儿科门诊患儿家长手卫生技能及影响因素

Analysis on influential factors of hand hygiene techniques and influencing factors among parents of pediatric outpatient clinics

目的了解儿科门诊患儿家长掌握手卫生技能及探讨影响因素,为儿科门诊院感防控、儿童家庭健康教育提供科学依据。方法2019年11月—2020年1月,在佛山市南海区采用二阶段PPS随机抽样方法,对19所公立医院儿科门诊的2541名患儿家长进行问卷调查。结果2541名患儿家长中,洗手知识处于高水平(7题均知晓)有999人,占39.92%;具有手卫生技能997人,占39.24%。logistic多因素分析显示,居住在自建房(OR=0.648)和城中村出租房(OR=0.751)为家长掌握洗手技能的阻碍因素;洗手知识高水平(OR=5.288)是家长掌握洗手技能的促进因素。结论应根据不同情况和需求提供个性化家庭健康教育,促进家长掌握手卫生技能,减少儿童传染病的发生。

Objective To understand the hand hygiene technique and influencing factors of parents in pediatric outpatient clinics;to provide scientific basis for the prevention and control of hospital infection and family health education of children in pediatric outpatient clinics.Methods A two-stage probability proportional to size(PPS)random sampling method was used to conduct a survey involving parents of 2541 children in 19 public hospital pediatric clinics from Nov 2019 to Jan 2010 in Foshan Nanhai district.Results Among 2541 parents,999 had a high hand hygiene knowledge level(aware of all 7 items),accounted for 39.92%;997 parents had proper hand hygiene technique,accounted for 39.24%.Multivariate analysis showed that living in self built houses(OR=0.648)or urban village rental houses(OR=0.751)were the obstructive factors for parents to master hand hygiene technique;the high level of hand hygiene knowledge(OR=5.288)was the promotion factor for parents to master hand hygiene techniques.Conclusion The personalized family health education based on different situations and needs should be provided to promote parents′hand hygiene techniques and reduce the occurrence of infectious diseases among children.