Kouhi Reza, Panahi Rahman, Ramezankhani Ali, Amin Sobhani Mohsen, Khodakarim Soheila, Amjadian Mohiadin
Department of Health Education, School of Health Shahid Beheshti University of Medical Sciences Tehran Iran.
Department of Public Health, Qaen School of Medical Sciences Birjand University of Medical Sciences Birjand Iran.
Health Sci Rep. 2023 Jul 6;6(7):e1408. doi: 10.1002/hsr2.1408. eCollection 2023 Jul.
Considering the increasing prevalence of dental services in the community and the impossibility of identifying each infected patient, hand sanitation is the most critical factor in controlling infection in these centers. Therefore, this study aimed to determine the effect of educational intervention on the hand health behavior of the staff of Tehran dentistry clinics based on the health belief model (HBM).
In this quasi-experimental study in 2017, 128 employees of the health centers were selected through a multistage sampling method and they were placed in two groups of intervention and control (each 64 people). The data was collected using a questionnaire devised by the researcher. The validity and reliability of the questionnaire were determined. The questionnaire consisted of demographics, knowledge, structures of the HBM, and behavior variables. Then, the intervention was administered based on HBM-based education. Data were analyzed by SPSS16 and independent test, , and repeated measurement analysis of variance.
Before the intervention, the two intervention and control groups did not differ significantly in terms of demographic variables, mean scores of knowledge, constructs of HBM, and hand hygiene behavior ( > 0.05), while the intervention group was scored higher significantly compared to the control one after the intervention ( < 0.001).
According to the findings, the HBM can be used as a framework for designing educational interventions to improve hand hygiene behavior to control infection in health centers.
鉴于社区牙科服务的普及程度不断提高，且无法识别每一位感染患者，手部卫生是这些中心控制感染的最关键因素。因此，本研究旨在基于健康信念模型（HBM）确定教育干预对德黑兰牙科诊所工作人员手部健康行为的影响。
在这项2017年的准实验研究中，通过多阶段抽样方法选取了128名健康中心员工，并将他们分为干预组和对照组（每组64人）。使用研究人员设计的问卷收集数据。确定了问卷的效度和信度。问卷包括人口统计学、知识、HBM结构和行为变量。然后，基于以HBM为基础的教育进行干预。数据通过SPSS16进行分析，采用独立样本t检验、卡方检验和重复测量方差分析。
干预前，干预组和对照组在人口统计学变量、知识平均得分、HBM结构和手部卫生行为方面无显著差异（P>0.05），而干预后干预组得分显著高于对照组（P<0.001）。
根据研究结果，HBM可作为设计教育干预措施的框架，以改善手部卫生行为，从而控制健康中心的感染。
