重症监护室工作人员手卫生执行情况的调查分析.docVIP

精品论文 参考文献 重症监护室工作人员手卫生执行情况的调查分析 方蘅雯 （泸州医学院附属医院重症医学科 四川 泸州 646000） 摘要：目的:调查重症监护室工作人员手卫生的执行情况，强化重症监护室工作人员控制感染的意识，为医院控制感染的预防、管理提供更多的参考依据。方法:对某三甲医院重症监护室工作人员60例手卫生执行情况进行现场调查和统计。结果:护士手卫生各项指证执行情况均明显优于工人，两者比较，差异有统计学意义（Plt;0.05），但执行率不高，只有侵入性操作之后和出入工作区前的执行率为100%。结论:重症监护室工作人员手卫生执行情况不太理想，需要对重症监护室工作人员进行相关卫生意识的宣讲，提高监督的力度，强化控制感染的意识，提高手卫生的执行率，有效控制院内感染。 关键词：重症监护室；工作人员；感染 Investigation and analysis of hand hygiene compliance among medical staff in ICU Fang-Hengwen (Department of ICU, Affiliated Hospital of Luzhou Medical College, Luzhou 646000, China) Abstract:Objective: To investigate the current status of hand hygiene compliance among staff in ICU, so as to enhance the awareness of infection control, which was helpful to provide much reference for the prevention and management of nosocomial infection. Methods: A total of 60 medical staff in ICU of a third -grade cIass-A hospital were selected, and the compliance of hand hygiene of them was observed and recorded by field survey. Results: The result of compliances of hand hygiene of nurses was better than other workers, and the difference was statistically significant between two groups (Plt;0.05). All the hand hygiene compliance was not high for nurses, showing that the qualified rate was 100% only after the invasive operation for them going in or out the work area .Conclusion: The hand hygiene compliance among medical staff in ICU of a third -grade cIass-A hospital is not good. More training and education were needed and management should be strengthened to enhance the awareness of infection control, which had an important role in improving the compliance of hand hygiene and controlling nosocomial infection. Key Words: Intensive Care Unit; Medical Staff; Infection [中图分类号]R827.2 [文献标识码] A 文章编号： 医务人员手上的致病菌是院内感染的重要致病源，预防、控制院内感染最为重要的措施之一就是保证手部清洗和消毒的有效性。重症监护室收治的患者大多病情严重，基础护理工作繁重，工作人员进行的侵入性操作和非侵入性操作相对较多，接触的无菌和消毒物品也较为频繁，若不注意手部的卫生，不仅不能有效保证患者的生命安全，相反还可能增加患者感染的概率，严重威胁患者的安全。文献报道[1-2]，提高医务人员手卫生的执行率能够减少感染发生率的30.2%至35.6%