Sansoni Julita, Mariani Paola, De Caro Walter, Sorrentino Milena, Marucci Anna Rita, Giammarco Enrichetta, Di Foggia Fernanda, Cristofaro Domenico, van de Mortel Thea
Scienze Infermieristiche Sapienza Università di Roma, Roma.
Prof Inferm. 2011 Oct-Dec;64(4):196-206.
The main objective of the study is assessing knowledge, opinions and compliance with the procedures of health professionals (physician, nurses, medical and nursing students) about Hand Hygiene (HH). There is a number of research which indicates that physicians respect less than nurses Hand Hygiene, there are a smaller number which investigates the differences in the attitude of the aforementioned subjects during their studies. A questionnaire was administered to a sample of 756 participants (252 doctors, 268 nurses, 117 nursing students and 119 students of medicine) at a large University Hospital in Rome, to determine their knowledge, compliance and procedures with Hand Hygiene. Knowledge of medical students is lower than that of nursing students, as well as they have lower values in adherence to practice. In both HH Beliefs Scale (HBS) and HH Practices Inventory (HHPI) questionnaires, nursing students have higher scores than nurses, doctors and medical students. The questions on the use of alcohol-based cleaners have been those where there was the lowest number of correct responses, across all professions. Physicians compared to nurses have a lower adherence to Hand Hygiene. Future research should clarify what the differences are in the construction of the study on the practice of washing hands, what are the barriers to health professionals and best methods for teaching habits, namely the effectiveness of hand washing. Professionals should be more involved in the fight against Healthcare-associated infections.
该研究的主要目的是评估卫生专业人员（医生、护士、医学和护理专业学生）关于手卫生（HH）的知识、观点以及对相关程序的遵守情况。有多项研究表明，医生对手卫生的重视程度低于护士，而较少有研究调查上述对象在学习期间态度上的差异。在罗马一家大型大学医院，对756名参与者（252名医生、268名护士、117名护理专业学生和119名医学专业学生）进行了问卷调查，以确定他们关于手卫生的知识、遵守情况和相关程序。医学专业学生的知识水平低于护理专业学生，他们在实践遵守方面的得分也较低。在手部卫生信念量表（HBS）和手部卫生实践量表（HHPI）问卷中，护理专业学生的得分高于护士、医生和医学专业学生。在所有职业中，关于使用酒精类清洁剂的问题，回答正确的人数最少。与护士相比，医生对手卫生的遵守程度较低。未来的研究应阐明在洗手实践研究的构建上存在哪些差异，卫生专业人员面临的障碍是什么，以及养成洗手习惯的最佳方法，即洗手的有效性。专业人员应更多地参与到预防医疗相关感染的斗争中。
