CAJ | 학술논문

目的：调查临床医护人员手卫生依从性并进行分析。方法：分别采用行为观察法及问卷调查法对6个病房的84名临床医护人员手卫生行为进行调查，比较医护人员手卫生依从性状况及其相关性。结果：共观察192h，涵盖1386个需要进行手卫生的医疗护理操作，手卫生执行次数709次，执行率为51.15%。医护人员自我报告的手卫生行为与观察到的实际行为差异具有统计学意义（P<0.05），且两者之间没有相关性（P>0.05）。结论：临床医护人员手卫生状况较差，自我报告行为与观察到的实际行为不具相关性，对手卫生的研究不能单纯以问卷调查的形式进行，对临床医护人员手卫生依从性培训的效果评价建议以实际观察到的行为改变为准。
목적：조사림상의호인원수위생의종성병진행분석。방법：분별채용행위관찰법급문권조사법대6개병방적84명림상의호인원수위생행위진행조사，비교의호인원수위생의종성상황급기상관성。결과：공관찰192h，함개1386개수요진행수위생적의료호리조작，수위생집행차수709차，집행솔위51.15%。의호인원자아보고적수위생행위여관찰도적실제행위차이구유통계학의의（P<0.05），차량자지간몰유상관성（P>0.05）。결론：림상의호인원수위생상황교차，자아보고행위여관찰도적실제행위불구상관성，대수위생적연구불능단순이문권조사적형식진행，대림상의호인원수위생의종성배훈적효과평개건의이실제관찰도적행위개변위준。
Objective:To investigate and analyze the clinical medical staff's hand hygiene compliance. Methods:The behavior observation and questionnaire survey were used to investigate the hand hygiene behaviors of 84 clinical medical staff from six wards and compare medical staff hand hygiene compliance status and its correlation. Results:For the 192 hours' observation, covering 1386 operations that need to hand health care, hand hygiene execution times were 709 times, and the execution rate was 51.15%. The self-reported medical staff hand hygiene behavior and the observed actual behavior was statistically signiifcant different (P<0.05), and there is no correlation between them (P>0.05). Conclusion:The hand hygiene of clinical medical staff is poorer, and the self-reported behavior and the observed actual behavior are not related. For clinical medical staff hand hygiene compliance training effect evaluation, it is suggested to be based on the observed behavior change.