Title: A survey and analysis of the practice of hand hygiene among operators of home peritoneal dialysis
Abstract: Objective This study aimed to investigate the practice of hand-washing before bag changing among the operators who did home peritoneal dialysis(PD) and analyze the factors that influenced adherence to hand hygiene protocols.Methods During the month of April 2010,76 operators,who did home peritoneal dialysis for PD patients in PD center of Peking University People's Hospital,received the survey.A self-designed questionnaire survey on normative hand hygiene before operating and grading standard was used for this study.Results Among peritoneal dialysis operators,the majority are females(64.5%),65.8% are retirees and most of the dialysis operations were conducted by the patients themselves(73.7%).Only 5 of the operators(6.6%) passed when they were observed the procedures of hand washing.The average time of hand washing was 8 seconds.57.8% of the operators omitted two parts during washing procedures,and 81.6% of the operators omitted two or more parts.The parts accounts for higher omission rate in order were:knuckles,fingerwebs,fingertips.14 operators passed the bacterial colony counts after hand washing,with the pass rate was 18%.The bacterial colony counts were negatively correlated with the hand washing scores,that is,the lower scores of hand washing,the higher colony counts.The operator's age,dialysis duration,education level,occupation,gender,relationship with patients and other factors were not associated with hand washing scores.Conclusion The hand washing practice of the peritoneal dialysis operators are not normative.The professional PD nurses should pay attention to give the PD operators more training about the importance and the procedures of normative hand washing,so as to improve the hand hygiene status.
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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