摘要
目的调查医护人员对手卫生知识的认知程度、手卫生的依从性及其影响因素。方法采用问卷调查的形式,对医院219名医护人员进行调查。结果共发放问卷226份,收回有效问卷219份,有效回收率96.90%;护士的正确认识率为59.18%,医师和医技人员分别为16.13%和7.14%;在手卫生基本概念认知上,护士的认知明显好于医师、医技人员;医护人员对洗手指征认知不够理想,对手卫生认知存在误区,接触患者后、操作后等的洗手认知率明显比接触患者前、操作前要高;而工作繁忙、洗手设备不足、洗手设备太远、对皮肤刺激,易引起皮肤干燥等是影响手卫生执行的主要原因。结论配置完善的手卫生单位是保证手卫生落实基础,注重手卫生的教育,不断提高医护人员手卫生认知和依从性,是促进落实手卫生规范的关键,加强手卫生监督力度,把手卫生列入医院持续质量改进的内容。
OBJECTIVE To investigate the awareness of hand hygiene of medical staff, compliance of hand hygiene, and influencing factors. METHODS A total of 219 medical staff in the hospital were investigated by means of ques- tionnaire survey. RESULTS A total of 226 questionnaires were given out, and 219 questionnaires were eligible with the effective response rate of 96.90% ; the rate of correct awareness of the nurses was 59.18%, the physicians 16.13%, the technical personnel 7.14%. As for the cognition of hand hygiene, the awareness of the nurses was significantly better than that of the physicians and the technical personnel; the awareness of hand washing indica- tions of the medical staff was not satisfactory, which led to the misunderstanding of the hand hygiene. The aware- ness rate of hand washing was significantly higher after the contact with patients or after the operation than before the contact with patients or before the operation. Busy work, insufficient hand washing facilities, far location of hand washing facilities, skin irritation, and dry skin were the influencing factors for the implementation of hand hygiene. CONCLUSION Equipping the sound hand hygiene units lays the foundation of the hand hygiene; focusing on the hand hygiene education to continuously improve the awareness and compliance of hand hygiene is the key to promote the implementation of hand hygiene standards; the supervision of hand hygiene should be strengthened; the hand hygiene should be included in the continuous quality improvement.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第2期501-503,共3页
Chinese Journal of Nosocomiology
关键词
医护人员
手卫生
调查
Medical staff
Hand hygiene
Investigation
