醫療人員手部衛生知識、態度及行為調查

A Survey of Hand Hygiene Knowledge, Attitude, and Practice among Health Care Workers

本研究目的為探討研究醫院的醫療人員在手部衛生的知識、態度、行為及其相關因素，採橫斷式問卷調查，自2011年10月至12月對中部某醫學中心之醫療人員採隨機取樣，共發出500份問卷，有效問卷為405分，回收率為81%。結果發現醫療人員在手部衛生的知識不足，在手部衛生的態度偏正向，女性、工作年資10年以上、研究所及專科以下教育程度、其他職稱人員、內科及綜合科人員、不會接觸或每天接觸病人頻率大於15次、從未發生接觸性皮膚炎的經驗者有較高的態度得分。在手部衛生的行為平均有88%的遵從率，女性、工作年資5年以上、護理人員及其他醫療人員、每天接觸病人頻率大於15次者有較高的行為得分。Pearson’s積差相關分析顯示醫療人員手部衛生的知識與態度、態度與行為呈正相關，而知識對態度和行為則沒影響。建議除了運用多元化的教學提升醫療人員手部衛生的知識外，還須強化醫療人員對手部衛生的態度。希望此研究結果能提供感管人員在擬訂循環性的手部衛生推廣計畫之參考，進而降低感染的發生。

The purpose of this study was to investigate hand hygiene knowledge, attitude, practice, and related factors among health care workers. A descriptive cross-sectional and correlational study was performed at a medical center from October to December 2011. In this survey, 500 health care workers were randomly selected to participate in the study; of these, 405 (81%) completed the survey. The results showed that most health care workers had insufficient hand hygiene knowledge but had positive attitude and practice. Knowledge was not significantly affected by worker background factors. Factors that significantly affected attitude included sex, experience, level of education, profession, department, frequency of contact with patients, and experience with dermatitis. The mean hand hygiene compliance was 88% among participants. Sex, experience, profession, and frequency of patient contact affected hand hygiene practice. Finally, positive correlations were observed between knowledge and attitude and between attitude and practice. Therefore, we recommend that infection control practitioners apply multi-disciplinary training strategies to promote hand hygiene knowledge, practice, and attitude among health care workers.