摘要
目的了解医院医务人员手卫生相关知识的掌握情况及手卫生依从性影响因素。方法选择2017年3月医院神经外科、ICU、烧伤科等13个临床科室的在职医务人员(医生和护士)作为调查对象,通过问卷调查了解医院医务人员手卫生相关知识(手卫生基础知识和手卫生指征知识)掌握现状,并分析其与性别、年龄、职业类型、工龄等因素的关系,同时调查医务人员手卫生依从性的影响因素。结果 361名医务人员参与了问卷调查,其中有效问卷349份,有效率为96.68%;单因素分析结果显示,不同性别、职业类型、年龄、工龄、学历及职称的医务人员在手卫生相关知识掌握上差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,职业类型和年龄因素在手卫生相关知识掌握上差异有统计学意义(P<0.05),且护士(OR=2.17,95%CI:1.19~3.65)和30~39岁年龄段(OR=2.62,95%CI:1.80~3.61)医务人员手卫生相关知识的掌握更好;医院医务人员认为影响其手卫生依从性的主要原因为工作繁忙,无暇进行手卫生,其次为频繁洗手使皮肤干燥、使用薄膜手套可以代替洗手。结论医院医务人员可以掌握部分手卫生相关知识,应采取多种策略进行干预,应针对主要影响因素进行干预以提高医务人员手卫生依从性。
OBJECTIVE To understand the mastery of hand hygiene（HH） knowledge and the influencing factors of HH compliance of the healthcare workers（HCWs） in our hospital. METHODS The in-service medical staff （doc- tors and nurses） of 13 clinical departments including department of neurosurgery, ICU and department of burn in Mar. 2017 were selected as the study subjects. The questionnaire was used to understand the current status of HH knowledge of the HCWs in our hospital and to analyze the relationships with the gender, age, occupational type, length of service and other factors. RESULTS A total of 361 HCWs participated in the questionnaire survey, of which 349 were valid questionnaires （96.68 %）. The result of univariate analysis showed that there were significant differences in HH knowledge among HCWs of different genders, occupation types, ages, lengths of service and educational background （P〈0.05）. Multivariate logistic regression analysis showed that occupational types and age had statistically significant differences in the mastery of HH knowledge （P〈0.05）. Nurses （OR = 2.17, 95 CI： 1.19-3.65） and group of 30-39 years old （OR =2.62, 95% CI： 1.80-3.61） had better mastery of HH knowledge. The main reasons that the HCWs in our hospital considered to influence their HH compliance were heavy workload and no time for HH , followed by frequent hand-washing which made skin dry, and the use of film gloves. CONCLUSION HCWs have not mastered the knowledge so well on HH. We should take a variety of strategies for intervention. Intervention should be made according to the main influencing factors to improve HH compliance of HCWs.
作者
董宏亮
张默吟
周捷
高少卉
李雯燕
索瑶
DONG Hong-liang;ZHANG Mo-yin;ZHOU Jie;GAO Shao-hui;LI Wen-yan;SUO Yao(The Ninth Hospital of Xi＇an, Xi＇an, Shaanxi 710054, China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2018年第8期1257-1260,1269,共5页
Chinese Journal of Nosocomiology
基金
中国医院协会基金资助项目(CHA-2016-026-053)
关键词
手卫生
知识
依从性
影响因素
Hand hygiene
Knowledge
Compliance, Influencing factors
