Investigation of hand hygiene among caretakers of children with chemotherapy and intervention effect
10.3760/j.issn.1674-2907.2015.08.022
- VernacularTitle:化疗患儿陪护人员手卫生调查与干预效果
- Author:
Yan YIN
1
;
Hong YIN
;
Sufang LI
;
Qin FU
;
Chunmei ZHONG
Author Information
1. 518026 深圳市儿童医院血液肿瘤科
- Keywords:
Antineoplastic combined chemotherapy protocols;
Children;
Caretakers;
Hand hygiene
- From:
Chinese Journal of Modern Nursing
2015;21(8):929-931
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate hand hygiene awareness and performance for caretakers of children with chemotherapy, and explore effective intervention measures. Methods For 60 caretakers of children with chemotherapy in Hematology Department, we carried out a questionnaire survey of hand hygiene, and tracked the hand washing implementation. Also we carried on a six steps hand washing technique training for the caretakers, then compared and analyzed the hand washing qualified rate before and after the technique training. Results The hand washing cognitive rate of the caretakers when they directly contacting with sick children and before feeding food or medicine for sick children were 88. 33% and 93. 33% , and the implementation rate of those situation were 76. 67% and 89. 13% respectively. In addition, the hand washing cognitive rates of before contacting sick children′s objects and after contacting other people (including other sick children) were just 21. 67% and 41. 67% , and the implementation rates were 14. 89% and 28. 95%respectively. Before and after the six steps hand washing technique training, the bacterial colony count of the caretakers hands were (82. 36 ± 53. 32)cfu/ cm2 and (16. 21 ± 18. 83)cfu/ cm2 (t = 9. 061,P < 0. 01), but after training, the pathogenic bacteria detection rate was 31. 67% and the qualified rates 61. 67% with statistical difference (χ2 = 28. 420,27. 638, respectively; P < 0. 01). Conclusions The hand hygiene cognition for caretakers of children with chemotherapy is relatively low, and the implementation and hand washing qualified rate are unacceptable. The health education propaganda of hand hygiene and hand washing technique training for caretakers should be further strengthen. Hospital should supervise and urge the hand hygiene implementation, in order to improve the hand washing qualified rate of caretakers, reduce the nosocomial infection through hand contact, and protect the health and safety of children with chemotherapy.
