洛阳市餐饮从业人员手卫生知信行现况调查分析

Investigation on Knowledge,Attitude and Practice of Hand Hygiene Among Catering Workers in Luoyang City

目的了解洛阳市餐饮从业人员手卫生知信行现状及影响因素,为提高餐饮从业人员正确洗手率提出合理建议。方法于2020年10月-11月,采用整体抽样和随机抽样相结合方法在洛阳市洛龙区某高校内部及校外餐饮从业人员5类人群中抽取310人进行现场发放问卷和线上网络问卷调查,调查从业人员的基本人口学特征、正确洗手情况、七步洗手法知晓及执行情况、手卫生知信行现况,洗手设施及接受手卫生知识情况;分析影响工作人员手卫生依从性的因素及人员愿意学习手卫生的知识途径。结果310人中男149人(48.06%),女161人(51.94%);18~65岁298人(96.13%),65岁以上12人(3.87%);调查对象正确洗手率为18.79%,其中女性正确洗手率为18.63%,男性正确洗手率为18.79%;手卫生执行情况中绝大多数人只停留在掌心相对,手指并拢并相互揉搓(91.29%)、手指与手背沿指缝揉搓,交替进行(75.16%);从业人员手卫生知、信、行三者呈正相关(P<0.05);影响工作人员手卫生的原因主要是工作时间忙,没时间(24.89%),其次是日常生活中对自己的手卫生不注意(20.89%);从业人员愿意通过手机端学习手卫生知识的响应率最高(32.35%),社区医院学习响应率最低(16.61%)。结论2020年洛阳市调查人员手卫生情况整体有所提升,但与一些发达城市相比仍有很大差距,仍需继续普及七步洗手法,加强洛阳市居民对手卫生的重视,同时还应完善洗手设施和扩展手卫生知识学习途径,提高人群的手卫生依从性。

Objective To understand the status and influencing factors knowledge,attitude and practice of hand hygiene among catering employees in Luoyang City,and to put forward reasonable suggestions for improving the correct hand washing rate of catering employees.Methods From October to November 2020,a total of 310 employees from five categories of internal and external catering employees in a university in Luoyang City were selected by the combination of overall sampling and random sampling to conduct on-site questionnaires and online questionnaires,and the basic demographic characteristics,correct hand washing,awareness and implementation of seven-step washing methods,knowledge,attitude and practice of hand hygiene,hand washing facilities and hand hygiene knowledge of employees were investigated.The influencing factors of hand hygiene compliance of staff and the ways of learning hand hygiene knowledge were analyzed.Results Totally 149 males(48.06%)and 161 females(51.94%)out of 310 respondents;298people aged 18-65(96.13%),12 people aged over 65(3.87%);the correct hand washing rate of the respondents was 18.79%,of which the correct hand washing rate of women was 18.63%,and that of men was 18.79%.The vast majority of people in hand hygiene performance only stay in the palm relative,fingers together and rub each other(91.29%),fingers and hand back rub along the fingers,alternately(75.16%);there was a positive correlation among knowledge,attitude and practice of hand hygiene among employees(P<0.05).The main reasons that affect the hand hygiene of staff were busy working hours(24.89%),followed by not paying attention to their own hand hygiene in daily life(20.89%).The response rate of employees who were willing to learn hand hygiene knowledge through mobile phones was the highest(32.35%),and that of community hospitals was the lowest(16.61%).Conclusion In2020,the overall situation of hand hygiene of Luoyang investigators has improved,but there is still a big gap compared with some developed cities.It is still necessary to continue to popularize the seven-step washing method,strengthen the attention of Luoyang residents to hand hygiene,and improve the washing facilities and expand the learning ways of hand hygiene knowledge to improve the hand hygiene compliance of the population.