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时间:2019-10-24
《对护士手卫生状况调查研究及对策探析》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、对护士手卫生状况调查研究及对策探析【中图分类号】R47-4【文献标识码】A【文章编号】1003-8183-(2011)04-0008-04【摘要】目的:了解临床护士手卫生知识掌握情况和手卫生执行情况,分析影响护士手卫生行为的因素,进行多模式干预。方法:采用横断面研究法,应用《护士手卫生观察记录表》,根据卫生部规定的11项洗手指征设计洗手调查问卷,并通过问卷调查、现场观察等方法对随机抽取的临床注册护士予以了考察,考察的总体数量在200名进,记录结果并进行统计分析。结果:临床护士对不可见的污染标准洗手要求执行差;自评洗手执行合格率明显高于实际洗手合格率;各
2、科临床护士之间洗手合格率有明显差异,外科洗手合格率最髙,门诊最低。结论:临床护士存在不重视手卫生和不规范洗手的状况,主要原因为洗手知识不足、洗手设施不健全、未形成良好的洗手习惯、管理不到位等,因而采取多模式干预提高临床护士的洗手依从性,改善手卫生状况。【关键词】临床护士;手卫生;洗手;多模式干预StatusofnurseshandhygieneofInvestigationandAnalysisYangXin-Ming[Abstract]Objective:Tofindoutthehandhygieneknowledgethatclinicalnurs
3、eshavemasteredandtheimplementationsituationofhandhygiene,andtoanalyzethefactorsthataffecthandhygienebehaviorofclinicalnurses,andthenusethemulti-modalinterventiontointervenethesefactors・Method:Applycross-sectionalresearchmethodand“Thenurses,handhygieneobservationrecordformn,desig
4、nthequestionnaireaccordingtothe11hand-washingindicatiosetbyMinistryofHea1th,observe200randomlyselectedregisteredclinicalnursesonsiteandinvestigateandexaminethroughquestionnaire,andthenanalyzethestatisticresuIt.Results:Clinicalnursesdidabadjoboncomplyingwithhandwashingrequirement
5、ofinvisiblepollutionstandard・Itisobviousthatself-evaluatedqualifiedrateofhandwashingishigherthanactualsituation.Andthequalifiedrateisquitedifferentamongdifferentdepartments.Clinicalnursesinthesurgeryperformedthebestwhileclinicalnursesintheclinicdidtheworst.Conclusion:clinicalnur
6、seshavenotpaidmuchattentiontohandhygieneandcouldnotwashtheirhandsproperly.Themaincausesarethattheclinicalnurseslacktheknowledgeofhandwashingandthehandwashingfacilitiesareinsufficient・Theclinicalnurseshavenotfallenintothegoodhabitofhandwashingandthemanagementofnursesisnotgoodenou
7、gharealsothecauses・Therefore,throughmulti-modalinterventionwecouldhelpclinicalnursescomplywithrequirementsonhandwashingandimprovethepoorsituationofhandhygiene・【Keywords】clinicalnursehandhygienehandwashingmulti-modalinterventio在引起医院感染的诸多原因中,手是医院感染传播的重要媒介[1]。手卫生是预防和控制医院感染最简单和最有效的环
8、节[2-3]o有文献报道[4],由医务人员手传播细菌而造成的医院感染约占30%。美国疾病预防控
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