护理人员手卫生知识和对手卫生设施需求调查

目的 了解护理人员手卫生知识掌握情况和对手卫生设施的需求,为提高护理人员手卫生依从性提供依据.方法 采用自行设计的问卷对135名临床护士进行调查,内容包括手卫生知识测评、手卫生执行状况自评和对洗手设施的需求.结果 95.6%的护理人员能够掌握六步洗手法,31.9%对洗手的时间不明确,对先洗手、后进行手卫生消毒的指征掌握情况最差;22.2%的护士每天手卫生行为超过50次;导致护理人员手卫生依从性低的最主要原因有担心洗手液伤害皮肤、工作忙碌,顾不上洗手、洗手设施不够充足;对洗手设施的需求主要为干手纸巾和非接触式水龙头.结论 医院应采取宣传、培训、考核、监督等联合干预策略强化手卫生知识和意识,提供必要的手卫生设施,切实提高手卫生行为的依从性.

Survey of hand hygiene knowledge and needs for hand hygiene facilities among nurses

Objective To investigate the hand hygiene knowledge and needs for hand hygiene facilities among nurses, and to provide evidence for implementing valid intervention to increase hand hygiene compliance (HHC). Methods Self-designed questionnaire was used to survey knowledge of hand hygiene, HHC selfevaluation, and needs for hand hygiene facilities. Results 85.8% of the objects exhibited good command of the standard method of hand-washing, while 31.9% of which were not familiar with the time of hand-washing. There was a low command rate of the indications of antiseptic hand-rubbing after hand-washing. 22.2% of the objects reported over 50 times of hand hygiene behavior per day. Top causes of low HHC rates were listed as "harm of the hand antiseptic agent to the skin", "heavy workload" and "insufficient hand hygiene facilities". Automatic tap and antiseptic tissue were the most needed hand hygiene facilities. Conclusions Comprehensive measures should be adopted and hand hygiene facilities should be provided in order to increase HHC.