CAJ | 학술논문

目的：探讨《规范化外科洗手图谱》对提高肝胆外科医护人员手卫生合格率的应用效果。方法根据中华人民共和国卫生部《消毒技术规范》和解放军总后勤部《医院感染管理技术规范》中对外科洗手程序、接台手术洗手、脱去手套后洗手的要求绘制《规范化外科洗手图谱》。纳入2011年1月至2013年10月参加手术的医护人员400名，按数字表法随机分为实验组与对照组，每组各200名。实验组人员按照规范化外科洗手图谱洗手，对照组人员采用传统教学法或凭经验洗手。结果实验组医护人员洗手程序合格率、手卫生合格率均高于对照组，细菌学检测阳性率、手术后患者医院感染发生率低于对照组，差异有统计学意义（P ＜0．01）。结论《规范化外科洗手图谱》可提高医护人员手卫生合格率，且简单、实用，值得推广。
목적：탐토《규범화외과세수도보》대제고간담외과의호인원수위생합격솔적응용효과。방법근거중화인민공화국위생부《소독기술규범》화해방군총후근부《의원감염관리기술규범》중대외과세수정서、접태수술세수、탈거수투후세수적요구회제《규범화외과세수도보》。납입2011년1월지2013년10월삼가수술적의호인원400명，안수자표법수궤분위실험조여대조조，매조각200명。실험조인원안조규범화외과세수도보세수，대조조인원채용전통교학법혹빙경험세수。결과실험조의호인원세수정서합격솔、수위생합격솔균고우대조조，세균학검측양성솔、수술후환자의원감염발생솔저우대조조，차이유통계학의의（P ＜0．01）。결론《규범화외과세수도보》가제고의호인원수위생합격솔，차간단、실용，치득추엄。
Objective To investigate the effect of standardized hand-washing spectrum for the improvement of the hand-wash-ing hygiene rate for hepatobiliary surgery medical staff.Methods The standardized surgical hand-washing spectrum was developed in accordance with the requirements of pre-surgical hand-washing procedures,hand-washing of operation table distribution and hand-wash-ing after removing surgical gloves,as specified in《the Technical Standards for Disinfection》(the Ministry of Health of the People′s Re-public of China)and 《the Technical Standards for Nosocomial Infection Management》(the General Logistics Department of PLA).Four hundred surgical personnel involved in surgeries were enrolled for the study and were randomized into the experimental group and the control group,each consisting of 200 people.The surgical personnel in the experimental group washed their hands as required by the standardized hand-washing spectrum,and those in the control group washed their hands with conventional methods or by experience. Results The qualification rates of hand-washing procedures and hand hygiene in the medical personnel of the experimental group were all significantly higher than those of the control group.The positive rate of bacteriological detection and the incidence of nosocomial in-fection in the surgical patients of the experimental group were lower than those of the control group,and statistical significance could be seen,when comparisons were made between the 2 groups (P <0.01).Conclusion The standardized hand-washing spectrum,which was simple and practical for use,could increase the qualification rate of hand hygiene in the medical staff.