Chen Shu-Hwa, Chou Chuan-Yu, Huang Jui-Chen, Tang Ya-Fen, Kuo Yur-Ren, Chien Li-Yu
Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, KaoHsiung, Taiwan.
Nurs Health Sci. 2014 Jun;16(2):179-85. doi: 10.1111/nhs.12082. Epub 2013 Aug 29.
This study determined the in-use effects of dry-fast and traditional hand-washing surgical scrubs among operating room staff members. This is a static group comparison study with purposive sampling. A total of 156 staff members were recruited in an operating room in a medical center located in southern Taiwan. The participants were divided into traditional and dry-fast hand-washing groups. Microbial counts were measured right after the two groups finished surgical scrubbing and at the completion of surgery. The results showed that the use of dry-fast antisepsis has a better persistent effect (P = 0.001), more nurses chose dry-fast antisepsis than surgeons (P = 0.012), and the post-operation number of colonies for nurses was significantly higher than that for surgeons (P = 0.003). Operating room nurses are long-term and frequent users of antibacterial agents, and their requirement of skin protection is higher. The dry-fast technique has the advantage of being less irritating to the skin and less time consuming; therefore, brush-free and dry-fast antisepsis is recommended.
本研究确定了速干洗手和传统洗手外科刷手方法在手术室工作人员中的实际使用效果。这是一项采用目的抽样的静态组比较研究。在位于台湾南部的一家医疗中心的手术室中，共招募了156名工作人员。参与者被分为传统洗手组和速干洗手组。在两组完成外科刷手后及手术结束时测量微生物计数。结果显示，使用速干消毒法具有更好的持续效果（P = 0.001），选择速干消毒法的护士比外科医生更多（P = 0.012），且护士术后菌落数显著高于外科医生（P = 0.003）。手术室护士是抗菌剂的长期频繁使用者，他们对皮肤保护的要求更高。速干技术具有对皮肤刺激性较小且耗时较少的优点；因此，推荐免刷速干消毒法。
