摘要
目的了解居家腹膜透析操作者操作前规范洗手的现状及其影响因素。方法采用自行设计的操作前规范洗手调查问卷、规范洗手评分标准,对2010年4月份期间北京大学人民医腹膜透析中心的76例居家腹膜透析操作者进行调查。结果腹膜透析操作者以女性居多(64.5%),以退休人员为主(65.8%),大多数由患者本人进行腹膜透析操作(73.7%)。现场观察洗手合格者仅有5例(6.6%)。被调查的操作者洗手平均用时8s,漏洗2个部位者,占57.8%;漏洗2个及以上部位者占81.6%,居家腹膜透析操作者漏洗率较高的部位依次是:指关节、指间、指尖。细菌菌落计数合格者14例,合格率18%。菌落计数与洗手得分呈负相关,洗手得分越低菌落计数越高。操作者的年龄、透析龄、文化程度、职业、性别、与患者的关系等因素与洗手得分无相关性。结论居家腹膜透析操作者洗手不规范,护士应关注操作者对规范洗手的重要性、操作方法等方面的认识,提高洗手的规范性。
Objective This study aimed to investigate the practice of hand-washing before bag changing among the operators who did home peritoneal dialysis（PD） and analyze the factors that influenced adherence to hand hygiene protocols.Methods During the month of April 2010,76 operators,who did home peritoneal dialysis for PD patients in PD center of Peking University People＇s Hospital,received the survey.A self-designed questionnaire survey on normative hand hygiene before operating and grading standard was used for this study.Results Among peritoneal dialysis operators,the majority are females（64.5%）,65.8% are retirees and most of the dialysis operations were conducted by the patients themselves（73.7%）.Only 5 of the operators（6.6%） passed when they were observed the procedures of hand washing.The average time of hand washing was 8 seconds.57.8% of the operators omitted two parts during washing procedures,and 81.6% of the operators omitted two or more parts.The parts accounts for higher omission rate in order were：knuckles,fingerwebs,fingertips.14 operators passed the bacterial colony counts after hand washing,with the pass rate was 18%.The bacterial colony counts were negatively correlated with the hand washing scores,that is,the lower scores of hand washing,the higher colony counts.The operator＇s age,dialysis duration,education level,occupation,gender,relationship with patients and other factors were not associated with hand washing scores.Conclusion The hand washing practice of the peritoneal dialysis operators are not normative.The professional PD nurses should pay attention to give the PD operators more training about the importance and the procedures of normative hand washing,so as to improve the hand hygiene status.
出处
《中国血液净化》
2011年第5期283-285,共3页
Chinese Journal of Blood Purification
关键词
腹膜透析
居家腹膜透析
手卫生
洗手
Peritoneal dialysis
Home peritoneal dialysis
Hand hygiene
Hand washing
