Joshi S K, Joshi A, Park B J, Aryal U R
Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal. drsunilkj@ gmail.com
J Nepal Health Res Counc. 2013 Jan;11(23):1-5.
Health care associated infection has been identified as one of the major challenges of modern medicine and remains as a major health concern around the globe. Hands of the health-care workers are potential vehicle for transmission of pathogenic organisms within the healthcare environment. Hand washing is widely accepted as one of the most effective measures in prevention of health care associated infections.
A descriptive cross-sectional study was conducted to assess the hand washing practice among the doctors, intern doctors, nurses, medical students and nursing students in a multi specialty, non government tertiary care teaching hospital in Kathmandu. Summary statistics and chi-square tests were performed and the type I error was set at 0.05 for analysis.
Out of the total 336 participants of the study, there was significant difference in hand washing practice among the participants (P<0.001). Hand washing practice both before and after the patient examination was found to be highest among the nursing students followed by the nurses. The frequency of hand washing after exposure to hospital instruments, blood or other body fluids among the participants was remarkably high (more than 90%) in all groups. Nearly 99% of the participants agreed upon the fact that hand washing could be an effective measure in preventing health care associated infections.
The healthcare workers understand the importance of hand washing but tend to wash their hands selectively depending upon the indications. The majority of the health care workers wash their hands after the patient care than before.
医疗保健相关感染已被确认为现代医学的主要挑战之一，并且仍然是全球主要的健康问题。医护人员的手是医疗环境中致病微生物传播的潜在媒介。洗手被广泛认为是预防医疗保健相关感染最有效的措施之一。
在加德满都一家多专科、非政府三级护理教学医院，开展了一项描述性横断面研究，以评估医生、实习医生、护士、医学生和护生的洗手习惯。进行了汇总统计和卡方检验，分析时将I型错误设定为0.05。
在该研究的336名参与者中，参与者之间的洗手习惯存在显著差异（P<0.001）。发现在患者检查前后，护生的洗手习惯最好，其次是护士。在所有组中，参与者接触医院器械、血液或其他体液后洗手的频率都非常高（超过90%）。近99%的参与者认同洗手是预防医疗保健相关感染的有效措施这一事实。
医护人员明白洗手的重要性，但往往会根据指征选择性地洗手。大多数医护人员在护理患者后洗手的次数多于护理前。
