摘要
目的调查幼儿园教师手部卫生现状,并以依从性来评价手部卫生干预效果。方法采取分层整群随机抽样,在深圳市两个区中抽取18家幼儿园,随机分成干预组(12家)和对照组(6家)。干预措施主要有:发放洗手用品;启动活动;发放健康教育材料;健康教育课程培训。在干预前、干预后一个月、三个月和干预结束观察教师手部卫生(观察依从性),并在干预前和干预后对教师的手部卫生情况进行问卷调查(自评依从性),比较干预组和对照组的手部卫生依从性,以评价干预效果。结果干预前教师手部卫生观察依从性为10.4%(23/222),自评依从性为(9.4±1.5)(满分10分)。干预结束后干预组自评依从性由干预前的9.21上升至9.65(Z=-1.951,P=0.051),对照组自评依从性的差异无统计学意义(Z=-1.531,P=0.126)。干预前干预组与对照组教师的手部卫生观察依从性差异无统计学意义(OR=0.43,95%CI:0.18~1.02),开展干预后干预组手部卫生观察依从性明显高于对照组(OR=11.53,95%CI:5.71~23.30)。结论手部卫生综合干预可有效促进教师的手部卫生依从性,可以考虑在幼儿园进行推广。
Objective To investigate, the hand, hygiene （HH） behavior of kindergarten teachers, and evaluate the ntervention effects based on compliance. Methods Stratified cluster random sampling technique was performed in this ;tudy. 18 kindergartens were selected from two districts in Shenzhen city, and were then randomly assigned to either inter- 7ention group （ 12 kindergartens） or control group （6 kindergartens） . Hand hygiene products, kick off activity, health edlcation materials and health education session were main interventions. Teacher＇ s HH compliance was observed before and me, three, and six months after the intervention, and self-reported questionnaires of HH compliance were completed before md after intervention. Then the intervention effectiveness was evaluated by comparing the HH compliance of intervention group and control group. Results Before the implementation of intervention, observed HH compliance of teachers was 10.4% （23/222）, and the self-reported compliance was 9.4 ± 1.5 （ scale 0-10）. Self-reported HH compliance of inter- Jention group increased from 9. 21 to 9. 65 after the intervention （ Z =- 1. 951, P =0. 051 ） ,but the difference of control ~roup had no statistical, significance before and after the intervention （ Z = - 1. 531, P = 0. 126）. There was no signifiant tifference in observed HH compliance between intervention group and control group before intervention （OR = O. 43, 95% CI： 0. 18-1.02） and observed HH compliance in the intervention group was significantly higher after intervention than that in the control group （ OR = 11.53, 95 % CI： 5.71-23.30）. Conclusions HH compliance of teachers increased due to the nmltiple interventions, so dissemination of intervention can be performed in kindergartens in Shenzhen, China.
作者
彭小冬
侯万里
周彦
熊田甜
张振
谢旭
程锦泉
赵志广
PENG Xiao-dong;HOU Wan-li;ZHOU Yan;XING Tian-tian;ZHANG Zhen;XIE Xu;CHENG Jin-quan;ZHAO Zhi -guang(Department of Basic Public Health Development, Shenzhen Center for Disease Control and Prevention, Shenzhen 518055,China;Department of Communicable：Disease Control and Prevention, Bao＇ an Center for Disease Control and Prevention ：Shenzhen 518055, China;Department of Information Technology, Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China;Department Planned Immunization, Shenzhen Center for Disease Control and Prevention Shenzhen,518055;Chin;5. Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, Chin)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2018年第4期406-410,共5页
Chinese Journal of Disease Control & Prevention
基金
深圳市卫生计生委系统科研项目(201602001)
关键词
日托幼儿园
卫生
流行病学方法
Child day care centers
Health
Epidemiologic methods
