CAJ | 학술논문

目的：探讨调整快速手消毒剂设置点对临床医生手卫生依从性与合格率的影响。方法观察在病房门口配备快速手消毒剂前后妇科、产科和普通外科医生的手卫生依从性，并采样检测手卫生效果。结果在病房门口配备快速手消毒剂前后分别观察上述科室医生手卫生时刻各300人次。手卫生依从率：在病房门口配备快速手消毒剂后，妇科由32．33％提高至74．33％；产科由33．67％提高至85．67％；普通外科由26．33％提高至64．00％，差异均有统计学意义（均 P ＜0．001）。各科分别抽查了98份手卫生后样本，合格率分别达到98．98％、100．00％和94．90％。结论在适当位置设置快速手消毒剂设施可有效提高临床医生的手卫生依从性和手卫生效果。
목적：탐토조정쾌속수소독제설치점대림상의생수위생의종성여합격솔적영향。방법관찰재병방문구배비쾌속수소독제전후부과、산과화보통외과의생적수위생의종성，병채양검측수위생효과。결과재병방문구배비쾌속수소독제전후분별관찰상술과실의생수위생시각각300인차。수위생의종솔：재병방문구배비쾌속수소독제후，부과유32．33％제고지74．33％；산과유33．67％제고지85．67％；보통외과유26．33％제고지64．00％，차이균유통계학의의（균 P ＜0．001）。각과분별추사료98빈수위생후양본，합격솔분별체도98．98％、100．00％화94．90％。결론재괄당위치설치쾌속수소독제설시가유효제고림상의생적수위생의종성화수위생효과。
Objective To evaluate the influence of the placement of instant hand disinfectant in compliance and qualified rate of hand hygiene of clinicians.Methods Hand hygiene compliance of clinicians in departments of gyne-cology,obstetrics,and general surgery were observed after the placement of instant hand disinfectant at the door-way of wards,hand specimens were taken to check hand hygiene effectiveness.Results Before and after placement of instant hand disinfectant at the doorway of wards of above departments,hand hygiene behaviors of 300 person-times were observed.Hand hygiene compliance rate among clinicians in department of gynecology,obstetrics,and general surgery increased from 32.33% to 74.33%,33.67% to 85.67%,and 26.33% to 64.00%,respectively(all P <0.001).Each department selected 98 hand hygiene specimens,the qualified rate was 98.98%,100.00% and 94.90% respectively.Conclusion The placement of instant hand disinfectant at the doorway of each ward can effec-tively improve clinicians’hand hygiene compliance and hand hygiene effectiveness.