甘肃省医院感染管理人员手卫生认知情况调查

目的了解甘肃省医院感染管理人员手卫生认知现状及其影响因素,为提升医院感染管理人员专项能力提供参考。方法根据地理位置、自然和人文特点,抽取甘肃省不同地区69所医院的医院感染管理人员进行基本情况及手卫生认知情况问卷及实地调查,分析其手卫生认知现状及其影响因素。结果参与调查的69所医院中二级医院占82.61%,三级医院占17.39%;被调查的125名医院感染管理人员中,专职人员占82.40%,兼职人员占17.60%。医院感染管理人员对手卫生的认知完全掌握和未完全掌握分别占33.60%和66.40%;对手卫生重要性、手消毒剂的使用、手卫生设施的设置、洗手方法、干手方法、手卫生指征、手卫生合格判断标准认知的掌握程度,三级医院均高于二级医院(均P0.05)。多因素logistic回归分析显示,从事医院感染管理工作年限≥5年且10年(OR=3.067)、本科学历(OR=3.331)、岗位性质为专职(OR=10.309)是手卫生认知的独立保护因素。结论医院感染管理人员对手卫生认知掌握程度偏低,尤其是从事医院感染管理年限5年、学历为中专及以下以及兼职人员,应结合实际情况加强医院感染管理人员专业能力培训。

Hand hygiene cognition among healthcare-associated infection management staff in Gansu Province

Objective To understand the cognition and influencing factors of hand hygiene (HH) among healthcare-associated infection (HAI) management staff in Gansu Province, and provide reference for enhancing the special competency of HAI management staff. Methods According to geographical area, natural and human characteristics, HAI management staff in 69 hospitals in different areas of Gansu Province were selected to conduct a questionnaire and field survey on their basic condition and knowledge of HH, current situation, and influencing factors for HH knowledge were analyzed. Results Among 69 surveyed hospitals, 82.61% were secondary hospitals, 17.39% were tertiary hospitals; among 125 surveyed HAI management staff, 82.40% were full-time staff and 17.60% were part-time staff. 33.60% and 66.40% of HAI management staff had complete and incomplete knowledge of HH respectively; the knowledge about importance of HH, use of hand disinfectant, installation of HH facilities, hand washing methods, hand drying methods, HH indications, and standard for judging qualified HH in tertiary hospitals were all higher than those in secondary hospitals (all P<0.05). Multivariate logistic regression analysis showed that independent protective factors for HH cognition were working for ≥ 5 years and <10 years in HH management (OR=3.067), bachelor's degree (OR=3.331), and full-time job (OR=10.309). Conclusion HAI management staff's cognition on HH among is low, especially those who have been engaged in HH management for less than 5 years, whose educational background is secondary school or lower, and part-time personnel. It is necessary to combine with actual condition to strengthen professional competence training for HH management staff.