City University of Hong Kong, Kowloon, Hong Kong.
City University of Hong Kong, Kowloon, Hong Kong.
J Hosp Infect. 2022 May;123:119-125. doi: 10.1016/j.jhin.2022.01.018. Epub 2022 Feb 3.
The emergence of the COVID-19 pandemic has emphasized the importance of human behaviour in controlling the spread of disease. Hand hygiene is one of the most cost-effective ways to reduce the transmission of infections.
The aim of the present study was to use the theory of planned behaviour to examine hand hygiene beliefs and behaviours among hospital nurses in Hong Kong during the outbreak of COVID-19.
A cross-sectional study was conducted recruiting a sample of nurses working in public hospitals across Hong Kong to complete an online questionnaire examining attitudes, subjective norms, and perceived behavioural control towards hand hygiene behaviour; hand hygiene beliefs and hand hygiene knowledge were also examined.
A total of 122 nurses (73% female) participated in the study. Self-reported hand hygiene performance was 81.93% in the present sample and nearly two-thirds had engaged in post-registration infection control training. Findings revealed that subjective norms and perceived behavioural control were significantly and positively associated with hand hygiene behaviour through intentions. However, attitude had no effect on hand hygiene intention and behaviour in the present study.
The theory of planned behaviour provides a useful and effective framework in explaining the hand hygiene behaviour of nurses working in Hong Kong public hospitals during the COVID-19 outbreak. Continued commitment to improve hand hygiene practices is essential in the continued battle against the transmission of infectious diseases.
COVID-19 大流行的出现强调了人类行为在控制疾病传播中的重要性。手部卫生是降低感染传播最具成本效益的方法之一。
本研究旨在应用计划行为理论来检验 COVID-19 爆发期间香港医院护士的手部卫生信念和行为。
本研究采用横断面研究，在香港的公立医院招募了一组护士，让他们在线填写问卷，调查他们对手部卫生行为的态度、主观规范和感知行为控制；还调查了手部卫生信念和手部卫生知识。
共有 122 名护士（73%为女性）参与了研究。本样本中自我报告的手部卫生执行率为 81.93%，近三分之二的人接受过注册后感染控制培训。研究结果表明，主观规范和感知行为控制通过意图对手部卫生行为具有显著的正相关影响。然而，在本研究中，态度对手部卫生意图和行为没有影响。
计划行为理论为解释 COVID-19 爆发期间香港公立医院护士的手部卫生行为提供了一个有用且有效的框架。持续致力于改善手部卫生实践对于继续抗击传染病的传播至关重要。
