A survey of knowledge of hand hygiene among nurses

Abstract

目的了解护士手卫生知识掌握情况及影响护士执行手卫生的因素。方法根据《医疗保健人员手卫生指南》制定《护士手卫生调查表》,调查某综合性教学医院护士手卫生认知现状。结果共对180名护士发放了调查问卷,收回177份,回收率98．33％。护士手卫生知识平均得分18．59±2．19(总分21分)。不同性质科室间护士手卫生知识存在明显差异(P=0．004)。影响护士执行手卫生较多的因素有“清洁剂、消毒剂引起皮肤干燥(73．44％)”、“工作太忙(65,53％)”等。结论护士手卫生知识掌握情况良好,但对个别手卫生指征存在认知不足。医院感染管理部门需针对影响护士执行手卫生的因素,采取相应的整改措施,以提高其手卫生依从率。 Objective To survey the knowledge of hand hygiene among nurses and to identify factors influencing the performance of hand hygiene. Methods A questionnaire of hand hygiene developed according to the Guideline for Hand Hygiene in Health Care Settings was used to investigate nurses’ knowledge about hand hygiene. Results The average score for nurses’ knowledge about hand hygiene was 18.59±2.19 out of a possible maximum score of 21. Knowledge about hand hygiene among nurses varied significantly in different departments (P=0.004). The main self-reported factors influencing the performance of hand hygiene were irritation and dryness caused by hand-washing agents (73.44%) and busy workload (65.53%). Conclusions Nurses generally have good knowledge about hand hygiene but are less aware of some hand hygiene indications. Effective measures are needed to improve compliance with hand hygiene among nurses.