皮肤病专科门诊护士手卫生依从性的现状及影响因素  

Current situation and influencing factors of nurses＇ hand hygiene compliance at skin disease clinics

作　　者：林壬娇[1] 王艳芳[1] 曹文苓[1] 陈晓吟[1] 张文君[1] 戴京萍[1] 

机构地区：[1]广州市皮肤病防治所院感科,510095

出　　处：《国际医药卫生导报》2017年第11期1805-1807,1810,共4页International Medicine and Health Guidance News

摘　　要：目的调查皮肤病专科门诊护士手卫生依从性现状，分析手卫生依从性的影响因素，提升门诊护士手卫生依从性。方法采用问卷调查和观察记录法，调查72名门诊护士的手卫生执行情况。结果门诊护士对手卫生知识知晓率为76．4％，手卫生方法知晓率为72．2％，手卫生依从性为65．8％；手卫生依从性的影响因素按照构成比排列依次有：工作繁忙，没有足够时间洗手（53．8％）；担心患者抱怨（15．1％）；洗手设施设计不合理（10．9％）；认为皂液及手消毒剂会损害皮肤（10．1％）；不良个人卫生习惯（10．1％）等。结论手卫生依从性达不到国内水平，应从原因着手，合理调配医护人员工作时间，加强护士手卫生知识的培训，规范手卫生管理制度，进一步提高手卫生知识知晓和依从性水平。Objective To observe the nurses＇ hand hygiene compliance at skin disease clinics, analyze the influence factors of hand hygiene compliance, and improve the hand hygiene compliance of outpatient nurses. Methods The implementation of hand hygiene in 72 outpatient nurses was surveyed by questionnaire investigation and observation. Results The knowledge awareness for hand hygiene compliance rate was 76.4%. The method awareness for hand hygiene compliance rate was 72.2%. Thetotal hand hygiene compliance rate was 65.8%. The influence factors of hand hygiene compliance were too busy and having no time （53.8%）, worrying about the complains from patients（15.1%）, unrational hand-washing facility （10.9%）, considering the soap and hand disinfectant would damage the skin（10.1%）, and poor personal hygiene （10.1%）. Conclusions Hand hygiene compliance can not meet the domestic level. From the aspects of the above, we should rationally allocate medical staff work time. the nurses＇ hand hygiene knowledge training should be strengthened, hand hygiene management system standardized, and the level of hand hygiene knowledge awareness and compliance improved.

关 键 词：手卫生 护士 影响因素 依从性 

分 类 号：R47[医药卫生—护理学]