A survey of hand-washing facilities in the outpatient department of a tertiary care teaching hospital in India.
A survey of hand-washing facilities in the outpatient department of a tertiary care teaching hospital in India.
复制标题
对印度三级护理教学医院门诊部洗手设施的调查。
DOI：
10.3855/jidc.1003
复制
发表时间：
2011
影响因子：
1.9
通讯作者：
A. Gupta
中科院分区：
文献类型：
--
作者：
M. Devnani;R. Kumar;Rakesh K. Sharma;A. Gupta
简介
据报道，洗手设施不足是洗手的障碍。本研究旨在评估三级护理教学医院门诊部 (OPD) 综合体洗手设施和洗手剂供应的可用性和可及性。
方法论
准备了一份包含 13 个变量的清单，并对 OPD 中所有直接患者护理室进行了一次评估。
结果
在接受调查的 211 间客房中，有 209 间（99.05%）间设有洗手设施。其中，206个（98.56%）水槽放置在方便使用且靠近用户的位置。几乎所有水槽（99.5%）都有手动水龙头。 35个（16.75%）水槽没有皂架，21个（10.5%）水槽发现皂架破损。 14 个（6.70%）水槽没有提供肥皂，而 6 个（2.87%）水槽有消毒剂。 4 个（1.91%）水槽没有毛巾架，8 个（3.83%）水槽毛巾架破损。 43 个（20.57%）个水槽没有提供毛巾，23 个（11%）个水槽提供的毛巾很脏。没有发现水槽下水道被堵塞。没有水槽显示洗手说明，展示正确的洗手技术。
结论
洗手所需的物理设施虽然不完善，但已足够。需要从手动水龙头转向非手动水龙头，从布巾转向纸巾。发展中国家的医院管理者应不断努力在其财力范围内提供尽可能最好的洗手设施。
INTRODUCTION
Inadequate hand-washing facilities have been reported as a barrier to hand washing. This study aimed to evaluate the availability and accessibility of hand-washing facilities and supplies of hand-washing agents in the outpatient department (OPD) complex of a tertiary care teaching hospital.
METHODOLOGY
A checklist containing 13 variables was prepared and all rooms of direct patient care in the OPD were assessed on one occasion.
RESULTS
Out of 211 rooms surveyed, a hand-washing facility was available in 209 (99.05%) rooms. Among these, 206 (98.56%) sinks were easily accessible and were placed close to users. Almost all sinks (99.5%) had hand-operated taps. Thirty-five (16.75%) sinks had no soap stand, and at 21 (10.5%) sinks, soap stands were found to be broken. At 14 (6.70%) sinks, soap bars were not available, while an antiseptic agent was available at 6 (2.87%) sinks. Four (1.91%) sinks had no towel stand, and at 8 (3.83%) sinks the towel stands were broken. At 43 (20.57%) sinks no towel was available, and at 23 (11%) sinks the towels provided were dirty. No sink drain was found to be blocked. No sink had hand-washing instructions displayed demonstrating the correct technique of hand washing.
CONCLUSION
Physical facilities required for hand washing were adequate though not perfect. There is a need to shift from hand-operated taps to non-manual taps and from cloth towels to paper towels. Hospital managers in developing countries should continuously strive to provide the best possible hand-washing facilities within their financial resources.