目的:了解中学生手卫生现况及相关影响因素,确认手卫生的需求程度,为探索有效的健康卫生教育方法和干预手段提供理论依据。方法:用随机抽样法抽取出我市城乡1000名中学生,统一进行的手卫生问卷调查。结果:中学生中接受过手卫生的相关教育且知道饭前便后要洗手的占比65.7%(657/1000)、对预防呼吸道感染疾病、胃肠道传染疾病和洗手指征等有一定的认知度的占比为48.6%(486/1000)。然而仅23.4%(234/1000)的中学生在日常生活、学习中能够完全遵照洗手指征进行手卫生护理;34.1%(341/1000)能够主动且正确洗手;30.7%(307/1000)不愿意洗手;11.8%(118/1000)无洗手的习惯。22.5%(225/1000)的农村中学生和15.2%(152/1000)的城市中学生在主观上不愿洗手,城乡差异易见且统计学有意义(P<0.05)。不愿洗手(30.7%)和不洗手(11.8%)的主要原因包括:普遍认为在校洗手困难,无洗手设施、无温水、无洗手液、肥皂、无擦手毛巾或纸巾。结论:多数中学生对手卫生认知的主要来源于其父母,部分学生是自答掌握的洗手方法的,实际掌握正确洗手方法的人较少,且局部洗手者较多,经统计观察分析,本次研究的对象对手卫生的知识掌握与实际行为存在着一定的矛盾差异。因此,中学生手卫生现状较差强人意,应积极采取多样化教育措施,以加强对城乡中学生的手卫生的健康宣传,提高中学生手卫生依从性,同时要大力完善各校的洗手设施及用品,为改善中学生手卫生现状创造良好的条件及环境,以提高其身体健康,减少疾病的发生。 OBJECTIVE: To understand the status of hand hygiene in middle school students and its related factors, confirm the demand level of hand hygiene and provide theoretical basis for exploring effective health education methods and interventions. Methods: Random sampling method was used to extract 1000 secondary school students in urban and rural areas in our city, and to conduct a hand hygiene questionnaire survey. Results: High school students who received hand hygiene education and 65.7% (657/1000) had to wash their hands before and after the meal had some knowledge of prevention of respiratory tract infections, gastrointestinal infections and hand-washing indications Degree accounted for 48.6% (486/1000). However, only 23.4% (234/1000) of middle school students were able to perform hand hygiene care in full compliance with hand-washing indications in their daily life and study; 34.1% (341/1000) were able to wash hands actively and correctly; 30.7% (307/1000) Hand washing; 11.8% (118/1000) No hand washing habits. 22.5% (225/1000) rural middle school students and 15.2% (152/1000) urban middle school students were subjectively unwilling to wash their hands, and the difference between urban and rural areas was easy to see and statistically significant (P <0.05). The main reasons for not willing to wash their hands (30.7%) and not washing their hands (11.8%) include: It is generally considered difficult to wash their hands at school, without hand washing facilities, without warm water, without hand sanitizer, soap, towel towels or paper towels. Conclusion: The majority of middle school students ’cognition of their opponents’ health are mainly from their parents. Some of them are self-aided masters of handwashing. There are fewer people who know the correct method of handwashing, and there are more local handwashing persons. According to statistical analysis, There is a certain contradictory discrepancy between the object of study and the mastery of actual knowledge of hand hygiene. Therefore, the status quo of hand hygiene for secondary school students is rather unsatisfactory. Diversified education measures should be actively adopted to enhance health promotion of hand hygiene for urban and rural secondary school students and to improve hand hygiene compliance of secondary school students. At the same time, efforts should be made to improve hand washing facilities and supplies at schools, Middle school hand hygiene status to create good conditions and environment to improve their health and reduce the incidence of disease.