不同户籍神经外科陪护人员消毒隔离知识知晓情况及手卫生依从性调查  

Investigation on knowledge of disinfection and hand hygiene compliance among caretakers of neurosurgery department with different household registration

作　　者：应君芳[1] 应爱芳[1] 钱卫央[1] 杨鸯红 王玲玲[1] Ying Junfang;Ying Aifang;Qian Weiyang;Yang Yanghong;Wang Lingling(Department of Neurosurgery,Taizhou Hospital of Zhejiang Provice,Taizhou 317000,China)

机构地区：[1]浙江省台州医院神经外科

出　　处：《中国医院统计》2019年第5期386-388,共3页Chinese Journal of Hospital Statistics

摘　　要：目的了解不同户籍神经外科陪护人员的消毒隔离知识知晓情况及手卫生依从性,为实施相关干预措施提供依据。方法以2016年1月至2018年12月在某医院神经外科住院的1210名患者的主要陪护家属为研究对象,对不同户籍陪护人员的消毒隔离知识知晓情况及手卫生依从性进行调查。结果农村户籍的神经外科患者陪护人员消毒隔离知识知晓率(21.40%)低于城镇户籍的陪护人员(28.10%)(P<0.05);城镇户籍的神经外科患者陪护人员在手卫生对健康很重要、洗手能够控制及切断传染源或传播途径、洗手可以保护患者不被感染、洗手能够保护自己不被感染以及知道正确的洗手方法等对手卫生的认同率高于农村户籍的陪护人员(P<0.05);城镇户籍的神经外科患者陪护人员在接触患者前、喂食患者前、喂食患者后、自己如厕后、接触患者后、接触患者的体液或血液后以及接触患者周围物品后等手卫生的依从率高于农村户籍的陪护人员(P<0.05)。结论农村户籍神经外科住院患者陪护家属的消毒隔离知识知晓率偏低,手卫生的认同率较低,手卫生的依从性较差,应引起关注。Objective To understand the knowledge of disinfection and the compliance of hand hygiene among the caretakers with different household registration of Neurosurgery Department,and to provide basis for the implementation of relevant interventions.Methods The main accompanying family members of 1210 patients hospitalized in the Neurosurgery Department of a hospital from January 2016 to December 2018 were selected as the subjects of study.Knowledge of disinfection and compliance of hand hygiene among the caretakers with different household registration were investigated.Results The disinfection knowledge rate among the caretakers of neurosurgery patients with rural household registration(21.40%)was lower than that of caretakers with urban household registration(28.10%)(P<0.05).In the following items of hand hygiene recognition which included that hand hygiene was very important to health,hand washing could control and cut off the source of infection or transmission,hand washing could protect patients from infection,hand washing could protect themselves from infection,and they knew the correct method of hand washing,the recognition rates of hand hygiene of neurosurgical patients′caretakers with urban household registration were higher than those with rural household registration(P<0.05).Compliance rates of hand hygiene of Neurosurgery patients′caretakers with urban household registration before contacting patients,before feeding patients,after feeding patients,after toilet,after contacting patients,after contacting patients′body fluids or blood,and after contacting objects around patients were higher than those with rural household registration(P<0.05).Conclusion The awareness rate of disinfection knowledge of accompanying family members with rural household registration is low,and the recognition rate and compliance rate of hand hygiene is poor,which should be paid attention to.

关 键 词：神经外科 不同户籍 消毒隔离 手卫生 

分 类 号：R184.6[医药卫生—流行病学]