■本研究旨在调查知识,态度,关于消毒和手部卫生的实践(KAP),以及安徽COVID-19流行期间托儿所工作人员的相关影响因素,并为制定儿童保育设施的消毒和手部卫生策略提供信息。
■于2020年9月对中国安徽省居民进行了一项基于网络的横断面研究。在这项研究中,采用方便抽样的方法对安徽省两个城市的60所托幼机构进行问卷调查。问卷是通过基于网络的平台分发的。统计托儿所职员的消毒及手卫生KAP评分,并对其影响因素进行了分析。知识的准确率,态度,和实践行为进行了计算和分析。
■共有1,029名参与者被纳入研究。消毒和手卫生知识,态度和练习分别约为5至23、1至5、3至13。城市地区的得分高于农村地区。较高的教育水平和工作年限与较高的分数相关。此外,接受培训或监督的员工比没有接受培训或监督的员工得分更高。知识准确率最低的类别(46.3%),最低姿态准确率(4.2%),儿童保育机构工作人员中的“总是”执业率(5.3%)都与有关使用消毒剂的适当范围的问题类别有关。托儿所工作人员手卫生知识和态度的正确率较高(83.7%-99.6%),但“永远”的实践率处于中等水平(63.0%)。
■在安徽COVID-19大流行期间,托儿所工作人员的消毒和手卫生知识不足。持续实施教育和培训,特别是在农村地区,是必不可少的。在中国建立评估使用效果和不良反应的监测系统至关重要。干预措施应侧重于提高对手部卫生习惯的遵守程度。进一步研究应探索消毒和手卫生的培训和干预,消毒措施的安全性,以及在儿童保育设施中更有效的手部卫生方法。
This study aimed to investigate the knowledge, attitude, and practice (KAP) regarding disinfection and hand hygiene, along with associated influencing factors among childcare facilities staff during the COVID-19 pandemic in Anhui, and to provide information for developing disinfection and hand hygiene strategies for childcare facilities.
A web-based cross-sectional study was conducted among Anhui Province residents in
China in September 2020. In this study, 60 childcare facilities in two cities of Anhui Province were selected using the convenient sampling method for questionnaires. The questionnaires were distributed through a web-based platform. The disinfection and hand hygiene KAP scores among childcare facilities staff were calculated, and their influencing factors were analyzed. The accuracy rates of knowledge, attitude, and practice of behavior were calculated and analyzed.
A total of 1,029 participants were included in the study. The disinfection and hand hygiene knowledge, attitude and practice ranged from approximately 5 to 23, 1 to 5, 3 to 13, respectively. The score of urban areas was higher than that of rural areas. Higher education levels and more years of working were associated with higher scores. Additionally, staff who received training or supervision had higher scores than those without. The categories with the lowest knowledge accuracy rate (46.3%), lowest attitude accuracy rate (4.2%), and \"always\" practice rate (5.3%) among childcare facility staff were all related to the question categories concerning the appropriate range of disinfectants for use. The accuracy rates of hand hygiene knowledge and attitude among the childcare facility staff were high (83.7%-99.6%), but the \"always\" practice rate was in the middle range (63.0%).
The disinfection and hand hygiene knowledge among childcare facilities staff was inadequate during the COVID-19 pandemic in Anhui. Continuous implementation of education and training, particularly in rural areas, is essential. Establishing a monitoring system to assess usage effectiveness and adverse reactions in
China is critical. Interventions should focus on increasing compliance with hand hygiene practices. Further research should explore the training and intervention of disinfection and hand hygiene, the safety of disinfection measures, and more operational hand hygiene methods in childcare facilities.