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“我知道我必须做什么,但我却不做”:医疗机构中手卫生知识与依从性之间的关系

"I Know What I Have to Do, but I Don't Do It": The Relationship Between Knowledge and Adherence to Hand Hygiene in Healthcare Settings.

作者信息

Silva Joana, Antunes Cristina, Batista Samanta, Braga José, Gomes Angélica, Guedes Rosa, Barbosa Anabela, Forte Pedro, Imaginário Cristina

机构信息

Nursing Department of Higher School of Health, University of Trás-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal.

RISE-Higher School of Health, University of Trás-os-Montes and Alto Douro, 5000-801 Vila Real, Portugal.

出版信息

Healthcare (Basel). 2025 Feb 28;13(5):530. doi: 10.3390/healthcare13050530.

DOI:10.3390/healthcare13050530
PMID:40077092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11899313/
Abstract

This study aims to analyze the correlation between healthcare professionals' knowledge of hand hygiene protocols and their actual adherence to these practices. Specifically, we investigate whether higher knowledge levels correspond to better compliance, and we examine potential influencing factors such as professional role, gender, and prior training in infection control. A non-probabilistic, convenience sample was composed of 51 healthcare professionals working in patient care. Data collection was conducted through a questionnaire to assess knowledge and direct observation to assess adherence to hand hygiene. The results indicate a satisfactory level of knowledge among healthcare professionals. No statistically significant differences were observed between different professional groups regarding knowledge and adherence to hand hygiene. The average adherence rate to hand hygiene was 60.13%. No statistically significant relationship was found between healthcare professionals' knowledge and their adherence to hand hygiene. Statistically significant differences were only found between males and females regarding the adherence rate to hand hygiene, with males showing higher adherence. Although healthcare professionals demonstrate satisfactory knowledge about hand hygiene, adherence to the practice still shows variability. Therefore, implementing continuous training programs and developing institutional policies may contribute to improving hand hygiene practices, thereby reducing the incidence of healthcare-associated infections.

摘要

本研究旨在分析医护人员对手卫生规范的知识与他们实际遵守这些规范之间的相关性。具体而言,我们调查知识水平较高是否对应更好的依从性,并研究潜在影响因素,如专业角色、性别以及感染控制方面的既往培训情况。一个非概率性的便利样本由51名从事患者护理工作的医护人员组成。通过问卷调查评估知识水平,并通过直接观察评估对手卫生的依从性来收集数据。结果显示医护人员的知识水平令人满意。不同专业组在知识水平和对手卫生的依从性方面未观察到统计学上的显著差异。手卫生的平均依从率为60.13%。医护人员的知识水平与他们对手卫生的依从性之间未发现统计学上的显著关系。仅在男性和女性对手卫生的依从率方面发现了统计学上的显著差异,男性的依从性更高。尽管医护人员对手卫生表现出令人满意的知识,但在实践中的依从性仍存在差异。因此,实施持续培训计划和制定机构政策可能有助于改善手卫生实践,从而降低医疗相关感染的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce33/11899313/f3b340f18e8c/healthcare-13-00530-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce33/11899313/31ca4d4d8ada/healthcare-13-00530-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce33/11899313/f3b340f18e8c/healthcare-13-00530-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce33/11899313/31ca4d4d8ada/healthcare-13-00530-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce33/11899313/f3b340f18e8c/healthcare-13-00530-g002.jpg

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本文引用的文献

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Assessment of Hand-Washing Knowledge and Practice among Nursing Undergraduates in Saudi Arabia.沙特阿拉伯护理专业本科学生洗手知识与实践的评估
Can J Infect Dis Med Microbiol. 2024 Mar 19;2024:7479845. doi: 10.1155/2024/7479845. eCollection 2024.
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Clean hands, safe care: how knowledge, attitude, and practice impact hand hygiene among nurses in Najran, Saudi Arabia.清洁双手,安全护理:知识、态度和实践如何影响沙特阿拉伯纳季兰护士的手卫生。
Front Public Health. 2023 Jul 13;11:1158678. doi: 10.3389/fpubh.2023.1158678. eCollection 2023.
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Adherence to Hand Hygiene among Nurses and Clinicians at Chiradzulu District Hospital, Southern Malawi.
马拉维南部奇拉朱卢区医院护士和临床医生对手卫生的依从性。
Int J Environ Res Public Health. 2022 Sep 2;19(17):10981. doi: 10.3390/ijerph191710981.
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Hand Hygiene Compliance and Associated Factors among Healthcare Workers in Ethiopia: A Systematic Review and Meta-Analysis.埃塞俄比亚医护人员的手卫生依从性及相关因素:系统评价与荟萃分析
Adv Prev Med. 2021 Dec 21;2021:7235248. doi: 10.1155/2021/7235248. eCollection 2021.
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Improvement of hand hygiene compliance in a private hospital using the Plan-Do-Check-Act (PDCA) method.运用计划-执行-检查-行动(PDCA)方法提高一家私立医院的手卫生依从性。
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Effects of the implementation of a hand hygiene education program among ICU professionals: an interrupted time-series analysis.ICU 专业人员手卫生教育计划实施效果的观察:一项中断时间序列分析。
J Bras Pneumol. 2019 Jun 10;45(5):e20180152. doi: 10.1590/1806-3713/e20180152.
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