Corbo Maria Incoronata, Wachocka Malgorzata, Pozzi Maddalena, Cioce Marco, Di Donato Michele, Raponi Matteo, Pascucci Domenico, Marziali Eleonora, Fantoni Massimo, Murri Rita, Vincenti Sara, Nuzzo Carmen, Vetrugno Giuseppe, Cambieri Andrea, Laurenti Patrizia
Health Management, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Section of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Front Public Health. 2024 Dec 18;12:1421324. doi: 10.3389/fpubh.2024.1421324. eCollection 2024.
This study assessed healthcare workers' (HCWs) knowledge and adherence to hand hygiene principles in a large Italian university hospital, focusing on identifying knowledge gaps and evaluating training effectiveness. A specifically designed 17-item questionnaire, based on the World Health Organization (WHO) Hand Hygiene Knowledge Questionnaire, was used to measure theoretical knowledge, the role of training, and the impact of experience. The survey had an 8% participation rate (542 responses from a total of 6,749 HCWs), with higher responses among nurses and doctors. Results showed moderate knowledge of hand hygiene protocols, averaging 74%, but revealed gaps in comprehension, particularly in the correct use of hand rub and post-contact sanitation. Logistic regression analysis identified significant predictors of knowledge and adherence, with professional characteristics such as professional qualifications and length of service influencing outcomes ( < 0.05). The findings confirm the strong correlation between hand hygiene knowledge and compliance in reducing healthcare-associated infections (HAIs). Continuous education and customized interventions, including targeted training and feedback, are essential for targeting weak points and improving adherence. These insights emphasize the importance of ongoing training and monitoring to enhance hand hygiene practices, promote a culture of patient safety, and, as a consequence, reduce the incidence of HAIs.
本研究评估了意大利一家大型大学医院医护人员对手卫生原则的知识掌握情况和依从性，重点是找出知识差距并评估培训效果。基于世界卫生组织（WHO）手卫生知识问卷专门设计了一份包含17个条目的问卷，用于衡量理论知识、培训的作用以及经验的影响。该调查的参与率为8%（在总共6749名医护人员中收到542份回复），护士和医生的回复率更高。结果显示，对手卫生规程的了解程度中等，平均为74%，但在理解方面存在差距，尤其是在正确使用手消毒剂和接触后卫生方面。逻辑回归分析确定了知识和依从性的显著预测因素，专业资格和服务年限等专业特征会影响结果（<0.05）。研究结果证实了手卫生知识与在减少医疗相关感染（HAIs）方面的依从性之间存在密切关联。持续教育和定制化干预措施，包括针对性培训和反馈，对于针对薄弱环节和提高依从性至关重要。这些见解强调了持续培训和监测对于加强手卫生实践、促进患者安全文化并因此降低HAIs发生率的重要性。
