劉婷

[關(guān)鍵詞] 手衛(wèi)生;依從性;院感管理;原因分析;現(xiàn)狀調(diào)查

[中圖分類號] R197? ? ? ? ? [文獻標(biāo)識碼] B? ? ? ? ? [文章編號] 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(yī)院作為救治患者的主要場所，倘若出現(xiàn)院內(nèi)感染，則會廣泛于醫(yī)護人員與患者間、患者與患者間傳播，產(chǎn)生性質(zhì)嚴重的后果，社會影響極大。醫(yī)務(wù)人員的手就是院感傳播的主要方式[1]。醫(yī)務(wù)人員因為要接觸不同類型的患者，因此成為傳播病原菌媒介的可能的會更大。保持良好的手衛(wèi)生，需要有效的控制經(jīng)醫(yī)務(wù)人員手傳播病毒細菌的情況，且可減少醫(yī)院感染的發(fā)生[2]。《醫(yī)務(wù)人員手衛(wèi)生規(guī)范》自2009年頒布以來，目前已成為基本性的預(yù)防與控制醫(yī)院感染的措施。本文通過調(diào)查和分析2018年5月至2019年12月醫(yī)務(wù)人員手衛(wèi)生依從性的原因，提高醫(yī)務(wù)人員的自覺監(jiān)督意識，對醫(yī)院感染情況進行有效的控制和減少，現(xiàn)報道如下。