Hand hygiene compliance and influencing factors among health care workers
10.3969/j.issn.1671-9638.2016.04.010
- VernacularTitle:医护人员手卫生依从行为及其影响因素
- Author:
Lixia WANG
;
Jian ZHAN
- Publication Type:Journal Article
- Keywords:
hand hygiene;
hand washing;
purpose;
behavior;
health care worker;
healthcare-associated infec-tion;
influencing factor
- From:
Chinese Journal of Infection Control
2016;15(4):258-261
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate compliance and influencing factors of hand hygiene (HH)among health care workers(HCWs).Methods From November 2014 to February 2015,implementation of HH among HCWs in 15 clinical departments in a hospital was investigated through questionnaires,the effect of HH purpose on HH behav-ior of HCWs was analyzed with multivariate logistic regression method.Results A total of 364 HCWs were investi-gated,245 (67.31% )of whom implemented HH well. Univariate analysis revealed that implementation of HH a-mong HCWs of different occupations,education levels,and HH purpose were all significantly different (all P<0. 05). Multivariate logistic regression analysis showed that HH purpose as well as HH compliance were both signifi-cantly different (P= 0.042). Compared with HH purpose of self-protection among HCWs,HCWs with HH pur-pose of cross-infection prevention had better HH behavior (OR,2.17[95% CI,1.29-3.65]).The top five objective factors influencing HCWs'HH implementation were as follows:lack of warm water in winter (70.73% ),heavy workload,had no time (61 .38% ),skin irritation caused by disinfectant or hand sanitizer (54.88% ),without hand dryer (47.56% ),and use disposable gloves (45.12% ).Conclusion On the basis of improving HH facilities,chan-ging HCWs'awareness of HH only for self-protection may be an another way to improve HH compliance among HCWs.