知-信-行模式在实习护生手卫生培训中的应用

Effect of knowledge, attitude, belief, and practice model towards student nurses＇ hand hygiene

目的探讨知-信-行模式的手卫生培训提高实习护生的手卫生依从性的效果。方法对82名实习护生进行知-信-行模式的手卫生培训，培训前和培训后分别进行手卫生知识考评，并观察日常工作实际手卫生执行情况，检测手卫生合格率。结果培训后实习护生手卫生概念、洗手指征的知晓率分别92．68％，97．56％，均高于培训前46．34％，64．63％，差异有统计学意义（X2值分别为36．03，25．04；P〈0．01）；其他几项手卫生知识知晓率较培训前显著提高，差异有统计学意义（P〈0．01）；护生手卫生依从率从50．92％提高到82．97％，检测合格率从58．54％提高到92．68％，差异均具有统计学意义（X2值分别为316．08，25．92；P〈0．01）。结论知一信一行模式应用于手卫生培训对提高实习护生的手卫生依从性具有良好的效果。

Objective To elevate student nurses＇ hand hygiene compliance through knowledge, attitude, belief, and practice（KAP） model. Methods 82 student nurses were selected and received KAP hand hygiene training. The knowledge, practical compliance and qualification of hand hygiene were observed before and after training. Results Hand hygiene and washing hand indication awareness rate were 92. 68% and 97.56% after training, which were higher than those before training （46.34% and 64.63% , respectively）, and the difference was significant （ X2 = 36.03,25.04, respectively;P 〈 0.01 ） ; Other awareness rates of hand hygiene after training were significantly improved than those before training （ P 〈 0.01 ）. The total compliance rate of hand hygiene of student nurses after training （82.97%） was significantly higher than that before training （ 50.92% ） （ X2 = 316.08, P 〈 0.01 ）. The qualified hand hygiene ratio was elevated from 58.54% to 92.68 % （ X2 = 25.92, P 〈 0. 01 ）. Conclusions KAP model was effective towards student nurses hand hygiene compliance and worthy for application.