بررسی و مقایسه‌ی ‌آگاهی، نگرش و عملکرد کارکنان بیمارستان سیدالشهدا اصفهان در رابطه با بهداشت دست

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 استادیار، گروه بیماری‌های عفونی و گرمسیری، دانشکده‌ی پزشکی، مرکز آموزشی درمانی الزهرا (س)، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 استاد، گروه بیماری‌های عفونی و گرمسیری، دانشکده‌ی پزشکی، مرکز تحقیقات عفونت‌های بیمارستانی، مرکز آموزشی درمانی الزهرا (س)، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 دانشکده‌ی‌ پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

10.48305/jims.v43.i837.1447

چکیده

مقاله پژوهشی




مقدمه: با وجود اهمیت بهداشت دست در کاهش عفونت‌های بیمارستانی، در مطالعات قبلی انجام‌ شده توجه به این مهم چندان مطلوب گزارش نشده ‌است؛ بر این اساس مطالعه با هدف تعیین و مقایسه‌ی آگاهی، نگرش و عملکرد کارکنان بیمارستان سیدالشهدا اصفهان در رابطه با رعایت بهداشت دست انجام شد.
روش‌ها: این مطالعه‌ی مقطعی بر روی 178 نفر از کارکنان بیمارستان سیدالشهدا اصفهان در بخش‌های داخلی، جراحی، اطفال و ICU در سال 1401 انجام شد. ابزار گردآوری داده‌ها چک‌لیستی شامل اطلاعات دموگرافیک، 11سؤال آگاهی، 10سؤال نگرش و 31 سؤال عملکردی بود. داده‌ها با استفاده از آماره‌های توصیفی گزارش شدند.
یافته‌ها: طبق یافته‌های مطالعه، میانگین ± انحراف معیار نمره‌ی آگاهی 7/35 ± 1/5، نمره‌ی نگرش 27/35 ± 4 و نمره‌ی عملکرد (نمره‌ی کل رفتار) 2/80 ± 29/69 بود. نمره‌ی آگاهی و عملکرد، خوب و نمره‌ی نگرش، متوسط گزارش شد.
نتیجه‌گیری: با توجه به این که مطالعه روی کارکنان حوزه‌ی درمان انجام شد انتظار می‌ رود این افراد اهمیت بیشتری نسبت به رعایت بهداشت دست داشته باشند. در این خصوص، تعهد پزشکان در رابطه با بهداشت دست نسبت ‌به ‌سایر کارکنان، کمتر بود. یافته‌های این مطالعه می‌تواند برای مدیران، پزشکان و کارکنان حوزه‌ی سلامت قابل کاربرد باشد.

تازه های تحقیق

سمیه حقیقی پور: Google Scholar 

بهروز عطایی: Google Scholar 

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Investigating and Comparing Knowledge, Attitude and Performance of Staff of Seyed-o-Shohada Hospital in Isfahan in Relation to Hand Hygiene

نویسندگان [English]

  • Somayeh Haghighipour 1
  • Behrooz Ataei, 2
  • Maryam Masjedi Esfahani, 3
1 Assistant Professor, Department of Infectious Diseases and Tropical Medicine, School of Medicine, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
2 Professor, Department of Infectious Diseases and Tropical Medicine, School of Medicine, Nosocomial Infection Research Center, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
3 School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Despite the importance of hand hygiene in reducing hospital infections, in previous studies, the level of commitment to this issue has not been reported as favorable; Based on this, the study was conducted with the aim of determining and comparing the knowledge, attitude and performance of Staff of Seyed-o-Shohada Hospital in Isfahan in relation to hand hygiene.
Methods: This cross-sectional study was conducted on 178 Staff of Seyed-o-Shohada Hospital in Isfahan in the internal, surgical, pediatric and ICU departments in 2022. The data collection tool was a checklist including demographic information, 11 knowledge questions, 10 attitude questions, and 31 performance questions. Data were reported using descriptive statistics.
Findings: According to the findings of the study, the average score of awareness was 1.5 ± 7.35, attitude score was 4 ± 27.35 and performance score (total behavior score) was 29.2 ± 69.80. The score of knowledge and performance was good and the score of attitude was reported as average.
Conclusion: Considering that the study was conducted on medical staff, it is expected that these people are more important than hand hygiene. In this regard, the commitment of doctors in relation to hand hygiene was less compared to other Staff. The findings of this study can be used for managers, doctors and health workers.

کلیدواژه‌ها [English]

  • Awareness
  • Attitude
  • Hand Hygiene
  1. Allegranzi B, Bagheri Nejad S, Combescure C, Graafmans W, Attar H, Donaldson L, et al. Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. Lancet 2011; 377(9761): 228-41.
  2. Haley RW, Schaberg DR, Von Allmen SD, McGowan Jr JE. Estimating the extra charges and prolongation of hospitalization due to nosocomial infections: a comparison of methods. J Infect Dis 1980; 141(2): 248-57.
  3. Nabavi M, Alavi-Moghaddam M, Gachkar L, Moeinian M. Knowledge, attitudes, and practices study on hand hygiene among Imam Hossein Hospital’s residents in 2013. Iran Red Crescent Med J 2015; 17(10): e19606
  4. Cardoso T, Almeida M, Friedman ND, Aragão I, Costa-Pereira A, Sarmento AE, et al. Classification of healthcare-associated infection: a systematic review 10 years after the first proposal. BMC Med 2014; 12(1): 1-13.
  5. Haque M, Sartelli M, McKimm J, Abu Bakar M. Health care-associated infections - an overview. Infect Drug Resist 2018; 11: 2321-33.
  6. (NDoH 2007) National Department of Health, South Africa. 2007. The national infection prevention and control policy & strategy, Pretoria: South Africa.
  7. Ramasubramanian V, Iyer V, Sewlikar S, Desai A. Epidemiology of Healthcare Acquired Infection – an Indian Perspective on Surgical Site Infection and Catheter Related Blood Stream Infection. Indian J Basic Appl Med Res 2014; 3(2): 46-63.
  8. Haas J, Larson E. Measurement of compliance with hand hygiene. J Hosp Infect 2007; 66(1): 6-14.
  9. Mathai E, Allegranzi B, Kilpatrick C, Pittet D. Prevention and control of health care-associated infections through improved hand hygiene. Indian J Med Microbiol 2010; 28(2): 100-6.
  10. Celentano DD. Gordis Epidemiology. 5th ed. Elsevier; 2014 .p. 28-30.
  11. Whitby M, Pessoa-Silva C, McLaws M-L, Allegranzi B, Sax H, Larson E, et al. Behavioural considerations for hand hygiene practices: the basic building blocks. J Hosp Infect 2007; 65(1): 1-8.
  12. Squeri R, Genovese C, Palamara MA, Trimarchi G, La Fauci V. "Clean care is safer care": correct handwashing in the prevention of healthcare associated infections. Ann Ig 2016; 28(6): 409-15.
  13. Pittet D, Allegranzi B, Boyce J, World Health Organization World Alliance for Patient Safety First Global Patient Safety Challenge Core Group of Experts. The World Health Organization guidelines on hand hygiene in health care and their consensus recommendations. Infect Control Hosp Epidemiol 2009; 30(7): 611-22.
  14. Ariyaratne M, Gunasekara T, Weerasekara M, Kottahachchi J, Kudavidanage B, Fernando S. Knowledge, attitudes and practices of hand hygiene among final year medical and nursing students at the University of Sri Jayewardenepura. Sri Lankan Journal of Infectious Diseases 2013; 3(1): 15-25.
  15. Naderi H, Sheybani F, Mostafavi I, Khosravi N. Compliance with hand hygiene and glove change in a general hospital, Mashhad, Iran: an observational study. Am J Infect Control 2012; 40(6): e221-e3.
  16. Day M. Doctors attack Gordon Brown's plans to regulate medical profession. BMJ 2007; 335(7611): 113.
  17. Erasmus V, Brouwer W, Van Beeck E, Oenema A, Daha T, Richardus JH, et al. A qualitative exploration of reasons for poor hand hygiene among hospital workers lack of positive role models and of convincing evidence that hand hygiene prevents cross-infection. Infect Control Hosp Epidemiol 2009; 30(5): 415-9.
  18. Jang T-H, Wu S, Kirzner D, Moore C, Youssef G, Tong A, et al. Focus group study of hand hygiene practice among healthcare workers in a teaching hospital in Toronto, Canada. Infect Control Hosp Epidemiol 2010; 31(2): 144-50.
  19. Allegranzi B, Pittet D. Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect 2009; 73(4): 305-15.
  20. Nawab T, Mehnaz S, Abedi AJ, Safwi SR, Khalique N, Ansari MA, Khan Z. KAP study of hand hygiene among medical and nursing students in a tertiary teaching hospital. Ijsar 2015; 2: 29-39.
  21. Setati ME. Hand Hygiene knowledge, attitude and practices among health care workers of Pietersburg Tertiary Hospital, Polokwane, Limpopo Province [Thesis].
  22. Ango UM, Awosan KJ, Adamu H, Salawu S, Sani MM, Ibrahim AH. Knowledge, attitude and practice of hand hygiene among healthcare providers in semi-urban 47 communities of Sokoto State, Nigeria. IJTDH 2017; 26(2): 1-9.
  23. Tajabadi A, Parsaeimehr Z, Kashani E. Evaluation of Compliance with Standard Precautions by ICU Nurses of Sabzevar Hospitals [in Persian]. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2018; 4(1): 50-8.
  24. Allahbakhshian A. Knowledge, Attitude and Practice of Nurses in ICU and Hospital Infection Control in Health Centers of Tabriz [in Persian]. Journal of Nursing and Midwifery, Iran University of Medical Sciences 2009; 22(64): 69-76.
  25. Stein AD, Makarawo TP, Ahmad MF. A survey of doctors' and nurses' knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospitals. J Hosp Infect 2003; 54(1): 68-73.
  26. Qudeimat MA, Farrah RY, Owais AI. Infection Control Knowledge and Practice Mong Dentists and Dental Nurses at a Jordanian University Teaching Center. Am J Infect Control 2006; 34(4): 218-22.
  27. Larson EL, Aiello AE, Cimiotti J. Assessing nurses' hand hygiene practices by direct observation or self-report. J Nurs Meas 2004; 12(1): 77-85.
  28. Asadollahi M, Bostanabad MA, Jebraili M, Mahallei M, Rasooli AS, Abdolalipour M. Nurses' knowledge regarding hand hygiene and its individual and organizational predictors. J Caring Sci 2015; 4(1):45-53.
  29. Akbari M, Nejad Rahim R, Azimpour A, Bernousi D, Ghahremanlu H. A survey of nosocomial infections in intensive care units in an imam reza hospital to provide appropriate preventive guides based on international standards [in Persian]. Urmia Medical Journal 2013; 6(23): 591-6.
  30. Zhou, Y, Zhang D, Chen Y, Zhou S, Pan S, Huang Y, et al. Healthcare-associated infections and Shanghai clinicians: a multicenter cross-sectional study. PLoS One 2014; 9(8): e105838.
  31. Ekwere TA, Okafor IP. Hand hygiene knowledge and practices among healthcare providers in a tertiary hospital, south west, Nigeria. International Journal of Infection Control 2013; 9(4):
  32. Randle J, Clark M, Storr J. Hand hygiene compliance in health care workers. Journal of Hospital Infection 2006; 64: 205-9.