新型冠状病毒肺炎隔离病区护理人员手卫生状况调查及思考  

Investigation and reflection on the hand hygiene status of nursing staff in coronavirus disease 2019 isolation ward

作　　者：王霞[1] 刘晨霞 刘聚源[3] 马红秋[4] 伏鑫[5] 蔡虻[3] WANG Xia;LIU Chenxia;LIU Juyuan;MA Hongqiu;FU Xin;CAI Meng(Nursing Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,P.R.China;Surgical Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,P.R.China;Infection Control Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,P.R.China;Department of Medical Management,the First Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230022,P.R.China;Nursing Department,China-Japan Union Hospital,Jilin University,Changchun,Jilin 130033,P.R.China)

机构地区：[1]北京医院护理部国家老年医学中心中国医学科学院老年医学研究院,北京100730 [2]北京医院手术麻醉科国家老年医学中心中国医学科学院老年医学研究院,北京100730 [3]北京医院医院感染管理处国家老年医学中心中国医学科学院老年医学研究院,北京100730 [4]安徽医科大学第一附属医院医务处,合肥230022 [5]吉林大学中日联谊医院护理部,长春130033

出　　处：《华西医学》2021年第3期316-321,共6页West China Medical Journal

基　　金：中美新发和再发传染病合作项目(5U2GGH000018)。

摘　　要：目的了解新型冠状病毒肺炎(以下简称"新冠肺炎")隔离病区护理人员手卫生状况,找出手卫生实施的困难和问题,提出科学可行的提高手卫生依从性的建议。方法自行设计《新冠肺炎隔离病区护理人员手卫生现况调查问卷》,问卷内容包括调查对象的一般资料和手卫生相关知识及隔离病区手卫生现况,于2020年3月15日-22日通过问卷星发放,对在湖北省武汉市隔离病区工作的护士进行问卷调查。结果共收回有效问卷492份。将调查对象在隔离病区执行手卫生的困难程度分为10个等级(1为无困难,10为最困难),困难程度≥3的有248人(50.41%)。369名(75.00%)调查对象认为戴手套进行手消毒对手套有损伤。认为应每2小时更换1次手套的有161人,占比最多(32.72%);而实际每4小时更换1次有226人,占比最多(45.93%)。结论隔离病区执行手卫生的困难应引起重视,建议对手套的更换时间开展进一步的研究。Objective To investigate the hand hygiene status of nursing staff in coronavirus disease 2019(COVID-19)isolation ward,find out the difficulties and problems in hand hygiene implementation,and then put forward scientific and feasible suggestions to improve the compliance of hand hygiene.Methods Self-designed Questionnaire on Hand Hygiene Status of Nursing Staff in COVID-19 Isolation Ward was distributed through the Wenjuanxing,a platform to collect data.The questionnaire,which included general information,knowledge related to hand hygiene,and the status of hand hygiene in isolation ward,was distributed to the nurses working in isolation wards in Wuhan,Hubei Province from March 15 th,2020 to March 22 nd,2020.Results Valid questionnaires were collected from 492 nurses.The difficulty in performing hand hygiene in the isolation ward was ranked≥level 3 by 248 nurses(50.41%),the degree of which was divided into 10 levels(level 1 was no difficulty,level 10 was the most difficult).A total of 369 participants(75.00%)thought that wearing gloves for hand disinfection would damage the gloves.There were 161 participants who thought that gloves should be changed every 2 hours,accounting for the largest proportion(32.72%);while 226 participants actually changed gloves every 4 hours,accounting for the largest proportion(45.93%).Conclusions The difficulty of performing hand hygiene in isolation ward should be paid attention to.It is recommended to carry out further research on the replacement time of gloves.

关 键 词：新型冠状病毒肺炎 隔离病区 护理人员 手卫生 

分 类 号：R47[医药卫生—护理学]