新疆建设兵团某三甲医院医护人员手卫生认知度调查
A Survey on Hand Hygiene Awareness in Medical Staffs of a Grade-three General Hospital in Xinjiang Construction Corps
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摘要:目的 调查兵团某三甲医院医护人员手卫生认知现状及影响其执行手卫生的相关因素, 为基层医院做好手卫生管理提供依据。方法 采用分层整群抽样方法, 使用自拟"医护人员手卫生认知度调查表", 对所选医院具有代表性的科室医护人员进行问卷调查。结果 内科医护人员对手卫生指征知识的认知程度优于外科(内科得分13.44±0.20, 外科得分13.26±0.16), 医护人员中女性手卫生知识知晓率高于男性, 差异有统计学意义(χ2=5.699, P=0.017, P < 0.05);内科医护人员手卫生知识知晓率高于外科, 差异具有统计学意义(χ2=5.877, P=0.015, P < 0.05)。结论 医护人员手卫生知识知晓率高, 但手卫生指征执行率较低, 应强化对手卫生执行的督导及培训, 改善手卫生设施, 实行奖惩结合的管理方法, 从而提高手卫生依从性。Abstract:Objectives To provide basis for hand hygiene management in primary hospitals, to reduce nosocomial infections, and to understand the factors influencing the implementation of hand hygiene in general hospitals of Xinjiang construction corps.Methods Stratified cluster sampling method was used to select subjects, a self-made questionnaire "the awareness of hand hygiene in medical staffs" was used for investigation and analysis in representative departments of the hospital.Results The cognition score on the knowledge of hand hygiene indicators in internal medicine staffs (13.44±0.20) was better than that in surgical staffs (13.26±0.16).The awareness score of knowledge associated with hand hygiene in females was higher than that in males (χ2=5.699; P=0.017, P < 0.05); the score in internal medicine staffs was also higher than that in surgical staffs (χ 2=5.877; P=0.015, P < 0.05).Conclusions The degree of cognition on hand hygiene among medical personnel was high, but the rate of implementing hand-washing was low. Executing supervision and training on hand hygiene in hospitals should be strengthened. Improving facilities for hand washing and implementing the management with both reward and punishment should be enforced to improve the compliance.
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