摘要
目的了解腹膜透析患者手卫生知信行的现状及分析其影响因素,为提高腹膜透析患者正确洗手率及依从性提出合理建议。方法于2022年6—7月,采用整体抽样和随机抽样相结合方法在福建省立医院内科腹膜透析患者中抽取300例进行现场发放问卷或线上问卷星进行调查,调查腹膜透析患者的人口学特征、正确洗手现状、手卫生知信行现况及接受手卫生知识情况。分析腹膜透析患者手卫生依从性的影响因素。其中男146例(48.67%),女154例(51.33%);18~60岁289例(96.33%),60岁以上11例(3.67%)。结果调查对象正确洗手知晓率男为32.19%,女为41.56%;对于年龄、性别、教育程度不同特征的调查对象中正确率都低于错误洗手率;从业人员手卫生知、信、行三者呈正相关(P<0.05);对最佳学习手卫生知识途径手机端响应率最高(31.17%),报刊杂志响应率最低(17.99%)。结论腹膜透析患者手卫生情况整体有所提升,但离腹膜透析操作的要求仍有很大差距,仍需继续加强对七步洗手法进行普及,加强腹膜透析患者对手卫生的重视,同时为提高其手卫生依从性还应增加手卫生相关知识学习途径。
Objective To understand the current situation of hand hygiene knowledge and practice of peritoneal dialysis patients and analyze its influencing factors,and to put forward reasonable suggestions for improving the correct hand washing rate and compliance of peritoneal dialysis patients.Methods From June to July 2022,a total of 300 peritoneal dialysis patients in the Department of Nephrology,Fujian Provincial Hospital were selected by the combined method of whole sampling and random sampling for on-site questionnaire or online questionnaire survey to investigate the demographic characteristics of peritoneal dialysis patients,the status of correct hand washing,the status of knowledge and practice of hand hygiene and the acceptance of hand hygiene knowledge.To analyze the influencing factors of hand hygiene compliance in peritoneal dialysis patients.There were 146 males(48.67%)and 154 females(51.33%);there were 289 people(96.33%)aged between 18 and 60,and 11 people(3.67%)aged over 60.Results The knowledge rate of correct hand washing was 32.19%for males and 41.56%for females.The correct rate of hand-washing was lower than the wrong rate for the subjects with different characteristics of age,gender and education level.There was a positive correlation between knowledge,belief and practice of hand hygiene among practitioners(P<0.05);the response rate of the mobile phone was the highest(31.17%),while the response rate of newspapers and magazines was the lowest(17.99%).Conclusion The overall hand hygiene of peritoneal dialysis patients has been improved,but there is still a big gap from the requirements of peritoneal dialysis operation.It is still necessary to strengthen the popularization of seven-step washing technique,strengthen the emphasis of peritoneal dialysis patients on hand hygiene,and increase the learning ways of hand hygiene knowledge in order to improve their compliance with hand hygiene.
作者
余煜庭
曹芳
杨秋波
YU Yuting;CAO Fang;YANG Qiubo(Department of Nephrology,Fujian Provincial Hospital,Fuzhou Fujian 350001,China;Department of Information,Fujian Provincial Governmental Hospital,Fuzhou Fujian 350001,China)
出处
《中国卫生标准管理》
2023年第2期191-194,共4页
China Health Standard Management
基金
福建省卫生健康政策创新研究项目(2021B08)。
关键词
腹膜透析
手卫生
知信行
七步洗手法
慢性肾脏病
现况调查
peritoneal dialysis
hand hygiene
knowledge and action
seven-step washing technique
chronic kidney disease
current situation survey
