醫護人員對洗手之知識、態度與行為之探討－－以某公立區域醫院為例

Knowledge, Atitude and Practice Toward Hand Hygiene Among Health Care Workers in A General Hospital

院內感染造成病患病情加重、住院日數延長甚至導致死亡，而洗手是預防院內感染最簡單、有效的方法。本研究主要目的在於了解醫護人員洗手之認知、態度與意願的現況和影響因子，藉由問卷調查、卡方檢定及相關強度等統計結果得知：護理人員對於洗手相關認知的正確性較醫師為高；醫護人員一致認為醫師是醫院中最需加強洗手的工作人員；醫護人員對於洗手的認知、態度與確實洗手的行為間皆具有統計學上顯著的相關（P<0.05），亦證賣了公開稽核有似於霍桑效應的情形，進而提出品管圈、由病人提醒醫療人員洗手等因應方案及針對教育訓練、公開稽核的改善對策，以做為感控相關單位管理變革與執行上的參考。

Nosocomial infection may result in prolongation of hospital stay and increase of morbidity and mortality of patients. Hand-washing is widely accepted as the most important measure in control of nosocomial infection. This study investigated the knowledge, attitude and practice for hand hygiene in health care workers of one general hospital in Taiwan. The results revealed that there were statistically significant differences in knowledge , attitude and practice of hand hygiene between nurses and doctors (P<0.05), and that the 'Hawthorne effect' was an existing condition during the supervising procedure. We recommend that repeated quality control cycle, remind by patients, education and checking program were effective measures to improve the compliance of hand-washing for health care workers. (Infect Control J 2008; 18:12-24).