CAJ | 학술논문

目的了解手术人员手卫生认知水平和洗手依从率现状,探讨相应的整合管理策略,以提高手卫生依从率,控制手术感染.方法采用问卷调查68名手术室护士和46名医师共114名手术人员手卫生认知情况,并现场监测受访人员的洗手依从率.结果受访护士组手卫生认知得分平均(78.43±7.71)分；手术医师得分平均(67.39±7.76)分,麻醉医师得分平均为(60.32±4.46)分,3组比较差异有统计学意义(F=5.090,P＜0.01)；不同职称、年龄手术相关人员手卫生认知评分比较差异均有统计学意义(P＜0.05)；护士组的洗手依从率为71.39％,医师组为47.81％,两组差异有统计学意义(x2=37.746,P＜0.01).结论接受调查的手术相关人员手卫生认知水平总体令人满意,但手卫生的依从率观测除暴露一些普遍问题的存在,不同职业角色和职业背景的受访者还各有其特殊性.应采取整合管理策略加强手卫生培训与监督,从而提高手术医护人员的手卫生依从率.
목적 료해수술인원수위생인지수평화세수의종솔현상,탐토상응적정합관리책략,이제고수위생의종솔,공제수술감염.방법 채용문권조사68명수술실호사화46명의사공114명수술인원수위생인지정황,병현장감측수방인원적세수의종솔.결과 수방호사조수위생인지득분평균(78.43±7.71)분；수술의사득분평균(67.39±7.76)분,마취의사득분평균위(60.32±4.46)분,3조비교차이유통계학의의(F=5.090,P＜0.01)；불동직칭、년령수술상관인원수위생인지평분비교차이균유통계학의의(P＜0.05)；호사조적세수의종솔위71.39％,의사조위47.81％,량조차이유통계학의의(x2=37.746,P＜0.01).결론 접수조사적수술상관인원수위생인지수평총체령인만의,단수위생적의종솔관측제폭로일사보편문제적존재,불동직업각색화직업배경적수방자환각유기특수성.응채취정합관리책략가강수위생배훈여감독,종이제고수술의호인원적수위생의종솔.
Objective To investigate the realistic status of hand hygiene cognition and execution rate among the operation-room personnel,in order to provide the corresponding integrated manage strategy for surgical site infection reduction.Methods Investigation of hand hygiene cognition and execution rate were performed among the 114 operation-room personnel with 46 doctors and 68 nurses.Results Hand hygiene cognition scores and execution rate of circuit nurses respectively were (78.43 ± 7.71) and 71.39％ (4 183/5 839),meanwhile (62.44 ± 9.82) and 47.81％ (2 395/5 009) of the surgeon and the anesthesiologist,which emerged significant diversity between these two group (P ＜ 0.01).Conclusions Integrated hand management should be performed to insure the hand hygiene compliance,resulting in minimizing the surgical infection.