摘要
目的了解医务人员手卫生知识掌握情况、所持态度和行为状况，为提高医务人员手卫生状况提供参考依据。方法采用问卷方式随机对260名医务人员进行手卫生知识、态度和行为的调查，并对结果进行分析。结果医务人员接受过手卫生培训的占77．31％，其中护士受训率为92％（138／150），高于医生受训率42％（63／150）；93．46％的医务人员认为洗手是医疗常规的一部分，80．38％的医务人员了解手部消毒不彻底是医院感染的主要危险因素；洗手依从性约为68．00％，护士诊疗后洗手和脱掉手套后洗手依从性低于医生，分别为75．33％和92．67％。常见的忽视洗手的原因主要为：紧急状况60．00％，工作繁忙55．00％。结论我们应加强宣传教育，提高医务人员手卫生知识，改善洗手设施，推广使用含乙醇的手消毒剂，正确使用手套，配备充足的护理人力，采用多模式干预提高医务人员手卫生状况。
Objective To ascertain the state of knowledge, attitudes and behaviors of hand hygiene among medical workers, and provide references to improve hand hygiene compliance. Methods Selected 260 medical workers randomly to investigate conditions about hand hygiene knowledge,attitude and behavior by questionnaire,and then analysis the datam. Results The ratio of medical staff who had received hand hygiene education was 77.31%.Education rate for nurses was 92% ,which was higher than that of doctors＇ （42%）.There were 93.5% medical staff to agree that hand hygiene was an essential part of medical quality and 80.4% think neglecting hand hygiene was one of the risk factors of nosocomial infection. Hand hygiene rate was about 68%. Nurses＇ hand hygiene rate after contacting patients and after using gloves were 75.33% and 92.67% respectively, which is lower than doctors＇. The common reasons of neglecting hand hygiene were emergency, busy. Conclusions We should strengthen hand hygiene education, improve hand hygiene facilities ,apply alcohol-based antiseptic as gold standard, use gloves properly, sufficient staff and apply multiple interventive models to promote hand hygiene rate.
关键词
手卫生
知识
态度
行为
Hand hygiene
Knowledge
Attitude
Behavior
