对59名护理本科实习生洗手卫生状况调查分析  

Investigation on hand washing status of the undergraduate nursing students

作　　者：史崇清[1] 张华玲[2] 朱开梅[3] 

机构地区：[1]武汉科技大学医学院,430065 [2]华中科技大学附属梨园医院 [3]武汉大学人民医院

出　　处：《中国护理管理》2010年第11期47-49,共3页Chinese Nursing Management

摘　　要：目的:了解护理本科实习生洗手卫生状况。方法:自行设计问卷,调查武汉市6家"三甲"医院实习10个月的59名护理本科实习生。实习生自行填写问卷,资料采用频数和百分比记数分析。结果:侵入性护理操作洗手率为100%,生命体征的测量洗手率为49.15%。护理本科实习生在接触污染的材料后,双手有可见的污物时,入厕前后、接触病人的排泄物后,餐前、餐后洗手,操作前、后洗手及脱下手套后洗手率均在84.75%以上。影响洗手的因素包括:工作太忙:88.14%;没有对洗手效果有效监督,66.10%;清洁剂、消毒剂使皮肤干燥:57.63%;对洗手不是很重视:52.54%。洗手时间40秒以上占64.4%,100%在20秒以上,使用液体肥皂和消毒剂占57.63%。结论:护理本科实习生对测量病人体温、脉搏、血压后会造成手部污染的认识不足;对控制交叉感染未引起重视;工作太忙;没有对洗手效果进行有效监督;清洁剂、消毒剂使皮肤干燥以及对洗手不是很重视是影响洗手的重要因素;洗手时间充足;洗手主要使用液体肥皂和消毒剂。Objective：To investigate the hand washing condition of undergraduate nursing students.Methods：Fifty nine undergraduate nursing students who had practiced in 6 tertiary hospitals in Wuhan for 10 months were surveyed by a self-report questionnaire.Frequency and percentage were measured for all the questions in the hand-washing questionnaire.Results：The hand washing rates of the undergraduate nursing students were 100% after invasive nursing procedure,but 49.15% when measuring body signs.Hand washing rate was more than 84.75% after contacting contaminant and visible contaminant in hands,before and after eating,entering toilet and performing nursing procedure,and after taking off gloves.There were several influence factors of hand washing,such as too busy（88.14%）,no effective monitoring（66.10%）,worry about dry skin（57.63%）,and neglecting hand washing（52.54%）.All undergraduate nursing students reported they had washed their hands for 20 seconds and 64.4% for more than 40 seconds.Conclusion：Undergraduate nursing students didn＇t aware that cross-infection might occur if they didn＇t wash hands after measuring body temperature,pulse,blood pressure and contacting patients＇ skin.They washed hands in order to protect themselves and lacked awareness of controlling cross-infection.There were some major influencing factors of hand washing such as overworking,lacking of effective supervision on hand washing,drying skin effects of hand washing and low awareness on hand washing.The duration of hand washing among undergraduate nursing internships is sufficient.Liquid soaps and disinfectants were usually used.

关 键 词：护理本科实习生 洗手 医院感染 

分 类 号：R47[医药卫生—护理学]