现场观察接触患儿前手卫生执行最低,仅83人(39.71%),体液/血液暴露后执行最高(100.00%);护士接触患儿前、后执行率均显著高于医师(χ2=18.80,P<0.001或χ2=8.63,P=0.003);初级及以下职称者接触患儿前执行率显著高于中级及以上者(χ2=10.03,P=0.002);本科及以下接触患儿前和无菌操作前手卫生执行率均显著高于硕士及以上学历者(χ2=7.97,P=0.005或χ2=4.14,P=0.042)。结论儿外科系统医师、中级以上职称及学历水平较高者手卫生执行依从性较低,应加强督促和提高。
OBJECTIVE To investigate the current status of cognition and compliance of hand hygiene of surgical medical staff in this childrenrs hospital so as to improve the compliance of hand hygiene. METHODS The written examination, questionnaire investigation and field survey were conducted for the hand hygiene among 209 medical staff. RESULTS The knowledge level of hand hygiene of the staff with middle-or-high professional title was lower compared with those with junior or lower professional title （X^2= 5. 78, P = 0. 016）. Initiative hand hygiene performance rate of the questionnaire investigation was as approximately same as the field survey. From the results of the field survey, the lowest performance rate （n= 83, 39.71%） occurred at the moment of before touching the body and the highest performance rate （100.00%） occurred at the moment of exposing to the body fluid or the blood. The performance rates of ＂before touching the body and after touching the body in nurses were significantly higher than those in doctors （X^2=18.80,P〈0.001 or X^2=8. 63,P=0.003）. The performance rate of ＂before touching the body in staff with junior or lower professional title was also higher than that in staff with middle-or-high professional title （X^2= 10.03, P= 0. 002）. Meanwhile, the performance rates of before touching the body and before aseptic manipulation in staff with bachelor degree or below were both significantly higher than those with master degree or above （X^2=7.97,P=0. 005 or X^2=4. 14,P=0. 042）. CONCLUSION The compliance of hand hygiene is relatively low among the doctors, the staff with middle-or-high professional title, or the staff with master degree or above. It is necessary to pay much attention to the supervision so as to improve the compliance of hand hygiene.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第11期2671-2673,共3页
Chinese Journal of Nosocomiology
关键词
外科
医护人员
手卫生
依从性
Surgery
Medical staff
Hand hygiene
Compliance
