Zakeri Hosein, Ahmadi Fatemeh, Rafeemanesh Ehsan, Saleh Lahya Afshari
M.D., Emergency Medicine Specialist, Assistant Professor, Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
M.D., Occupational Medicine Specialist, Assistant Professor, Department of Occupational Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Electron Physician. 2017 Aug 1;9(8):5159-5165. doi: 10.19082/5159. eCollection 2017 Aug.
Healthcare-associated infections (HAIs) affect millions of patients worldwide annually. Hand hygiene (HH) has been identified as the single most important factor preventing HAIs. The aim of this study was to determine the knowledge regarding hand hygiene practices amongst health care workers, and identifying the areas of gaps in their knowledge.
This cross-sectional analytic study was conducted in two university hospitals in Mashhad, Iran between May 2014 and September 2015. Data was collected using a translated version of the World Health Organization (WHO) Hand Hygiene Knowledge Questionnaire (revised 2009). The questionnaire contained questions on the participants' age, gender, profession, year of the course, formal training in HH and 27 multiple choice and "yes" or "no" questions to assess HH knowledge. Data were entered into IBM SPSS Statistics, Version 16. Descriptive statistical methods and also analytical statistical methods include ANOVA and Independent-samples t-test were used in data analyzing.
In total, 161 respondents including 32 residents, 92 nurses and 37 nursing assistants enrolled in this study. All study groups had a moderate knowledge of HH. The score of 21% was ≤ 50% (poor) and only 10.6% had a good knowledge score (i.e. the score ≥75%). There was no significant difference in the knowledge level of the participants who had received formal training in HH and those who had not (p=0.68). Also, the mean knowledge score was not associated with age (p=0.12), gender (p=0.84), department (p=0.96) or profession (p=0.43).
This study highlights the importance of applying the multimodal training program addressing providers' knowledge regarding hand hygiene, as well as strategies for cognitive, emotional and behavioral methods such as patient engagement in hand-hygiene interventions.
医疗保健相关感染（HAIs）每年影响全球数百万患者。手部卫生（HH）已被确定为预防HAIs的最重要单一因素。本研究的目的是确定医护人员对手部卫生实践的知识，并找出他们知识中的差距领域。
本横断面分析研究于2014年5月至2015年9月在伊朗马什哈德的两家大学医院进行。使用世界卫生组织（WHO）手部卫生知识问卷（2009年修订版）的翻译版本收集数据。问卷包含有关参与者年龄、性别、职业、课程年份、手部卫生的正规培训以及27个多项选择题和“是”或“否”问题，以评估手部卫生知识。数据输入IBM SPSS Statistics 16版。数据分析采用描述性统计方法以及包括方差分析和独立样本t检验在内的分析统计方法。
共有161名受访者参与本研究，其中包括32名住院医师、92名护士和37名护理助理。所有研究组对手部卫生都有一定程度的了解。21%的得分≤50%（差），只有10.6%的人知识得分良好（即得分≥75%）。接受过手部卫生正规培训的参与者和未接受过培训的参与者在知识水平上没有显著差异（p = 0.68）。此外，平均知识得分与年龄（p = 0.12）、性别（p = 0.84）、科室（p = 0.96）或职业（p = 0.43）无关。
本研究强调了应用多模式培训计划以解决提供者对手部卫生知识的重要性，以及认知、情感和行为方法的策略，如患者参与手部卫生干预。
