医院护理员手卫生现状调查-中国护理管理.PDFVIP

医源性感染 Hospital Acquired Infection 医院护理员手卫生现状调查 张燕 [ 摘 要 ] 目的：了解护理员的手部卫生现状、手卫生知识的掌握情况，旨在强化护理员执行手卫生及控制医院感染意识、 为医院感染的预防、控制、管理提供科学依据。方法：采用问卷法对140 名护理员执行手卫生情况进行调查。结果：临床工作中， 护理员的手卫生依从率较低，在进行不同的操作时，护理员手卫生依从率表现出较大的差异，对与自身安全相关操作的手卫生 依从率高于对与病人安全相关操作的手卫生依从率；37.2% 护理员未执行手卫生或者以戴手套代替手卫生，说明其对手卫生执 行方式存在不足的认识。结论：护理员手部卫生状况亟待提高，执行手卫生及控制医院感染意识有待强化。 [ 关键词 ] 护理员；手卫生 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.05.029 Survey of the current hand hygiene behaviors and its influencing factors among care-workers / ZHANG Yan // Peking Union Medical College Hospital, Beijing, 100730 China /// Chinese Nursing Management- 2014,14(5): 537-541 [Abstract] Objective: To understand the current status of care-workers hand hygiene, in order to enhance their hand washing behavior and improve nosocomial infection control. Methods: Observation and questionnaire survey were used among 140 care-workers randomly selected from our hospital. Results: The average rate of hand hygiene compliance was low. The compliance rates were highest after their disposing dirty materials, before going to toilet, and after touching patients. The most important factor impacting their hand hygiene behaviors was the busy work. Conclusions: The hand hygiene of care-workers needs to be improved urgently. [Key words] care worker; hand hygiene 护理员是指医院雇佣的、主要工作 按照国家卫生计生委《全国卫生部门应 床配备1名护理员，病情较轻患者的生 [1] 职责是在病房照顾住院患者生活的人， 急管理工作的规范》的要求，每 l0 张 活护理由专业培训后的护理员来完成 。 作者单位：北京协和医院骨科三病房，北京协和医学院护理学院，100730 作者简介：本科，主管护师 不小的心理压力。回顾分析我科2010 年 核对；加强专科用药知识的培训与考核；