中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
Chinese Journal of Infection Control
2015年
11期
776-779
,共4页
王晓艳%李宝珍%平宝华%关仙花%禄韶英%姬良%李倩
王曉豔%李寶珍%平寶華%關仙花%祿韶英%姬良%李倩
왕효염%리보진%평보화%관선화%록소영%희량%리천
手卫生%医务人员%认知%综合医院%影响因素
手衛生%醫務人員%認知%綜閤醫院%影響因素
수위생%의무인원%인지%종합의원%영향인소
hand hygiene%health care worker%cognition%general hospital%influencing factor
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。
目的：瞭解醫務人員手衛生認知現狀及其影響因素，為手衛生的科學管理提供依據。方法2013年4月採用隨機抽樣的方法抽取某綜閤性三級甲等醫院在崗醫務人員，對其進行問捲調查，調查其近1箇月手衛生實施情況及手衛生知識認知狀況等。結果調查750名醫務人員，共迴收有效問捲652份。醫務人員每天進行洗手及衛生手消毒的次數以10～19次居多，分彆佔46．62％和47．85％；每次洗手時間≥30 s 者佔30．52％，洗手後採用紙巾抆拭榦手者佔60．58％，日常工作中按六步洗手法進行手衛生者佔57．21％。臨床10種需實施手衛生的認知狀況調查總體正確率為68．68％。醫務人員主觀認為的影響手衛生實施的因素有：洗手液、手消毒劑刺激皮膚（63．34％）；工作環境中洗手池數量太少（41．10％）；洗手液、手消毒劑、榦手紙費用太高（38．96％）等。結論除加彊手衛生宣教外，配置閤理的手衛生設施和提高手衛生的規範性是綜閤醫院進一步加彊手衛生的重點。
목적：료해의무인원수위생인지현상급기영향인소，위수위생적과학관리제공의거。방법2013년4월채용수궤추양적방법추취모종합성삼급갑등의원재강의무인원，대기진행문권조사，조사기근1개월수위생실시정황급수위생지식인지상황등。결과조사750명의무인원，공회수유효문권652빈。의무인원매천진행세수급위생수소독적차수이10～19차거다，분별점46．62％화47．85％；매차세수시간≥30 s 자점30．52％，세수후채용지건찰식간수자점60．58％，일상공작중안륙보세수법진행수위생자점57．21％。림상10충수실시수위생적인지상황조사총체정학솔위68．68％。의무인원주관인위적영향수위생실시적인소유：세수액、수소독제자격피부（63．34％）；공작배경중세수지수량태소（41．10％）；세수액、수소독제、간수지비용태고（38．96％）등。결론제가강수위생선교외，배치합리적수위생설시화제고수위생적규범성시종합의원진일보가강수위생적중점。
Objective To investigate cognitive status and influencing factors for hand hygiene(HH)among health care workers(HCWs),and provide basis for scientific management of HH.Methods In 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.Results A total of 750 HCWs were in-vestigated,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 op-portunities 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.Conclusion In addition to intensifying education on HH,installing rational HH facili-ties and improving HH standard are key points in strengthening HH in general hospital.
