Creedon Sile A
University College Cork, Ireland.
Clin Nurs Res. 2006 Feb;15(1):6-26. doi: 10.1177/1054773805282445.
The primary purpose of this quasi-experimental research is to observe health care workers' compliance with hand-hygiene guidelines during patient care in an intensive care unit in Ireland before (pretest) and after (posttest) implementation of a multifaceted hand-hygiene program. Health care workers' attitudes, beliefs, and knowledge in relation to compliance with handwashing guidelines were also investigated. A convenience sample of nurses, doctors, physiotherapists, and care assistants (n = 73 observational participants, n = 62 questionnaire respondents) was used. Data (N = 314 observations, 62 questionnaires) were analyzed descriptively and cross-tabulated using chi-square (Pearson's) and Mann-Whitney statistical tests. Results revealed that a significant shift (32%) occurred in health care workers' compliance with handwashing guidelines (pretest 51%, posttest 83%, p < .001) following the interventional hand-hygiene program. Significant changes were also found in relation to health care workers' attitudes, beliefs, and knowledge (p < .05).
这项准实验研究的主要目的是观察在爱尔兰一家重症监护病房实施多方面手卫生计划之前（预测试）和之后（后测试），医护人员在患者护理期间遵守手卫生指南的情况。还调查了医护人员在遵守洗手指南方面的态度、信念和知识。使用了一个便利样本，包括护士、医生、物理治疗师和护理助理（73名观察参与者，62名问卷受访者）。对数据（314次观察，62份问卷）进行描述性分析，并使用卡方（皮尔逊）和曼-惠特尼统计检验进行交叉制表。结果显示，在实施干预性手卫生计划后，医护人员遵守洗手指南的情况发生了显著变化（32%）（预测试为51%，后测试为83%，p < .001）。在医护人员的态度、信念和知识方面也发现了显著变化（p < .05）。
