摘要目的：探讨烧伤科监护室保洁员手卫生依从性培训和规范化管理对感染控制的影响。方法于2014年9月1日—11月30日，在常规工作的基础上，对烧伤监护室的9名保洁员进行系统的工作流程、制度及规范培训。分析培训前后保洁员的洗手依从性和对感控知识掌握的情况，分析保洁员手部细菌种类与患者创面细菌种类是否相同。结果除了肺炎克雷伯菌未在保洁员手部发现外，患者创面检出的菌株均在保洁员手部发现。培训后，保洁员在操作前后、接触患者前后和接触患者体液后的洗手依从性均提高，差异有统计学意义（P ＜0．05）。培训后，保洁员对手卫生时机、洗手的重要性、六步洗手法、消毒液的使用、污染物品的处理和擦拭床体规范的得分均高于培训前，差异有统计学意义（P ＜0．01）。结论提高监护室保洁员的手卫生依从性和加强规范化培训，可以减少烧伤患者交叉感染的机会和降低监护室感染率。

abstractsObjective To analyze the effects of hand hygiene compliance training and standardization management of cleaner on infection control in burn care unit.Methods From 1 st September 201 4 to 30th November 201 4,nine cleaners in burn care unit accepted system training including workflow,regulations and standard on the basis of routine work.The hand washing compliance and the knowledge of infection control were analyzed before and after training,and we analyzed whether the types of bacteria on cleaner′s hand and the wound bacteria of patients were the same.Results Except Klebsiella pneumoniae,all other bacteria strains were both found in cleaner′hands and patients′wounds.After training,the compliance of washing hands before and after operation or contacting patients,or after touching patient′body fluids were improved(P <0.05).After the training,the hand hygiene timing,importance of hand-washing,six-step hand sanitizer,disinfectant use, pollution items and clean bed standard scores were all higher than those before the training (P <0.01 ). Conclusions Improving cleaner′hand hygiene compliance and strengthening standardized training can reduce the chance of cross-infection in burn patients and reduce ICU infection rates.