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目的:探讨医务人员洗手依从性的影响因素及对策。方法:分析我院全体医务人员在进行诊疗操作时的洗手情况,并对医务人员的洗手时间、洗手步骤及洗手方式等进行详细记录,分析医务人员洗手依从性的影响因素。结果:洗手依从性比较中,医务人员在接触病人后和接触病人血液体液后的洗手依从性均显著优于接触病人前及执行无菌操作前的洗手依从性(P<0.05);而医务人员在基础病人环境后的洗手依从行为62.04%,洗手依从性并不高。洗手正确率比较中,使用皂液洗手正确率为96.32%,六步洗手法正确率为77.21%,洗手时间不少于15秒正确率为73.36%。结论:医院应采取积极措施不断改善医务人员的洗手依从性及洗手的合格率,促进医疗服务质量的不断提高。
Objective: To explore the influencing factors and countermeasures of medical staffs compliance with hand-washing. Methods: To analyze the handwashing situation of medical personnel in our hospital during the operation of medical treatment, and to record the handwashing time, handwashing procedures and handwashing patterns of medical staffs in detail, and to analyze the influencing factors of handwashing compliance of medical staffs. Results: In the comparison of hand hygiene compliance, the compliance of hand hygiene of medical staff after contact with patients and after contact with the patient’s blood was significantly better than that before medical contact with patients and before aseptic operation (P <0.05) In the basic patient environment after washing behavior compliance 62.04%, compliance is not high hand-washing. The correct rate of hand-washing, the correct rate of hand-washing soap was 96.32%, six-step wash method correct rate of 77.21%, washing time of not less than 15 seconds, the correct rate was 73.36%. Conclusion: The hospital should take active measures to continuously improve medical staff’s compliance with hand-washing and pass rate of hand-washing, and promote the continuous improvement of medical service quality.