Department of Community Health Nursing & Management Nursing, School of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.
Department of Social Medicine, Social Determinants of Health Research Center, School of Public Health Faculty, Gonabad University of Medical Sciences, Gonabad, Iran. Orcid ID: https://orcid.org/0000-0002-8882-3110.
Ethiop J Health Sci. 2021 May;31(3):553-560. doi: 10.4314/ejhs.v31i3.12.
Hand hygiene (HH) compliance is an effective behavior in controlling hospital-acquired infection because the hand is the main means of transmitting infections in patient-medical staff communication as well as the inanimate environment. This study aimed to explore the effect of applying Pender's Health Promotion Model on the HH compliance of intensive care unit staff.
This quasi-experimental study with a single research group was conducted from January to July in 2019. The required data were collected from 90 staff of the intensive care units of Imam Reza Hospital in Mashhad, Iran through 1796 and 2343 opportunity of monitoring before and after the intervention. The data collection instruments were a standard HH observation form and a researcher-made HH questionnaire in the light of Pender's health promotion model. The data were statistically analyzed in SPSS using Paired-samples T-test and Chi-squared test.
The mean age of the 90 included participants was 35.92 (± 6.5) years and the mean length of their work experience was 10 (±1.5). The hand hygiene index rose from 23% before the intervention to 41.4% after the intervention (p=0.001). Moreover, statistically significant differences were found in moments after touching surroundings (p=0.001), before and after touching a patient (p=0.001), and also in perceived barriers (p=0.015), interpersonal influences (p=0.008) and situational influences (p<0.001).
Pender's model showed to have improved the staff's HH compliance as a professional behavior.
手部卫生（HH）依从性是控制医院获得性感染的有效行为，因为手是患者-医务人员沟通以及无生命环境中传播感染的主要媒介。本研究旨在探讨应用 Pender 健康促进模型对重症监护病房工作人员 HH 依从性的影响。
这是一项具有单个研究组的准实验研究，于 2019 年 1 月至 7 月进行。通过 1796 次和 2343 次干预前后的监测机会，从伊朗马什哈德伊玛目礼萨医院的重症监护病房的 90 名工作人员中收集所需数据。数据收集工具是标准的 HH 观察表和根据 Pender 健康促进模型制定的 HH 调查问卷。使用 Paired-samples T-test 和 Chi-squared 检验在 SPSS 中对数据进行统计分析。
90 名纳入参与者的平均年龄为 35.92（±6.5）岁，平均工作经验为 10（±1.5）年。手部卫生指数从干预前的 23%上升到干预后的 41.4%（p=0.001）。此外，在触摸周围环境后（p=0.001）、触摸患者前后（p=0.001）以及感知障碍（p=0.015）、人际影响（p=0.008）和情境影响（p<0.001）方面，均存在统计学显著差异。
作为一种专业行为，Pender 模型显示出提高了工作人员的 HH 依从性。
