Department of Nursing, College of Life Science and Natural Resources, Sunchon National University, Jeollanam-do, Republic of Korea.
Am J Infect Control. 2019 Mar;47(3):258-263. doi: 10.1016/j.ajic.2018.09.006. Epub 2018 Nov 8.
We assessed the current status of knowledge, perception, attitude, and role model regarding hand hygiene (HH) among infection control nurses (ICNs) and identified the factors influencing these variables.
A structured questionnaire was adapted from a World Health Organization survey. Data were collected from November 8, 2017, to February 2, 2018.
ICNs showed the following scores (mean ± SD): knowledge (19.5 ± 2.3), perception (69.9 ± 8.9), attitude (46.9 ± 5.8), and role model (39.2 ± 6.0). HH performance of health care workers (HCWs) was 75.2 ± 15.5. Mean HH performance scores of HCWs (P = .007) differed significantly according to infection control experience (3 groups: ≤12 months, 13-24 months, >24 months). Perception, attitude, and role model scores showed positive correlations with each other (P < .01). The regression model for HH performance of HCWs was calculated as follows: Y = 31.638 + 0.067X (perception of ICNs) + 0.133X (attitude of ICNs) + 0.825X (role model of ICNs) (P < .001; adjusted R = 0.115).
Perception, attitude, and role model scores of ICNs were significant predictors of HH performance of HCWs.
Specialized well-structured HH education programs should be developed for ICNs that will help improve HH performance of HCWs.
我们评估了感染控制护士（ICN）对手卫生（HH）的知识、认知、态度和榜样认知的现状，并确定了影响这些变量的因素。
调查问卷改编自世界卫生组织的一项调查。数据收集于 2017 年 11 月 8 日至 2018 年 2 月 2 日。
ICN 的得分（均值±标准差）如下：知识（19.5±2.3）、认知（69.9±8.9）、态度（46.9±5.8）和榜样认知（39.2±6.0）。医护人员的 HH 执行率为 75.2±15.5。医护人员 HH 执行率的均值（P=.007）根据感染控制经验（3 组：≤12 个月、13-24 个月、>24 个月）有显著差异。认知、态度和榜样认知得分之间呈正相关（P<.01）。医护人员 HH 执行率的回归模型计算如下：Y=31.638+0.067X（ICN 的认知）+0.133X（ICN 的态度）+0.825X（ICN 的榜样认知）（P<.001；调整 R=0.115）。
ICN 的认知、态度和榜样认知得分是医护人员 HH 执行率的显著预测因素。
应为 ICN 制定专门的结构化 HH 教育计划，以帮助提高医护人员的 HH 执行率。
