医学生手卫生认知状况调查与分析  

Hand hygiene among undergraduate medical students:current status and analysis

作　　者：张军峰[1] 陶泠烨 沈瑞红[2] 霍砚淼[1] 孙勇伟[1] 花荣[1] ZHANG Junfeng, TAO Lingye, SHEN Ruihong, HUO Yanmiao, SUN Yongwei, HUA Rong.(Department of Biliary-Pancreatic Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200127, Chin)

机构地区：[1]上海交通大学医学院附属仁济医院胆胰外科,上海200127 [2]上海交通大学医学院附属仁济医院感染管理科,上海200127

出　　处：《上海医学》2018年第1期43-46,共4页Shanghai Medical Journal

基　　金：上海交通大学医学院医学教育研究项目(5034.08)

摘　　要：目的通过问卷调查了解医学生对手卫生科学的认知状况和重视程度,旨在为进一步的教学建议和系统性研究提供依据。方法选取上海交通大学医学院仁济临床医学院本科阶段的医学生进行调查,随机抽取实习前(见习组,56人)和实习后(实习组,35人)各1个班级的医学生,采用自行设计的问卷调查表进行手卫生科学的问卷调查。共发放问卷91份,回收91份。对24道客观题予以计分,每题2分,总分共48分;主观题不计分。计算客观题答题正确率,比较两组医学生客观题平均分。统计主观题答题情况。结果客观题答题总正确率为63.9%(15.33/24),其中外科手消毒的答题正确率最高[78.0%(6.24/8)],其次为手卫生指征的答题正确率[58.8%(4.70/8)],手卫生知识的答题正确率最低[56.1%(4.49/8)];实习组的客观题答题总平均分和手卫生指征平均分均显著高于见习组(P值均<0.01),两组间外科手消毒平均分和手卫生知识平均分的差异均无统计学意义(P值均>0.05)。主观题答题情况:医学生获取手卫生知识的途径为专业课程、实习或见习过程、同学介绍、上网主动了解、培训或讲座。见习组在今后的实习工作中手卫生依从性自我评估情况为一定会严格实行手卫生者占76.8%(43/56),视大家的情况决定是否实行手卫生者占21.4%(12/56),肯定坚持实行手卫生者占1.8%(1/56);实习组在实习工作中手卫生依从性自我评估情况为很重视严格执行手卫生者占40.0%(14/35),比较重视但有时会疏忽执行手卫生者占48.6%(17/35),不重视执行手卫生者占11.4%(4/35)。实习组医学生认为实习工作中影响手卫生的因素为工作太忙易疏忽占71.4%(25/35),个人对手卫生不够重视占45.7%(16/35),对手卫生的作用持怀疑态度占31.4%(11/35),清洁剂或消毒剂影响皮肤占25.7%(9/35),洗手水池太少占20.0%(7/35),没有配备干手的工具占17.1%(6/35),医师或护师未形成手卫生的习�Objective To investigate the cognitive status for hand hygiene among undergraduate medical students through questionnaires, so as to provide evidences for further teaching and systematic research. Methods A survey of hand hygiene was conducted using self-designed questionnaire in 56 pre-interns and 35 interns from School of Medicine of Shanghai Jiaotong University. All the 91 questionnaires were taken back. There were 24 objective scoring items （2 points for each question）, and the total score was 48 points. Subjective items were not scored. The answer accuracy of objective items was calculated. The scores were compared between pre-interns and interns. The answers of subjective items were analyzed. Results The answer accuracy of objective items was 63.9% （15.33/24）. The accuracy of surgical hand disinfection was 78.0% （6.24/8）, followed by hand hygiene indication （58.8%, 4. 70/8） and hand hygiene knowledge （56. 1%, 4. 49/8）. The mean scores of objective questions and hand hygiene indication in internship group were significantly higher than those in pre-internship group （both P〈0.01）. There was no significant difference between the two groups in mean scores of surgical hand disinfection or hand hygiene knowledge （both P〉0.05）, The answer of subjective items： students acquired hand hygiene knowledge via professional courses, internship or pre-internship process, students＇ communication, the Internet, training and lectures. The self-evaluation of hand hygiene compliance in the preinternship group.. 76.8% （43/56） practitioners were certain to strictly implement hand hygiene, 21.4% （12/56） implemented hand hygiene depending on the situation, and 1.8% （1/56） insisted on practicing hand hygiene. The self-evaluation of hand hygiene compliance in the internship group： 40. 0% （14/35） practitioners paid more attention to strict implementation of hand hygiene, 48.6 % （ 17/35） paid more attention but sometimes neglected, while 11.4% （4/35） did not emphasize hand

关 键 词：学生 医科 医学教育 手卫生 

分 类 号：G642[文化科学—高等教育学] R-4[文化科学—教育学]