Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, Malaysia.
Department of Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu 16150, Malaysia.
Int J Environ Res Public Health. 2021 Jan 7;18(2):409. doi: 10.3390/ijerph18020409.
Hand hygiene (HH) is the simplest and most effective way to reduce the incidence of healthcare-associated infections (HCAIs).
This cross-sectional study aimed to determine factors associated with self-reported HH performance among nurses at Kelantan tertiary care hospitals. A sample of 438 registered nurses was selected through a stratified random sampling method. Self-reported HH performance was assessed using a validated WHO self-administered HH knowledge and perception questionnaire for healthcare workers.
A multiple linear regression analysis was performed to identify the predictors. The factors that significantly predicted self-reported HH performance among nurses included perception score (beta coefficient (β) = 0.260; 95% CI: 0.200, 0.417; < 0.001), pediatric department (β = -0.104; 95% CI: -9.335, -2.467; < 0.001), and orthopedic department (β = -5.957; 95% CI: -9.539, -0.720; < 0.023), adjusted R = 0.102; < 0.001. Nurses with a strong perception and belief in HH were more likely to have better HH performance. Compared to pediatric and orthopedic, surgical departments were associated with better self-reported HH performance.
This study showed the importance of factors that could improve the intervention's performance in HH strategy. Lack of perception and HH program intervention in departments engaged in patient care could lead to poor HH practices, thus increasing HCAIs and antimicrobial resistance (AMR).
手卫生（HH）是降低医源性感染（HCAI）发生率的最简单、最有效的方法。
本横断面研究旨在确定与登嘉楼州三级保健医院护士自我报告 HH 执行情况相关的因素。采用分层随机抽样法抽取了 438 名注册护士作为样本。使用世界卫生组织（WHO）为医护人员设计的经验证的 HH 知识和认知问卷，评估自我报告的 HH 执行情况。
进行了多元线性回归分析以确定预测因素。对护士自我报告 HH 执行情况有显著预测作用的因素包括感知评分（β系数（β）= 0.260；95%置信区间（CI）：0.200，0.417； < 0.001）、儿科（β = -0.104；95%CI：-9.335，-2.467； < 0.001）和骨科（β = -5.957；95%CI：-9.539，-0.720； < 0.023），调整后的 R ²= 0.102； < 0.001。对 HH 有强烈感知和信念的护士更有可能有更好的 HH 执行情况。与儿科和骨科相比，外科与更好的自我报告 HH 执行情况相关。
本研究表明，了解可能改善 HH 策略干预效果的因素非常重要。在参与患者护理的科室中，缺乏对 HH 的感知和 HH 方案干预可能导致 HH 实践不佳，从而增加 HCAI 和抗微生物药物耐药性（AMR）。
