Survey On The Leakage Of Medical Rubber Gloves And Hand Hygiene Awareness

ObjectivesThis study describes the HCWs (the health-care workers) finished picking rubbergloves to wash their hands after the awareness of the current situation, put forward toimprove HCWs after finished picking gloves and hand washing compliance measures andsuggestions, for management of medical institutions for prevention and control of hospitalinfection risk factors related to policies and measures to provide theoretical basis, in orderto reduce the hospital infection rate, reduce the body pain and waste of medical resources,promoting the development of health technology.MethodsDesigned "Hand hygiene of medical staff about rubber gloves leakage questionnaire",measured by reliability analysis questionnaire overall Cronbach ’alpha coefficient is0.852,and through the analysis of the validity of the validity index of0.825. Using stratifiedcluster sampling method, in March2012~May select a city level3grade a hospital surgery,internal medicine, operating room, ICU, emergency department met inclusion criteria ofHCWs as the research sample. Real hair questionnaire510, the study recalled505,recovery rate was99.0%, effective questionnaire502, the effective rate was98.4%. Thelast input data from the questionnaire SPSS17.0statistical analysis.Results1Women HCWs in clean surgical gloves picked health awareness than men HCWs,according to an analysis female ego protection consciousness is stronger.220~30HCWs for hand hygiene knowledge is higher, but the understanding of thenature rubber gloves leakage below41~50years old of HCWs, the findings of the surveyresults and working years.3With the higher level of education, HCWs to pick the gloves to the higher healthawareness, for the cause with different title of the survey results are basically identical. 4In different jobs, clinical laboratory technician to pick the gloves cause healthawareness is best, followed by the nurses, doctors’ awareness.5In the different department’s survey, operation room and clinical laboratory findings,surgical, and emergency ability of hand hygiene is low.6HCWs treatment in patients with pollutants in different demographic informationpresent situation analysis, HCWs agreed that treatment, patients can be treated aspollutants hand hygiene should be performed after removing gloves.7HCWs in different demographic data in recent years to participate in the number ofhand hygiene training present situation analysis, the number of hand hygiene training isproportional to the various demographic data, namely, as the growth of the age, degree ofascension, the extension of working years, job title, and hand hygiene training, the moreand post classification technician training in most times, the training department in theoperating room personnel work most times.Conclusions1The study shows that at present although HCWs know when hand hygieneimplementation does not reach the designated position can lead to nosocomial infection,but to pluck gloves do not wash their hands after still can produce the hidden trouble of thehospital infection is blind spots. Therefore, domestic medical rubber gloves, picked thereare certain barriers to successful implementation and promotion aspects of health.2Different demographic data for HCWs diagnosis and operation of medical rubbergloves, picked a subsequent party health awareness of the influence is different. Hospitalinfection management should be the correct management measures according to theinfluence of different data.2.1Men and women of the HCWs in hand hygiene know there is a difference, womenthan men more careful during operation and aseptic concepts better than men, aware ofknowledge about nosocomial infection in men than women. Therefore, hospital managersin training, we should strengthen theoretical knowledge of women, especially the nurseeducation and understanding.2.2HCWs hand hygiene status analysis in different age and different working yearsHCWs consistent operation successful health situation analysis. Hospital managers shouldinclude20~30years old of HCWs hospital infection knowledge training, strengthen the31~40years old of HCWs hand hygiene awareness, deepen the higher ages HCWsoperation causes the hand hygiene knowledge training.2.3Hospital managers should strengthen the continuing education of technical school education, strengthen the hospital infection knowledge. For master’s and above crowd,managers should strengthen the supervision and monitoring, correct the physician’sperception of hospital infection knowledge. Keep a good bachelor degree personnel handhygiene compliance.2.4Hospital managers hospital infection knowledge training for nursing staff, toincrease the part of the basic knowledge of training, and to strengthen the supervision ofoperation doctor diagnosis and treatment. Clinical laboratory technician to keep a goodhand hygiene compliance.2.5Hospital managers should strengthen the hands of HCWs surgery and emergencyhealth knowledge training, the correct guidance to the perception of hand hygiene, strictsupervision and monitoring the daily hand hygiene behavior. Presence for ICU and clinicallaboratory HCWs not the highest, the operating room is good, internal medium.2.6Hospital managers should focus on strengthening the training of intermediate titlepersonnel, supervision work. The structure of the primary title of HCWs knowledgeframework from school textbooks, senior title of professional awareness of the derivedfrom theoretical knowledge and rich clinical experience.2.7In different demographic data, HCWs pollutants treatment patients presentsituation analysis, hospital managers should strengthen the HCWs in dealing with a clean,sterile items before or after replace the gloves, gloves and hand hygiene of cognition, toHCWs understood is invisible pollutants cause the doctor-patient cross infectiontransmission medium of hidden dangers.2.8Managers should strengthen the knowledge of low age group personnel training,and personnel training focuses on high ages of enforcement, increased personnel handhygiene monitoring and supervision of this age group. To strengthen the training of nursingstaff, especially low educational background, hospital infection knowledge level. Andshould step up training for emergency service, surgical department.3The impact HCWs the execution of the related factors of hand hygiene, there arehand hygiene management system is imperfect, executive force is insufficient, handhygiene compliance testing mechanism is imperfect and so on.4The hands of HCWs health interventions, take step by step to carry out theintervention, pay attention to the training content, change the idea and understanding,monitoring and feedback HCWs and the implementation of hand hygiene measures such asintervention.