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Knowledge, attitudes, and practices of health care personnel concerning hand hygiene in Shiraz University of Medical Sciences hospitals, 2013-2014.设拉子医科大学附属医院医护人员关于手部卫生的知识、态度和行为，2013 - 2014年
Am J Infect Control. 2015 Sep 1;43(9):1009-11. doi: 10.1016/j.ajic.2015.05.002. Epub 2015 Jun 23.
2
The impact of an educational program based on BASNEF model on the selection of a contraceptive method in women.一项基于BASNEF模型的教育项目对女性避孕方法选择的影响。
Iran J Nurs Midwifery Res. 2015 Mar-Apr;20(2):171-8.
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A descriptive study of nosocomial infections in an adult intensive care unit in fiji: 2011-12.斐济一家成人重症监护病房医院感染的描述性研究：2011 - 2012年
J Trop Med. 2014;2014:545160. doi: 10.1155/2014/545160. Epub 2014 Sep 17.
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Improving infection prevention methods in hemodialysis units: a multicenter survey.提高血液透析单位感染预防方法：一项多中心调查。
Am J Infect Control. 2014 Feb;42(2):193-4. doi: 10.1016/j.ajic.2013.09.024.
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Improving hand hygiene compliance in healthcare settings using behavior change theories: reflections.利用行为改变理论提高医疗机构手部卫生依从性：反思。
Teach Learn Med. 2013;25(4):374-82. doi: 10.1080/10401334.2013.827575.
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Baseline evaluation of hand hygiene compliance in three major hospitals, Isfahan, Iran.伊朗伊斯法罕三大医院手卫生依从性的基线评估。
J Hosp Infect. 2013 Sep;85(1):69-72. doi: 10.1016/j.jhin.2013.07.001. Epub 2013 Aug 1.
7
Epidemiology of nosocomial infections in pediatric patients in an Iranian referral hospital.伊朗一家转诊医院儿科患者医院感染的流行病学
J Prev Med Hyg. 2012 Dec;53(4):204-6.
8
Compliance with hand hygiene and glove change in a general hospital, Mashhad, Iran: an observational study.伊朗马什哈德一家综合医院的手部卫生和手套更换依从性：一项观察性研究。
Am J Infect Control. 2012 Aug;40(6):e221-3. doi: 10.1016/j.ajic.2011.12.012. Epub 2012 Mar 21.
9
[Factors predisposing, enabling and reinforcing hand hygiene in hospitals].[医院中手部卫生的诱发、促成及强化因素]
Rev Calid Asist. 2012 Jul-Aug;27(4):197-203. doi: 10.1016/j.cali.2011.11.003. Epub 2012 Jan 21.
10
Interventions to improve hand hygiene compliance in patient care.改善患者护理中手部卫生依从性的干预措施。
Cochrane Database Syst Rev. 2010 Sep 8(9):CD005186. doi: 10.1002/14651858.CD005186.pub3.

理论干预能否改善护士的手卫生行为？

Can theoretical intervention improve hand hygiene behavior among nurses?

作者信息

Baghaei Rahim, Sharifian Elham, Kamran Aziz

机构信息

Inpatient Safety Research Center, Nursing and Midwifery School, Urmia University of Medical Sciences, Urmia, Iran.

Public Health Department, Khalkhal Faculty of Medical Sciences, Ardabil University of Medical Sciences, Ardabil, Iran.

出版信息

Psychol Res Behav Manag. 2016 Jun 16;9:133-8. doi: 10.2147/PRBM.S91433. eCollection 2016.

DOI:10.2147/PRBM.S91433
PMID:27366106
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4913994/
Abstract

BACKGROUND

Hand washing is the best strategy to prevent known nosocomial infections but the nurses' hand hygiene is estimated to be poor in Iran.

OBJECTIVE

This study aimed to determine the effectiveness of BASNEF (Behavior, Attitude, Subjective Norms, and Enabling Factors) model on hand hygiene adherence education.

METHODS

This controlled quasi-experimental study was conducted on 70 hemodialysis unit nurses (35 case and 35 control) in the health and educational centers of the University of Medical Sciences of Urmia, Iran. To collect the data, a six-part validated and reliable questionnaire was used. The data were analyzed using SPSS version18, using Wilcoxon, Mann-Whitney, chi-square, and Fisher's exact tests. The significance level was considered P<0.05.

RESULTS

The mean age was 38.4±8.1 years for the intervention group and 40.2±8.0 years for the control group. There was no significant difference between the two groups for any demographic variables. Also, before the intervention, there was no significant difference between the two groups for any components of the BASNEF model. Post-intervention, the attitude, subjective norms, enabling factors, and intention improved significantly in the intervention group (P<0.001), but hand hygiene behavior did not show any significant change in the intervention group (P=0.16).

CONCLUSION

Despite the improving attitudes and intention, the intervention had no significant effect on hand hygiene behavior among the studied nurses.

摘要

背景

洗手是预防已知医院感染的最佳策略，但据估计伊朗护士的手部卫生状况较差。

目的

本研究旨在确定BASNEF（行为、态度、主观规范和促成因素）模型在手部卫生依从性教育方面的有效性。

方法

本对照准实验研究在伊朗乌尔米亚医科大学健康与教育中心的70名血液透析科护士（35例为干预组，35例为对照组）中进行。为收集数据，使用了一份经过验证且可靠的六部分问卷。数据使用SPSS 18版进行分析，采用Wilcoxon检验、Mann-Whitney检验、卡方检验和Fisher精确检验。显著性水平设定为P<0.05。

结果

干预组的平均年龄为38.4±8.1岁，对照组为40.2±8.0岁。两组在任何人口统计学变量上均无显著差异。此外，在干预前，两组在BASNEF模型的任何组成部分上也无显著差异。干预后，干预组的态度、主观规范、促成因素和意图有显著改善（P<0.001），但干预组的手部卫生行为没有显示出任何显著变化（P=0.16）。

结论

尽管态度和意图有所改善，但该干预对所研究护士的手部卫生行为没有显著影响。