Objective To investigate the current status of compliance with hand hygiene among health care work-ers (HCWs)in a comprehensive hospital in Xi’an.Methods Status of hand hygiene among HCWs in 73 clinical de-partments was observed directly.Results 404 moments for hand hygiene of 404 HCWs were observed,255 times of hand hygiene were implemented,181 times of hand hygiene were correct,the total compliance rate was 63.12%, and correct rate was 44.80%.Compliance rate and correct rate of hand hygiene of HCWs in intensive care unit were both higher than general wards (91.89% vs 60.22%,χ2 =14.485,P <0.001;81.08% vs 41.14%,χ2 =5.671,P=0.017).Among HCWs of different occupations,compliance rate and correct rate of hand hygiene of nurses were both the highest (73.76% and 60.18% respectively),while auxiliary persons were both the lowest (40.90% and 10.20% respectively);among five moments for hand hygiene,compliance rate was highest after body fluid and blood exposure (80.00%),correct rate was highest before aseptic procedure (62.96%).Conclusion There is a high compliance rate and low correct rate of hand hygiene among HCWs in this hospital.Compliance rate and correct rate of hand hygiene among HCWs in different departments,different occupations and different hand hygiene moments are varied,compliance with hand hygiene among HCWs should be paid extensive attention.%目的：了解西安市某三级甲等综合医院医务人员手卫生依从性现状。方法采取直接观察法，对该院73个临床科室医务人员手卫生现状进行现场观察。结果观察404名医务人员，手卫生时刻404次，实施手卫生255次，正确执行手卫生181次，依从率为63．12％，正确率为44．80％。ICU 医务人员手卫生依从率（91．89％）和正确率（81．08％）均高于普通病房（分别为60．22％、41．14％），差异具有统计学意义（χ2＝14．485，P ＜0．001；χ2＝5．671，P ＝0．017）。不同人员类别中，护士手卫生依从率（73．76％）和正确率（60．18％）最高，辅助人员的手卫生依从率（40．90％）和正确率（10．20％）最低；5个手卫生时刻中，“接触患者血液体液后”的手卫生依从率最高（80．00％），“清洁或无菌操作前”的手卫生正确率最高（62．96％）。结论该医院医务人员手卫生依从率较高，但正确率较低。不同科室、职业类别和手卫生时刻的手卫生依从率和正确率不同，应重视全面提高医院工作人员的手卫生依从性。
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