Evaluation of Hand Hygiene Practices of İnegöl State Hospital Health care professionals

Serap Bayrakdar, Demet Büyük Akbaş
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Abstract

Introduction and Aim: Hand hygiene is the cheapest and easiest method to prevent health-related infections. Determining the beliefs and practices related to hand hygiene is very important to increase compliance. In this study, it is aimed to determine the beliefs and practices of healthcare professionals towards hand hygiene, to determine the factors affecting them and the current hand hygiene compliance rates. Methods: This descriptive and cross-sectional study was conducted with 437 people working in İnegöl State hospital between January 10 and December 31, 2022. Data were collected with Personal Information Form, Hand Hygiene Observation Form, Hand Hygiene Belief Scale and Hand Hygiene Practices Inventory form. The data of the variables were shown with frequency and percentage. Pearson correlation analysis was used to evaluate the relationship between hand hygiene practice inventory and belief score averages. Results: The hand hygiene practice inventory and hand hygiene belief scores of the healthcare professionals participating in the study were 63.45±6.35 and 85.32±8.25, respectively. It was determined that there was a weak positive and significant correlation between the two scales (r=0.307, p<0.001). Considering the compliance rates by indication, it was 89.6% before the patient, 82% before the aseptic procedures, and 98.7% after the patient. Hand hygiene compliance was determined as 92.3% in the nurse group, 83.9% in the doctor group, 97.6% in the surgical units, and hospital-wide compliance was determined as 90.3%. Conclusion: The answers given by the people to the inventory and the observation results were found to be directly proportional. It was determined that the belief in hand hygiene affects the practice of hand hygiene and the informed observation increases the general hand hygiene compliance. Of the five indications; It was thought that hand hygiene compliance was higher after the patient and this was due to the desire of people to protect themselves.
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评估伊讷戈尔国立医院医护人员的手部卫生习惯
导言和目的:手部卫生是预防健康相关感染的最便宜、最简单的方法。确定与手部卫生相关的观念和做法对于提高依从性非常重要。本研究旨在确定医护人员对手部卫生的观念和做法,确定影响这些观念和做法的因素以及目前手部卫生的达标率。研究方法在 2022 年 1 月 10 日至 12 月 31 日期间,对伊奈尔国立医院的 437 名医护人员进行了描述性横断面研究。通过个人信息表、手部卫生观察表、手部卫生信念量表和手部卫生习惯调查表收集数据。变量数据以频率和百分比表示。皮尔逊相关分析用于评估手部卫生实践量表与信念平均分之间的关系。结果参与研究的医护人员的手卫生实践量表和手卫生信念得分分别为(63.45±6.35)分和(85.32±8.25)分。经测定,两个量表之间存在微弱的显著正相关(r=0.307,p<0.001)。按指征计算的达标率为:患者就诊前 89.6%,无菌操作前 82%,患者就诊后 98.7%。护士组的手卫生达标率为 92.3%,医生组为 83.9%,手术室为 97.6%,全院的达标率为 90.3%。结论人们对调查问卷的回答与观察结果成正比。可以确定,手部卫生的信念会影响手部卫生的实践,而知情观察会提高手部卫生的总体依从性。在五种指征中;人们认为,在病人之后,手卫生的依从性更高,这是因为人们希望保护自己。
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