医护人员对手卫生的认知误区及影响手卫生执行的因素调查

Miscognition and Factors Affecting Hand Hygiene Performance

目的了解医护人员对手卫生的认知及影响手卫生执行的原因。方法采用问卷调查的形式,对医院358名医护人员进行调查。结果医护人员对卫生部《医疗机构医务人员手卫生规范(征求意见稿)》的洗手指征认知度较高;对手消毒指征的认知符合率为68.04%;各职业性质和科室人员对手卫生概念的认识不完整或存在误区;工作忙是影响用流动水洗手的最主要原因,认为用流动水洗手最可靠的观念是影响用乙醇类速干手消毒剂擦手的主要原因。结论今后医院感染监测、指导和控制工作应着重于推广使用快速手消毒剂替代洗手,监测洗手产品的消耗量与医院感染发生的关联性。

OBJECTIVE To investigate the cognition on hand hygiene and the reasons affecting the hand hygiene performance in hospital. METHODS Medical staff of 358 parsons were randomly selected by questionnaire. RESULTS It was higher cognition among medical staff on hand washing indication learned from Standards of Hand Hygiene among Medical Personnel in Medical Institutions （draft for soliciting opinions） issued by the Ministry of Health. The cognition coincidence of hand sterilization indication was 68.04%, but existed some less cognition or miscognition in this field among them. The main factors affecting the hand hygiene performance were busy at work, to which was the primary cause to affect use of stream water to wash hands. The concept that using stream water wash hand is reliable is the primary cause influence medical staffs to use alcohol scrape hand. CONCLUSIONS The nosoeomial infection monitoring, guidance and control should be emphasized in the field of more use of the fast hand antiseptics instead washing hands and supervising the relevance of the amount of hand hygiene product consumpsion to nosocomial infections.