Factors Affecting the Qualification Rate of Hand Disinfection Among Physicians: A Cross-Sectional Survey

Yan Liu, Song Yuan, Li-Yi Wang, Si Chen, Yang Li, Wei Ma Department of Infection Control, The Second Hospital of Hebei Medical University, Shijiazhuang, People’s Republic of ChinaCorrespondence: Wei Ma, Department of Infection Control, The Second Hospital of Hebei Medical University, No. 215 of Heping West Road, Shijiazhuang, 050000, People’s Republic of China, Tel +86-18603297270, Fax +86 (311) 66007439, Email maweimmw6@126.comObjective: The objective of this study is to examine the qualification rate of hand disinfection in the surgical department wards and analyze the influencing factors.Methods: A surprise assessment was carried out to evaluate the daily adherence to hand hygiene protocols in the surgical department wards. We aimed to investigate the factors that impact the qualification rate of hand disinfection.Results: In this study, the qualification rate of hand disinfection was determined to be 64.38%. Notably, this rate exhibited significant variations based on gender, age, surgical site, and department category. Specifically, the qualification rate of hand disinfection among female participants stood at 82.35%, surpassing the qualification rate observed among male counterparts of 52.83%. Furthermore, doctors in the age group of 41– 50 years demonstrated the highest qualification rate, and the abdominal surgical site exhibited the most noteworthy qualification rate, reaching 79.49%. The outcomes of the multiple logistic regression analysis highlighted the significance of age and gender as influential factors impacting the qualification rate. Specifically, doctors aged 51 years or older exhibited the lowest hand hygiene compliance, whereas female doctors demonstrated a notably higher qualification rate compared to their male counterparts.Conclusion: The disheartening qualification rate of hand disinfection highlights a concerning lack of awareness regarding hand hygiene among surgeons in their professional duties. Consequently, targeted interventions are imperative, focusing on intensified training, educational initiatives, enhanced supervision, and internal performance evaluations for key groups. The findings not only serve as a valuable database but also offer a viable roadmap for similar hospitals to reinforce the management of nosocomial infections.Keywords: hand hygiene, hand disinfection, influencing factors, qualification rate, surgeons