论坛 › 手卫生 › 大多数医学生不知道什么时候该做手卫生

桃子妖妖 发表于 2012-2-2 15:49

大多数医学生不知道什么时候该做手卫生

      12/01/2011
Washington, DC, December 1, 2011 -- Only 21 percent of surveyed medical students could identify five true and two false indications of when and when not to wash their hands in the clinical setting, according to a study published in the December issue of the American Journal of Infection Control, the official publication of APIC - the Association for Professionals in Infection Control and Epidemiology.
       Three researchers from the Institute for Medical Microbiology and Hospital Epidemiology at Hannover Medical School in Hannover, Germany collected surveys from 85 medical students in their third year of study during a lecture class that all students must pass before bedside training and contact with patients commences.Students were given seven scenarios, of which five (“before contact to a patient,” “before preparation of intravenous fluids,”“after removal of gloves,”“after contact to the patient’s bed,” and “after contact to vomit”) were correct hand hygiene (HH) indications. Two-thirds (67 percent) of the students correctly identified all five true indications, and only 21 percent correctly identified all true and false indications.
       Additionally, the students expected that their own HH compliance would be “good” while that of nurses would be lower, despite other published data that show a significantly higher rate of HH compliance among nursing students than among medical students.
       The surveyed students further believed that HH compliance rates would be inversely proportional to the level of training and career attainment of the physician, which confirms a previously discovered bias among medical students that is of particular concern, as these higher-level physicians are often the ones training the medical students at the bedside.
    “There is no doubt that we need to improve the overall attitude toward the use of alcoholbased hand rub in hospitals,” conclude the authors. “To achieve this goal, the adequate behavior of so-called ‘role models’ is of particular importance.”

石磊--wxmsl 发表于 2012-2-2 15:51

是应该呼吁了。国外尚且如此，我们应该加强教育宣传。

香山朗月 发表于 2012-2-2 16:04

在我们医院护士手卫生依从性和洗手正确率都比较高,但医生就不重视,查十几个病人也不洗手是常有的事.今年我们已经做好全员培训和检查考核计划,并开始实施了,希望能有收效.

金山湖主 发表于 2012-2-2 16:13

很有同感。医院手卫生依从性的重点是医生。

沙枣花 发表于 2012-2-2 16:16

杨娟 发表于 2012-2-2 16:04 static/image/common/back.gif
在我们医院护士手卫生依从性和洗手正确率都比较高,但医生就不重视,查十几个病人也不洗手是常有的事.今年我们 ...

我院也与贵院有同样的问题，护士做的好也能听进去我们的培训，而医生就难办，说也听不进去，自认为很有知识（要么是本科毕业的老人，要么是研究生以上学历新人）手卫生这点小事根本不重视。培训要考核，医生们不得不来，应付一下。实际工作中依然我行我素，我看是他们内在的因素在起作用。

suyur 发表于 2012-2-2 16:22

什么时候手卫生能够像手术前的外科手消毒一样深入人心就好了。如果从一进医学院的时候就将其作为常规反复强调的话，是不是效果会好一些呢。

戈壁胡杨 发表于 2012-2-2 16:32

同样的感觉，医生手卫生依从性比较差。

不断追求 发表于 2012-2-2 16:37

我们院感人工作任重道远

樱木 发表于 2012-2-2 17:38

不要提什么时候做手卫生了，就是“手卫生”这个概念，能够完全理解的医学生以及医院工作的医务人员有多少呢？其实，很多感控的概念只有我们感控人本身很清楚，很明白，其他人真的不知道这些概念是什么，为什么？另一个很明显的例子，如“标准预防”，临床一线的人，有多少人真正明白呢？
为什么会这样？很重要的原因是我们的医学基础教育缺乏这一块的通识教育啊。

樵夫 发表于 2012-2-2 17:48

看来教育要从娃娃抓起{:1_11:}

利剑 发表于 2012-2-2 18:09

千年一叹wyr 发表于 2012-2-2 21:14

liusanbo 发表于 2012-2-2 17:38 static/image/common/back.gif
不要提什么时候做手卫生了，就是“手卫生”这个概念，能够完全理解的医学生以及医院工作的医务人员有多少呢 ...

说的非常好，手卫生和无菌观念应该从医学基础教育开始，为什么护士会比医生好呢？我觉得跟护士在学校天天练操作有关。

绿茵场 发表于 2012-2-2 21:37

可以想象，在国内，情况更糟糕！
http://bbs.sific.com.cn/thread-70042-1-1.html

感染戈壁 发表于 2012-2-2 21:55

别说医学生了，就是连临床医生都不是很知道！！

栀子 发表于 2012-2-2 22:17

手卫生依从性不是很好，只有不断的督导、检查、考核，慢慢改变观念，院感人工作任重道远。

二进制 发表于 2012-2-3 06:03

手卫生不单是医务人员事情，而是囊括整个人类社会。把手卫生纳入日常生活当中，就好比食饭穿衣。加大手卫生宣传教育覆盖整个社会阶层，让人们养成习惯。{:1_17:}

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