BEHAVIORAL DETERMINANTS OF HAND HYGIENE COMPLIANCE IN INTENSIVE CARE UNITS
BEHAVIORAL DETERMINANTS OF HAND HYGIENE COMPLIANCE IN INTENSIVE CARE UNITS
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DOI：
10.4037/ajcc2010892
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发表时间：
2010-05-01
影响因子：
2.7
通讯作者：
Blot, Stijn
中科院分区：
文献类型：
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作者：
De Wandel, David;Maes, Lea;Blot, Stijn
背景虽然手卫生是预防交叉感染最有效的措施，但卫生保健工作者的总体依从性较差。目的通过问卷调查，识别和描述重症监护病房护士不遵守手卫生处方的预测因素和决定因素。方法采用行为理论模型对某大学附属医院40张病床重症监护病房148名护士进行问卷调查。受试者被要求在2到6周的时间内两次填写56项问卷。在此期间，没有干预措施，以强制手卫生发生在单位。结果试验有效率为73% (108/148)；复检有效率为53%（57/108）。自我报告的平均依从率为84%。因子分析显示8个基本因素可能与依从性相关。天平内部的一致性是可以接受的。6个分量表的类内相关性较低（0.60）。低自我效能与不遵医嘱独立相关（β = 0.379; P = 0.001）。排除该变量后，对时间相关障碍的消极态度与不依从性相关(β = - 0.147； P
Background Although hand hygiene is the most effective measure for preventing cross-infection, overall compliance is poor among health care workers.Objectives To identify and describe predictors and determinants of noncompliance with hand hygiene prescriptions in intensive care unit nurses by means of a questionnaire.Methods A questionnaire based on a behavioral theory model was filled out by 148 nurses working on a 40-bed intensive care unit in a university hospital. Subjects were asked to fill out the 56-item questionnaire twice within a 2- to 6-week period. During this period, no interventions to enforce hand hygiene occurred on the unit.Results Response rate for the test was 73% (108/148); response rate for the retest was 53% (57/108). The mean self-reported compliance rate was 84%. Factor analysis revealed 8 elementary factors potentially associated with compliance. Internal consistency of the scales was acceptable. Intraclass correlation was low (0.60) for 6 subscales. A low self-efficacy was independently associated with noncompliance (beta =.379; P =.001). After exclusion of this variable, a negative attitude toward time-related barriers was associated with noncompliance (beta = -.147; P