Investigation of the influencing factor of hand hygiene status of maintain hemodialysis patients

Objective To investigate the hand hygiene status and its influencing factors of maintain hemodialysis patients,for the purpose of taking effective measures to improve the quality of hand hygiene as well as reduce the infection rate in the department of blood purification.Methods A cross-sectional survey method was used,totals of 300 MHD patients in our hospital were observed.Among them 100 patients were detected and analyzed their hand bacterial contamination.Results Among 298 patients,the percent of patients thinking washing - hand important was 42.5％,the percent of washing hand before hemodialysis was 13.0％,while understanding the specification of washing-hand was only 6.3％.Among the hand infection pathogen,except normal living bacteria,there were Pseudomonas aeruginosa,E.coli and Staphylococcus aureus etc.Compared with washing hand before,Corynebacterium xerosis,Serratia marcescens,yellow Neisseria meningitides of washing hands after were decreased significantly [ (128 ±30) vs (7±2),(112±36) vs (5±3),(122±25) vs (6±2) ; t =19.49,19.83,19.56,respectively;P ＜0.01 ].Conclusious Hand hygiene consciousness of the MHD patients is not strong,and the compliance remains poor. It should be paid enough attention to the dangerous of cross infection because of Bacterial pollution of hand is serious. Key words: Maintain hemodialysis; Hand hygiene; Influencing factor