感染控制管理中手卫生依从性的研究

刘婷

[关键词] 手卫生;依从性;院感管理;原因分析;现状调查

[中图分类号] R197          [文献标识码] B          [文章编号] 1673-9701（2021）19-0160-04

Study on hand hygiene compliance in infection control and management

LIU Ting

Outpatient Operating Room， the Second Hospital of Jingzhou in Hubei Province， Jingzhou   434000， China

[Abstract] Objective To study and analyze the causes of hand hygiene compliance in infection control management. Methods A total of 90 medical personnel in our hospital were selected as the objects from May 2018 to December 2019. The compliance was investigated through operation tracking and covert observation and assessment. The hand hygiene standard for medical personnel was used as the gold standard. The compliance of hand washing and the reasons affecting hand hygiene of different types and different operations of medical personnel were investigated through questionnaires. Results Nurses had the highest compliance with hand washing （86.83%）， followed by doctors （62.09%）， cleaners （53.33%） and interns （22.11%）. The compliance of medical personnel with hand-washing was ≥90% after contacting with body fluids， secretions， blood， wound accessories and excreta of patients and before contacting clean articles， sterile articles and sterile operations. Moving from the contaminated part of the patient′s body to the clean part， contact with articles around the patient， and easing contact were the three items with the lowest hand-washing compliance. The main reasons for the decrease of hand-washing compliance included heavy daily workload， unreasonable facilities and inconvenient hand-washing. Conclusion The hospital infection department needs to establish and perfect the supervision and management mechanism， carry out different forms of hospital infection knowledge learning and training， cooperate with personnel management departments well， ensure the quantity and quality of medical personnel′s post allocation， and reduce the workload. All kinds of disinfection should be implemented to effectively prevent and control hospital cross infection and reduce the occurrence of hospital infection.

[Key words] Hand hygiene; Compliance; Hospital infection management; Cause analysis; Investigation on current situation

醫院作为救治患者的主要场所，倘若出现院内感染，则会广泛于医护人员与患者间、患者与患者间传播，产生性质严重的后果，社会影响极大。医务人员的手就是院感传播的主要方式[1]。医务人员因为要接触不同类型的患者，因此成为传播病原菌媒介的可能的会更大。保持良好的手卫生，需要有效的控制经医务人员手传播病毒细菌的情况，且可减少医院感染的发生[2]。《医务人员手卫生规范》自2009年颁布以来，目前已成为基本性的预防与控制医院感染的措施。本文通过调查和分析2018年5月至2019年12月医务人员手卫生依从性的原因，提高医务人员的自觉监督意识，对医院感染情况进行有效的控制和减少，现报道如下。