首页|CVC护理人员手卫生依从性与影响因素分析

CVC护理人员手卫生依从性与影响因素分析

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目的 探讨重症监护室(ICU)中心静脉导管(CVC)置管护理人员手卫生依从性和影响因素分析,为预防CVC感染提供参考.方法 选取2019年5月—2020年12月高唐县人民医院ICU内CVC置管护理人员45例为研究对象,采用问卷调查的方式了解护理人员的手卫生依从性情况,分析影响其手卫生依从性的相关因素.结果 年龄和学历的不同在手卫生依从性评分方面差异均无统计学意义(P>0.05);职称和CVC操作年限的不同在手卫生依从性评分方面差异均有统计学意义(P<0.05).影响手卫生依从性的影响因素较多,其中排名前5的依次是忘记洗手占88.89%、缺乏对洗手和手消毒的认知占84.44%、认为戴手套可替代洗手占77.78%、认为手卫生与CVC感染关系不大占66.67%和管理层不重视洗手操作占62.22%.结论 职称和CVC置管操作年限不同的护理人员手卫生依从性评分方面存在明显差异,而忘记洗手、缺乏对洗手和手消毒的认知是影响其依从性的主要因素,因此急需开展相关职业培训,强化CVC置管护理人员的手卫生观念,从而提高手卫生依从性,降低CVC感染的发生率.
Analysis of hand hygiene compliance and influencing factors of CVC nurses
Objective To explore the hand hygiene compliance and influencing factors of caregivers for central venous catheter(CVC)placement in the intensive care unit(ICU),in order to provide reference for preventing CVC infection.Methods A total of 45 nursing staff with CVC catheterization in the ICU of Gaotang County People's Hospital from May 2019 to December 2020 were selected as the research subjects.A questionnaire survey was conducted to understand the hand hygiene compliance of nursing staff and analyze the relevant factors affecting their hand hygiene compliance.Results There were no statistically significant difference in hand hygiene compliance scores between age and educational background(P>0.05);the differences in hand hygiene compliance scores between professional titles and years of CVC operation were statistically significant(P<0.05).There were many factors that affected hand hygiene compliance,with the top five being forgetting to wash hands,accounting for 88.89%,lacking awareness of hand washing and hand disinfection,accounting for 84.44%,believing that wearing gloves can replace hand washing,accounting for 77.78%,believing that hand hygiene is not closely related to CVC infection,accounting for 66.67%,and management not valuing hand washing,accounting for 62.22%.Conclusion There were significant differences in hand hygiene compliance scores among CVC catheterization nursing staff with different professional titles and years of CVC operation.Forgetting to wash hands and lacking awareness of hand washing and hand disinfection were the main factors affecting their compliance.Therefore,it was urgent to carry out relevant vocational training,strengthen the hand hygiene concept of CVC catheterization nursing staff,improve hand hygiene compliance,and reduce the incidence of CVC infection.

Intensive care unitCentral venous catheterNursing staffHand hygieneComplianceInfluencing factors

孙丛丛

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高唐县人民医院重症医学科,山东 聊城 252800

重症监护室 中心静脉导管 护理人员 手卫生 依从性 影响因素

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(2)
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