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目的分析院内感染标准化创建工作对社区医务人员手卫生的影响。方法收集2012年2—7月226次及2012年8月—2013年1月233次具有洗手指征的场景作为研究对象,分析院内感染标准化创建工作实施前后医务人员的手卫生情况。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果干预前手卫生执行率、合格率分别为57.0%、51.3%,干预后分别为82.8%、84.1%,两组比较差异均有统计学意义(χ2=37.441、56.671,均P<0.05)。干预后医务人员的手卫生执行情况在直接接触患者前、从污染部位移到清洁部位、摘手套后、无菌操作前、接触患者周围环境及物品后、处理药物或配餐前(84.3%、73.7%、85.0%、85.3%、82.6%、81.0%)均较干预前(52.1%、37.5%、30.4%、62.5%、52.4%、47.1%)有显著提高(均P<0.05)。结论标准化创建工作的实施,有助于医务人员手卫生知识的掌握及手卫生的执行,从而有利于降低院内感染率。
Objective To analyze the impact of standardization of nosocomial infection on hand hygiene in community health workers. Methods A total of 226 hand gestures from February to July in 2012 and 233 handwash indications from August 2012 to January 2013 were collected. The health status of medical staff before and after the establishment of nosocomial infection standardization was analyzed. Count data using χ2 test, P <0.05 for the difference was statistically significant. Results The implementation rates of hand hygiene before intervention were 57.0% and 51.3%, respectively, 82.8% and 84.1% respectively after intervention. There were significant differences between the two groups (χ2 = 37.441 and 56.671, both P <0.05). After the intervention, the hand hygiene status of the medical staff before the direct contact with the patient, moved from the contaminated site to the clean area, after the removal of the glove, before the aseptic operation, contact with the patient’s surroundings and articles, before treatment of the medication or catering (84.3%, 73.7 %, 85.0%, 85.3%, 82.6%, 81.0%, respectively) were significantly higher than those before intervention (52.1%, 37.5%, 30.4%, 62.5%, 52.4%, 47.1%). Conclusions The implementation of standardization creation helps the medical staff to grasp the hand hygiene knowledge and hand hygiene implementation, which will help reduce the nosocomial infection rate.