ArticleBMJ open2019
Knowledge and practice of hand hygiene among hospitalised patients in a tertiary general hospital in China and their attitudes: a cross-sectional survey.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Hand hygiene awareness and handwashing effectiveness in caregivers of surgical patients: a cross-sectional study.BMJ open · 2026Article
- Barriers to hand hygiene practices and improvement expectations among awake ICU patients: a qualitative study.Frontiers in public health · 2026Article
- Association of Social-Cognitive Factors with Individual Preventive Behaviors of COVID-19 among a Mixed-Sample of Older Adults from China and Germany.International journal of environmental research and public health · 2022Article
- Individual Preventive Behaviors of COVID-19 and Associated Psychological Factors Among Chinese Older Adults: A Cross-Sectional Online Survey.Frontiers in psychology · 2022Article
- Exploring factors influencing the compliance of patients and family carers with infection prevention and control recommendations across Bangladesh, Indonesia, and South Korea.Frontiers in public health · 2022Article
- Patients' capability, opportunity, motivation, and perception of inpatient hand hygiene.American journal of infection control · 2020Article
- The Effects of Case-Based Teaching in Nursing Skill Education: Cases Do Matter.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to gain a better understanding of patients' practice of hand hygiene (HH) and their knowledge and attitudes.
designA cross-sectional survey.
settingA 3500-bed university-affiliated medical hospital in China.
participantsInpatients and their family members or caregivers.
methodsAn anonymous, self-reported questionnaire were used to collect data.
resultsA total of 376 questionnaires were issued, and 310 respondents completed it. Of the 310 respondents, 47.4% had received HH education, and 13.5% had a completing understanding of HH. A majority of patients believed that handwashing was important for disease recovery, and that it could prevent infection development. A total of 62.3% of patients washed their hands <5 times a day and 49.0% spent <1 min every time. With regards to the seven steps of handwashing, 96.45% of the respondents adhered to the first step (washing the palms), but only 20.6% adhered to the fifth step (thumbs) and 17.7% to the sixth step (fingertips). Most respondents washed their hands only when visibly dirty. Few patients washed their hands before drinking fluids, and before and after interacting with visitors. HH compliance was lower among intensive care unit patients than medical patients.
conclusionsIn conclusion, this study demonstrated that patients had a positive attitude towards HH. However, their levels of knowledge and practice were unsatisfactory. A systematical education about patientHH is needed in future to correct this knowledge and behaviour.
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