基层医院医护人员手卫生依从性的调查分析

发布时间：2018-08-28 06:17

【摘要】：目的了解影响基层医院医护人员手卫生依从性的因素,探讨提高医护人员手卫生依从性的对策。方法采用问卷调查法、实地查看法,对医护技人员手卫生的依从性及其影响因素进行调查。结果基层医院医护人员对手卫生认知不足,手卫生依从性平均为53.58%,其中护士为60.02%,医师为49.04%,医技人员为33.76%。工作繁忙成为影响手卫生执行的首要因素,占65.6%;而基层医院洗手设施不足,布局不合理则成为影响卫生执行的次要因素,分别占42.99%、40.13%;认为经常洗手会引起手部皮肤干燥,增加科室成本等也是影响手卫生执行情况的因素。结论提高医护人员手卫生依从性,需要医院管理层的高度重视,职能部门的督导教育,临床各科室针对实际工作采取更多的综合措施,多部门共参与,才能取得好的成效。
[Abstract]:Objective to understand the factors influencing the hand hygiene compliance of medical staff in primary hospitals and explore the countermeasures to improve the hand hygiene compliance. Methods questionnaire survey and field inspection were used to investigate the hand hygiene compliance of medical and nursing staff and its influencing factors. Results the hygienic cognition of the medical staff in the primary hospital was insufficient, and the average compliance of hand hygiene was 53.58, including 60.02 for nurses, 49.04for doctors and 33.76for medical technicians. Busy work became the primary factor affecting hand hygiene execution, accounting for 65.6%, while inadequate hand-washing facilities and unreasonable layout became the secondary factors affecting hygiene implementation in grass-roots hospitals, accounting for 42.99% and 40.13%, respectively. It was believed that frequent hand washing would cause dry hands in the hands. Increasing the cost of departments is also the impact of hand hygiene implementation. Conclusion in order to improve the hand hygiene compliance of medical and nursing staff, the hospital management should attach great importance to it, the supervision and education of the functional departments, more comprehensive measures should be taken by clinical departments in view of the actual work, and more departments should participate in the work so as to achieve good results.
【作者单位】：湖北省宜昌市兴山县人民医院;
【分类号】：R187

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