目的 了解腹膜透析患者手卫生知信行的现状及分析其影响因素,为提高腹膜透析患者正确洗手率及依从性提出合理建议.方法 于2022年6—7月,采用整体抽样和随机抽样相结合方法在福建省立医院内科腹膜透析患者中抽取300例进行现场发放问卷或线上问卷星进行调查,调查腹膜透析患者的人口学特征、正确洗手现状、手卫生知信行现况及接受手卫生知识情况.分析腹膜透析患者手卫生依从性的影响因素.其中男146例(48.67％),女154例(51.33％);18～60岁289例(96.33％),60岁以上11例(3.67％).结果 调查对象正确洗手知晓率男为32.19％,女为41.56％;对于年龄、性别、教育程度不同特征的调查对象中正确率都低于错误洗手率;从业人员手卫生知、信、行三者呈正相关(P<0.05);对最佳学习手卫生知识途径手机端响应率最高(31.17％),报刊杂志响应率最低(17.99％).结论 腹膜透析患者手卫生情况整体有所提升,但离腹膜透析操作的要求仍有很大差距,仍需继续加强对七步洗手法进行普及,加强腹膜透析患者对手卫生的重视,同时为提高其手卫生依从性还应增加手卫生相关知识学习途径.

Objective To analyze the cognitive status of patients with multi-center peritoneal dialysis（PD） on automated peritoneal dialysis（APD）, and to provide a basis for promoting the application of APD treatment in the province. Methods From September to December 2022, A total of 596 home PD patients from peritoneal dialysis centers in 6 cities（districts） of Fujian Province were investigated online or offline on basic knowledge of APD, APD operation knowledge and self-management knowledge by using the questionnaire Star survey tool. Results 11.0% and 8.3% of PD patients had a basic understanding of APD basic knowledge and APD operating knowledge, 21.2% and 9.5% of patients had a partial understanding of APD basic knowledge. The cognition degree of APD basic knowledge and APD operation knowledge were 32.2% and 17.8%, respectively. The overall awareness of APD was 29.8%. The self-management awareness of PD patients was 95.1%. Conclusion The low cognitive degree of APD is common in PD patients. It is necessary to strengthen the health education of PD patients and the training of specialized medical staff, so as to improve the awareness of APD in PD patients, so as to facilitate the popularization and application of APD in the province.