中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
26期
3131-3133
,共3页
维持性血液透析%手卫生%影响因素
維持性血液透析%手衛生%影響因素
유지성혈액투석%수위생%영향인소
Maintain hemodialysis%Hand hygiene%Influencing factor
目的 调查维持性血液透析患者手卫生习惯及细菌污染情况,为采取干预措施提供依据.方法 采取横断面调查的方法,选择医院维持性血液透析患者298例进行手卫生习惯、指征和手卫生知识的调查,同时对其中100例患者的手进行细菌污染情况检测分析.结果 298例患者认为洗手重要者占42.5％,血透前洗手率仅为13.0％,了解规范洗手方法者仅占6.3％.100例患者手部感染的病原菌中,除常见的正常寄居菌外,还可检测到铜绿假单胞菌、大肠埃希菌、金黄色葡萄球菌等致病菌.患者洗手后干燥棒杆菌、黏质沙雷菌、黄色奈瑟菌等条件致病菌菌落数与洗手前比较明显下降[(128±30)比(7±2),(112±36)比(5±3),(122±25)比(6±2) cfu/cm2],差异有统计学意义(t值分别为19.49,19.83,19.56;P ＜0.01).结论 尿毒症患者的手卫生意识不强,依从性差,手部细菌污染严重,存在交叉感染隐患,应予以足够的重视.
目的 調查維持性血液透析患者手衛生習慣及細菌汙染情況,為採取榦預措施提供依據.方法 採取橫斷麵調查的方法,選擇醫院維持性血液透析患者298例進行手衛生習慣、指徵和手衛生知識的調查,同時對其中100例患者的手進行細菌汙染情況檢測分析.結果 298例患者認為洗手重要者佔42.5％,血透前洗手率僅為13.0％,瞭解規範洗手方法者僅佔6.3％.100例患者手部感染的病原菌中,除常見的正常寄居菌外,還可檢測到銅綠假單胞菌、大腸埃希菌、金黃色葡萄毬菌等緻病菌.患者洗手後榦燥棒桿菌、黏質沙雷菌、黃色奈瑟菌等條件緻病菌菌落數與洗手前比較明顯下降[(128±30)比(7±2),(112±36)比(5±3),(122±25)比(6±2) cfu/cm2],差異有統計學意義(t值分彆為19.49,19.83,19.56;P ＜0.01).結論 尿毒癥患者的手衛生意識不彊,依從性差,手部細菌汙染嚴重,存在交扠感染隱患,應予以足夠的重視.
목적 조사유지성혈액투석환자수위생습관급세균오염정황,위채취간예조시제공의거.방법 채취횡단면조사적방법,선택의원유지성혈액투석환자298례진행수위생습관、지정화수위생지식적조사,동시대기중100례환자적수진행세균오염정황검측분석.결과 298례환자인위세수중요자점42.5％,혈투전세수솔부위13.0％,료해규범세수방법자부점6.3％.100례환자수부감염적병원균중,제상견적정상기거균외,환가검측도동록가단포균、대장애희균、금황색포도구균등치병균.환자세수후간조봉간균、점질사뢰균、황색내슬균등조건치병균균락수여세수전비교명현하강[(128±30)비(7±2),(112±36)비(5±3),(122±25)비(6±2) cfu/cm2],차이유통계학의의(t치분별위19.49,19.83,19.56;P ＜0.01).결론 뇨독증환자적수위생의식불강,의종성차,수부세균오염엄중,존재교차감염은환,응여이족구적중시.
Objective To investigate the hand hygiene status and its influencing factors of maintain hemodialysis patients,for the purpose of taking effective measures to improve the quality of hand hygiene as well as reduce the infection rate in the department of blood purification.Methods A cross-sectional survey method was used,totals of 300 MHD patients in our hospital were observed.Among them 100 patients were detected and analyzed their hand bacterial contamination.Results Among 298 patients,the percent of patients thinking washing - hand important was 42.5％,the percent of washing hand before hemodialysis was 13.0％,while understanding the specification of washing-hand was only 6.3％.Among the hand infection pathogen,except normal living bacteria,there were Pseudomonas aeruginosa,E.coli and Staphylococcus aureus etc.Compared with washing hand before,Corynebacterium xerosis,Serratia marcescens,yellow Neisseria meningitides of washing hands after were decreased significantly [ (128 ±30) vs (7±2),(112±36) vs (5±3),(122±25) vs (6±2) ; t =19.49,19.83,19.56,respectively;P ＜0.01 ].Conclusious Hand hygiene consciousness of the MHD patients is not strong,and the compliance remains poor. It should be paid enough attention to the dangerous of cross infection because of Bacterial pollution of hand is serious.
