一项教育计划对护生手卫生依从性的影响。

The effect of an educational program on hand hygiene compliance among nursing students.

作者信息

Gholizad Gougjehyaran Hamed, Motaarefi Hossein, Sakhaei Shahriar, Ashrafi Mahsa, Zeinalpoor Sorayya

机构信息

Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Nursing, Khoy University of Medical Sciences, Khoy, Iran.

出版信息

BMC Nurs. 2025 Apr 11;24(1):411. doi: 10.1186/s12912-025-03075-z.

DOI:10.1186/s12912-025-03075-z

PMID:40217265

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11992875/

Abstract

BACKGROUND

Hand hygiene is one of the most important measures for preventing infections acquired in healthcare settings. Nursing students are at risk of these infections due to their frequent contact with patients and contaminated surfaces. Educational programs can be effective in improving hand hygiene compliance among nursing students.

OBJECTIVE

To determine the effect of an educational program on hand hygiene compliance among nursing students.

METHODS

This study utilized a quasi-experimental two-group pretest-posttest design in 2023 with senior nursing students. All students were included in the study using a census method, and the intervention and control groups were randomly assigned. Data collection tools included a demographic questionnaire, and hand hygiene compliance was monitored through non-participant and non-intrusive observation methods, using the World Health Organization paper-based hand hygiene observation tool. The overall hand hygiene compliance rate was calculated by dividing the number of observed hand hygiene actions by the total number of recorded opportunities, with 100 observations before and after the intervention in both groups for each hand hygiene moment. Three months after the intervention, hand hygiene compliance was reassessed. The educational program was based on Kirkpatrick's learning model and consisted of a three-hour workshop to educate participants on the importance of hand hygiene. Descriptive statistics were used for data analysis, and the chi-square test was applied to assess compliance across the five hand hygiene moments. Data analysis was conducted using SPSS version 22 software.

RESULT

The results showed that hand hygiene compliance rates in the intervention group increased compared to the control group across all five hand hygiene moments, indicating a significant improvement in adherence to hand hygiene practices following the educational intervention.

CONCLUSION

An educational program can be effective in improving hand hygiene compliance among nursing students.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

手部卫生是预防医疗机构内获得性感染的最重要措施之一。护理专业学生由于频繁接触患者和污染表面，面临这些感染的风险。教育项目对于提高护理专业学生的手部卫生依从性可能是有效的。

目的

确定一项教育项目对护理专业学生手部卫生依从性的影响。

方法

本研究于2023年采用准实验性两组前后测设计，纳入护理专业高年级学生。采用普查法将所有学生纳入研究，并随机分配干预组和对照组。数据收集工具包括一份人口统计学调查问卷，通过非参与性和非侵入性观察方法，使用世界卫生组织纸质手部卫生观察工具监测手部卫生依从情况。总体手部卫生依从率通过将观察到的手部卫生行为次数除以记录的机会总数来计算，两组在每次手部卫生时刻干预前后各进行100次观察。干预三个月后，重新评估手部卫生依从情况。该教育项目基于柯克帕特里克学习模型，包括一个为期三小时的研讨会，向参与者传授手部卫生的重要性。采用描述性统计进行数据分析，并应用卡方检验评估五个手部卫生时刻的依从情况。使用SPSS 22版软件进行数据分析。