医务人员手部卫生依从性干预研究

Intervention research of compliance with hand hygiene by health care workers

目的探讨医务人员手部卫生行为影响因素,确定教育培训与无水酒精洗手液的作用效果。方法干预前进行基线调查,然后进行无水酒精洗手液应用及手部卫生知识行为教育干预,比较干预前后手部卫生知识行为变化。结果教育培训、皮肤刺激、手部卫生设施产品可及性是影响手部卫生依从性的重要因素,对医务人员进行手部卫生知识行为教育并提供无水酒精洗手液能提高医务人员手部卫生知识,手部卫生知识知晓率由干预前的24.37%提高到干预后的50.24%,能改变医务人员手部卫生行为依从性,使医务人员日均洗手次数由干预前的(7.1±7.41)提高到干预后的(8.7±8.71)。结论医务人员手部卫生行为必须通过教育、提供手部卫生产品等综合措施进行规范完善。

Objective To probe into the impacting factors for hand hygiene practice and ascertain the effectiveness of promotional education and usage of the waterless hand rub. Methods Baseline survey was made to collect the information of the hand hygiene knowledge and practice. Promotional campaign consisted of providing health care workers （HCWs） with the production of waterless hand rub health education. Results Education, training and the accessibility of products were impact factors of compliance with hand hygiene practice by HCWs, promotional education and usage of the waterless alcohol hand rub could improve the hand hygiene praetice. The knowledge rate of hand hygiene increased from 24.37% to 50.24%. Times of usage of the hand hygiene products increased from （7.1±7.41）per day to （8.7±8.71）per day. Conclusion Hand hygiene practice by HCWs could be improved by comprehensive measures consisted of behavior education, usage of the hand hygiene products and other methods.