烟台市感染疾病科住院患者及家属手卫生现况调查

目的了解烟台市感染性疾病科住院患者及家属手卫生现状,为开展手卫生干预工作提供参考。方法选取2015年7—8月烟台市二级以上综合医院感染性疾病科及传染病专科医院住院患者及照护家属(221名)进行问卷调查,了解其手卫生教育、执行现状;对部分患者及家属(62名)进行手部细菌学采样,了解其洗手效果。结果感染疾病科住院患者及家属61.99%接收过相关语言宣教,仅18.55%的患者及家属表示曾经看到过医务人员执行六步洗手法;50.68%的调查对象不了解六步洗手法,且85.52%从未使用过六步洗手法,主要原因是不会操作。93.21%(206名)感染性疾病患者及家属认为洗手重要。对于部分日常生活类洗手时机认知率较高(61.54%~94.51%),对医院特殊环境下的洗手时机认知率较低(36.15%~49.23%),仅36.15%家属离开医院前洗手。感染性疾病患者及家属手卫生学采样不合格者(细菌菌落数10 CFU/cm~2)占83.87%。结论感染性疾病患者及家属手卫生知识、行为存在不足,建议医疗机构对其开展系统规范的手卫生教育,以降低医院感染风险。

Hand hygiene status among inpatients and their families in infectious diseases departments in Yantai City

ObjectiveTo understand the status of hand hygiene(HH) among patients hospitalized in departments of infectious diseases and their families in Yantai City, and provide reference for HH intervention.MethodsPatients and their families(n=221) in departments of infectious diseases of secondary and above levels of hospitals as well as infectious diseases hospitals in Yantai in July August 2015 were selected for questionnaire survey, education and implementation status of HH were investigated; hand bacteriological sampling was performed on some patients and their families (n=62) to investigate effect of hand washing. Results61.99% of patients and their families had received verbal HH education, only 18.55% indicated to have seen health care workers(HCWs) to perform the six step hand washing method; 50.68% of the respondents didn’t understand the six step hand washing method, and 85.52% never performed the six step hand washing, the main reason is that they didn’t know how to perform. 93.21% of patients(n=206) and their families believed that hand washing was important. The cognition of HH opportunities in daily life was relatively higher(61.54% 94.51%)，and in hospital environment was relatively lower(36.15% 49.23%)，only 36.15% of the families washed hands before left the hospital. Unqualified rate of detection results of sampling of hands of patients with infectious diseases and their families was 83.87%. ConclusionPatients with infectious diseases and their families are deficient in HH knowledge and behavior, medical institutions should carry out systematic and standard HH education to reduce the risk of healthcare associated infection.