Department of Nursing, University of Granada, Spain.
Department of Preventive Medicine and Public Health, University of Granada, Spain, Preventive Medicine Unit, San Cecilio Universitary Hospital of Granada, Spain.
J Prev Med Hyg. 2020 Apr 2;61(1):E9-E14. doi: 10.15167/2421-4248/jpmh2020.61.1.741. eCollection 2020 Mar.
Hand hygiene is crucial to prevent cross infection. Healthcare students are in a prime position to learn hand hygiene skills. The aim of this study was to analyze hand hygiene behavioral intentions of healthcare students before and after contact with the patient and to compare the knowledge of and attitude towards hand hygiene between medical and nursing students.
In a descriptive survey research design, convenience selection of a sample of medical students (n=657) and nursing students (n=303) was done from modules taught by the Department of Preventive Medicine and Public Health in both Medicine and Nursing undergraduate degrees in four Spanish universities. The hand hygiene Questionnaire, a validated instrument to evaluate behavior, knowledge, and attitudes, was used.
A significantly lower percentage of students reported always or almost always carrying out hand hygiene before contact with the patient or invasive procedures in comparison to the percentage complying after contact with secretions or with the patient. Although hand hygiene knowledge appears acceptable, its importance is not sufficiently valued.
There are deficiencies in behavioral intention, knowledge, and attitudes related to hand hygiene in medical and nursing students. Better results are observed among nursing students, especially those who have received specific training.
手卫生对于预防交叉感染至关重要。医学生处于学习手卫生技能的最佳位置。本研究的目的是分析医学生和护生在接触患者前后的手卫生行为意向，并比较医学生和护生对手卫生的知识和态度。
在描述性调查研究设计中，我们从西班牙四所大学的医学和护理本科预防医学和公共卫生课程中，通过方便抽样选择了医学生（n=657）和护生（n=303）的样本。使用了经过验证的评估行为、知识和态度的手卫生问卷。
与接触分泌物或与患者后相比，报告在接触患者或侵入性操作前始终或几乎始终进行手卫生的学生比例明显较低。虽然手卫生知识似乎可以接受，但它的重要性没有得到足够的重视。
医学生和护生在手卫生的行为意向、知识和态度方面存在缺陷。护理学生的结果更好，尤其是那些接受过特定培训的学生。
