Alfahan Ali, Alhabib Samia, Abdulmajeed Imad, Rahman Saeed, Bamuhair Samira
Department of Family Medicine and Primary Health Care, National Guard Health Affairs (NGHA), Riyadh, Kingdom of Saudi Arabia.
Department of Family & Community Medicine, King Abdullah bin Abdulaziz University Hospital, Riyadh, Kingdom of Saudi Arabia.
J Community Hosp Intern Med Perspect. 2016 Sep 7;6(4):32151. doi: 10.3402/jchimp.v6.32151. eCollection 2016.
Hand hygiene is one of the essential means to prevent the spread of infections. The aim of this study was to assess the knowledge, attitudes, and practice (KAP) of hand hygiene in primary care settings.
A cross-sectional study using a self-reported questionnaire was conducted in primary care settings located in Riyadh, Kingdom of Saudi Arabia, under the service of King Abdulaziz Medical City (KAMC). The Institutional Review Board of KAMC Research Centre approved the study. Data were analyzed using IBM SPSS software.
A total of 237 participants were included in the analysis. Participants who received hand hygiene training within the last 3 years (2012-2014) scored higher on a knowledge scale. Generally, there was an overall positive attitude from participants toward hand hygiene practice. In total, 87.54% acknowledged that they routinely used alcohol-based hand rub, 87.4% had sufficiently decontaminated hands even under high work pressure, and 78.6% addressed that this practice was not affected by less compliant colleagues.
Practicing hand hygiene was suggested to be influenced by variables related to the environmental context, social pressure, and individual attitudes toward hand hygiene. We believe that addressing beliefs, attitudes, capacity, and supportive infrastructures to sustain hand-hygiene routine behaviors are important components of an implementation strategy in enhancing health care workers' KAP of hand hygiene.
手部卫生是预防感染传播的重要手段之一。本研究旨在评估基层医疗环境中手部卫生的知识、态度和实践（KAP）情况。
在沙特阿拉伯王国利雅得的基层医疗环境中，于阿卜杜勒阿齐兹国王医疗城（KAMC）的服务范围内开展了一项采用自填式问卷的横断面研究。KAMC研究中心的机构审查委员会批准了该研究。使用IBM SPSS软件对数据进行分析。
共有237名参与者纳入分析。在过去3年（2012 - 2014年）内接受过手部卫生培训的参与者在知识量表上得分更高。总体而言，参与者对手部卫生实践持积极态度。总计，87.54%的人承认他们经常使用含酒精的洗手液，87.4%的人即使在工作压力大的情况下也能对手部进行充分消毒，78.6%的人表示这种做法不受不太遵守规定的同事的影响。
手部卫生实践被认为受到与环境背景、社会压力以及个人对手部卫生的态度等相关变量的影响。我们认为，解决信念、态度、能力以及支持性基础设施等问题以维持手部卫生常规行为，是提高医护人员手部卫生KAP的实施策略的重要组成部分。
