Yalçin S Songül, Yalçin Suzan, Altin Saliha
Social Pediatric Unit, Department of Child Health and Disease, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Int J Adolesc Med Health. 2004 Oct-Dec;16(4):371-6.
The aim of the study was to evaluate how and when adolescent students washed their hands and to detect the conditions that affect hand washing in schools. Seven schools were selected in Konya, Turkey. A questionnaire assessing the answers of 'how long', 'when' (frequency of hand-washing in six conditions with a Likert scale; after toilet, before eating, after eating, entering the home, cleaning a room, when sneezed or coughed), 'how' (hand-washing techniques) and 'why' was given to students. According to self report, person who washed his hands more than or equal to 20 sec and had adequate washing techniques (with soap and water) and had washing frequency score more than 20 was defined as having 'proper basic handwash'. Of a total of 1074 students, 1021 responded. According to self reported behaviours and attitudes, soap and water were used in 99.2% of hand washes, and an alcohol preparation was used in 0.2% of cases and wet paper was used in the remaining 0.6% in the schools. The average duration of soap and water washes was 41.8 +/- 39.1 sec. Overall, 42.4% of adolescents had a proper basic handwash. In multivariate analysis female sex, living at home, high knowledge level and urban school were associated with high proper basic handwash. In addition to this, the presence of some complaints about toilets in school affected proper basic hand wash in univariate analysis. Contrary to what had been expected, a factor such as type of school (health trade school) was not found to be associated with high proper basic handwash in both multivariate and univariate analysis. As a result, adolescents have limited knowledge about indications of hand-washing and some problems adversely influenced hand-washing. To increase compliance, problems should be solved and lessons about hand-washing and communicable disease should be given.
该研究的目的是评估青少年学生洗手的方式和时间，并检测学校中影响洗手的条件。在土耳其科尼亚选取了七所学校。向学生发放了一份问卷，评估“多长时间”“何时”（用李克特量表评估六种情况下的洗手频率，即上完厕所后、吃饭前、吃饭后、进入家中、打扫房间、打喷嚏或咳嗽时）、“如何”（洗手方法）以及“为何”等问题的答案。根据自我报告，洗手时间超过或等于20秒、具备适当洗手方法（使用肥皂和水）且洗手频率得分超过20分的人被定义为有“正确的基本洗手行为”。在总共1074名学生中，1021人做出了回应。根据自我报告的行为和态度，学校中99.2%的洗手使用肥皂和水，0.2%的情况使用酒精制剂，其余0.6%使用湿纸巾。用肥皂和水洗手的平均时长为41.8±39.1秒。总体而言，42.4%的青少年有正确的基本洗手行为。多因素分析显示，女性、居家生活、知识水平高以及城市学校与较高的正确基本洗手行为相关。此外，在单因素分析中，对学校厕所的一些抱怨影响了正确的基本洗手行为。与预期相反，在多因素和单因素分析中均未发现诸如学校类型（卫生职业学校）等因素与较高的正确基本洗手行为相关。结果表明，青少年对手洗指征的知识有限，一些问题对洗手产生了不利影响。为提高依从性，应解决这些问题，并开展关于洗手和传染病的课程。
