目的 通过调查临床护士手卫生认知行为及态度，提高临床护理工作人员对手卫生的认识，增强手卫生的观念与实施力度；加强对临床护理人员手卫生的监督管理，提高临床护理人员手卫生的依从性，降低医院感染发生率。方法 抽取某医院120名在岗临床护士作为研究对象，采用无记名形式进行问卷调查，调查分析临床护士手卫生认知现状、手卫生认知行为和态度的影响因素，并提出改进措施。结果 护士手卫生知识平均得分31.46±2.08（占总分的92.53%）。不同性质科室间护士手卫生知识存在统计学差异（P=0.05）。影响护士执行手卫生较多的因素有“工作太忙（47.50%）”、“洗手设施不便（39.17%）”、“冬季洗手用水温度低（45.00%）”、“频繁洗手对皮肤有损伤（22.50%）”等。结论 调查对象手卫生知识掌握情况良好，但对个别手卫生的指征存在着认知不足的问题。医院感染管理部门需加强对临床护理人员洗手知识的教育；改善洗手设施；大力推广速干手消毒剂的使用；鼓励患者参与监督；加强管理，从而降低医院感染的发生率。Objective: This paper is written to survey the awareness of hand hygiene behavior and attitude among clinical nurses, so as to improve the understanding of clinical nursing staff for hand hygiene, enhance the concept of hand hygiene and enforcement. To strengthen the supervision and management of hand hygiene for clinical nursing staff, improve hand hygiene compliance of clinical nursing personnel, and reduce the incidence of nosocomial infection. Methods: Extraction the 120 clinical nurses of one hospital which is on-the-job as the research object, using a questionnaire survey conducted in the form of bearer, investigate and analyze hand hygiene cognitive status of clinical nurses, the influence factors of hand hygiene cognitive behavior and attitudes, and improvement measures are put forward. Result: The average score about hand hygiene knowledge of clinical nurses was 31.46±2.08 (92.53%) of the total score). Knowledge about hand hygiene among nurses varied significantly in different departments (P=0.05). The main self-reported factors influencing the performance of hand hygiene were busy with work (47.50%), washing facilities are inconvenient (22.50%), temperature in winter is low (45.00%), frequent hand-washing damage to the skin (65.53%). Conclusion: There is better knowledge about hand hygiene in this object but less aware of some hand hygiene indications. Hospital infection management departments should strengthen the education of hand hygiene knowledge among clinical nurses, and improve the hand-washing facilities. Strive to popularize the use of hand antiseptics. Encourage patients to participate in supervision. To reduce the incidence of hospital infection through reinforce management
