综合医院医务人员手卫生认知及影响因素调查

Cognitive status and influencing factors for hand hygiene among health care workers in a general hospital

摘要:

目的了解医务人员手卫生认知现状及其影响因素，为手卫生的科学管理提供依据。方法2013年4月采用随机抽样的方法抽取某综合性三级甲等医院在岗医务人员，对其进行问卷调查，调查其近1个月手卫生实施情况及手卫生知识认知状况等。结果调查750名医务人员，共回收有效问卷652份。医务人员每天进行洗手及卫生手消毒的次数以10～19次居多，分别占46.62%和47.85%；每次洗手时间≥30 s者占30.52%，洗手后采用纸巾擦拭干手者占60.58%，日常工作中按六步洗手法进行手卫生者占57.21%。临床10种需实施手卫生的认知状况调查总体正确率为68.68%。医务人员主观认为的影响手卫生实施的因素有：洗手液、手消毒剂刺激皮肤（63.34%）；工作环境中洗手池数量太少（41.10%）；洗手液、手消毒剂、干手纸费用太高（38.96%）等。结论除加强手卫生宣教外，配置合理的手卫生设施和提高手卫生的规范性是综合医院进一步加强手卫生的重点。

Abstract:

ObjectiveTo investigate cognitive status and influencing factors for hand hygiene(HH) among health care workers(HCWs) , and provide basis for scientific management of HH.MethodsIn April 2013,  HCWs in a general hospital were selected  by randomly sampling method, questionnaires were used to survey the implementation of HH in recent one month and HCWs’ cognition on knowledge about HH.ResultsA total of 750 HCWs were investigated, 652 available questionnaires were collected. The frequency of hand washing and hand disinfection per day among most HCWs were 10-19 times, accounting for 46.62% and 47.85% respectively;  30.52% of HCWs washed their hands for ≥30 seconds each time, 60.58% of HCWs dried hands with paper towel after washing hands, 57.21% of HCWs  abided by  sixstep hand washing method. The overall correct rate of cognition on ten opportunities that requiring HH in clinical practice was 68.68%.The main factors influencing the implementation of HH were as follows: skin irritation of hand sanitizer and hand disinfectant subjectively considered by HCWs(63.34%), inadequate hand washing facilities( 41.10%);  high cost of hand sanitizer ,  hand disinfectant, and dry paper towel (38.96%),et al.ConclusionIn addition  to intensifying education on HH, installing rational HH facilities and improving HH standard are  key points in strengthening HH in general hospital.