门诊患者手部卫生现状调查与干预对策  

The present situation of hand hygiene in outpatients and intervention countermeasure

作　　者：梁娟[1] 

机构地区：[1]广东医学院附属医院门诊输液室,湛江524001

出　　处：《国际护理学杂志》2009年第12期1605-1607,共3页international journal of nursing

摘　　要：目的调查门诊患者手部卫生现状，制定干预对策。方法在肠道门诊和普通门诊就诊患者共476例，分为肠道组和普通组，采用问卷调查法，了解手部卫生现状，并提出相应的干预对策。结果肠道组患者在入厕前后、留置标本后的手消毒比例均低于普通组的患者，差异有统计学意义（P〈0．05或P〈0．01）；普通组患者中各文化层次的便后手消毒率均大于90％；而肠道组则表现为文化层次越高，便后手消毒率越高；两组间除大专及以上层次间便后手消毒率无显著性差异外（P〉0．05），高中、初中、中专与小学及文盲均有显著差异（P〈0．0001）；两组中农村患者普通组的便后手部消毒率显著高于肠道组（P〈0．0001），但城镇患者两组间无显著性差异（P〉0．05）；肠道组城镇患者的手消毒率显著高于农村患者（P〈0．0001）。相应的干预措施为加强手部卫生习惯的宣教工作和完善手卫生配套设施。结论肠道疾病患者更应注意手部卫生，减少肠道疾病的发生。Objective To investigate the present situation of hand hygiene in outpatients. Methods 476 patients in enteric clinic and ordinary clinic were divided into enteric and ordinary groups, their present situation of hand hygiene were investigated by questionnaire, and the corresponding intervention countermeasures were introduced. Results The hand disinfection proportion of enteric group pre and post entering the toilet and after in- dwelling samples were lower than those of ordinary group （P 〈 0. 05 or P 〈 0. 01 ） . The hand disinfection propor- tions after - toilet of ordinary group were higher than 90% at each euhure level. But in emetic group, the higher euhure level had higher hand disinfection proportion after - toilet. The hand disinfection proportion after - toilet betwecn junior college group and upper culture group had no significant difference （ P 〉 0. 05 ） . There were significant difference （P 〈 0. 000 1 ） among senior high school group, junior middle school group, technical secondary school group, elementary school group and illiteracy. The hand disinfection proportion after - toilet of ordinary group in village was obviously higher than that of enteric group （ P 〈 0. 000 1 ） . But there was no significant differ- enee （ P 〉 0. 05 ） between the two groups in town. The hand diainfeetion proportion after - toilet of enteric group in town was obviously higher than that of village group （ P 〈 0. 000 1 ） . The corresponding intervention countermeas- ure was strengthened through publicizing and introducing hand hygienic habit and improving supporting facilities of hand hygiene. Conclusions Patients of intestinal disease should pay more attention to hand hygiene. It can reduce the occurrence of intestinal disease.

关 键 词：门诊 手部卫生 干预对策 

分 类 号：R197[医药卫生—卫生事业管理]