护理学报 ›› 2023, Vol. 30 ›› Issue (6): 26-30.doi: 10.16460/j.issn1008-9969.2023.06.026
陶娟, 潘红英, 陈慧颖, 蓝莹, 鲜雪梅
摘要: 目的 对国内外开发的医务人员手卫生评估工具进行综述,为开发、合理选用该工具提供参考。方法 检索国内外相关文献,对各类测评工具的主要内容、应用范围、应用现状、优点及局限性进行分析和总结。结果 汇总医务人员手卫生评估工具共6个,分别是手卫生信念量表(Hand Hygiene Beliefs Scale,HHBS)、手卫生实践量表(Hand Hygiene Practices Inventory,HHPI)、护士手部卫生意识量表(Hand Hygiene Awareness Scale,HHAS)、患者参与医疗机构手卫生促进调查问卷、使用含酒精洗手液的手卫生信念及行为量表(Hand Hygiene Beliefs and Behaviour about Alcohol Based Hand Rub Use)、手卫生行为量表(Hand Hygiene Behaviour Questionnaire,HHBQ),分别介绍其理论依据、应用人群、Cronbach α系数、评估重点、测评方式以及临床应用等特点。结论 当前的医务人员手卫生评估工具有各自的优点及局限性,在临床实践中,需结合临床情景合理选择适用的工具。
中图分类号:
[1] 中华人民共和国卫生部.医院感染诊断标准试行[J].中华医学杂志,2001,81(5):314-320. DOI:10.3760/j:issn:0376-2491.2001.05.02. [2] 佚名. WHO患者安全10个事实[J]. 中国卫生质量管理,2020,27(1):56-56. [3] 张园. 扎根理论视角下的公立医院感染管理影响因素研究[D]. 合肥:安徽财经大学,2021. DOI:10.26916/d.cnki.gahcc.2021.000002. [4] Bearman G,Doll M,Cooper K,et al.Hospital infection prevention: how much can we prevent and how hard should we try?[J]. Curr Infect Dis Rep,2019,21(1):2-3. DOI: 10.1007/s11908-019-0660-2. [5] de Arriba-Fernandez A, Molina-Cabrillana MJ, Serra ML. Evolution of adherence to hand hygiene in health care professionals in a third level hospital in relation to the SARS-CoV-2 pandemic[J]. Rev Esp Quimioter,2021,34(3):214-219. DOI:10.37201/req/150.2020. [6] 李颖,吴晓春,周耀勇,等. 智能控制管理系统对手卫生依从性的影响[J]. 中国消毒学杂志,2021,38(1):73-74. DOI:10.11726/j.issn.1001-7658.2021.01.023. [7] Safety WHO P, World Health Organization.WHO guidelines on hand hygiene in health care[R]. Geneva:WHO,2009. [8] Karaffa MJ.Handwashing practices of university students: development of an instrument to test the Health Belief Model[M]. Carbondale:Southern Illinois University at Carbondale ProQuest Dissertations Publishing, 1989:94. [9] Larson EL,Bryan JL,Adler LM, et al.A multifaceted approach to changing handwashing behavior[J]. Am J Infect Control,1997,25(1):3-10.DOI:10.1016/s0196-6553(97)90046-8. [10] van de Mortel T. Development of a questionnaire to assess health care students ’ hand hygiene knowledge, beliefs and practices[J]. J Adv Nurs,2009,26(3):9-16. DOI:10.3316/ielapa.248030148222055. [11] Karadağ M,Yıldırım N,İʂeri ÖP.El Hijyeni İnanç Ölçeğive El Hijyeni Uygulamaları Envanterinin geçerlilik ve güvenirlili i[J].Cukurova Med J,2016,41(2):271-284.DOI:10.17826/cutf.206317. [12] Hernandez-Garcia I, Cardoso-Munoz AM.Hand hygiene beliefs and perceptions of nursing studends[J]. Rev Enferm,2016,39(5): 52-60. [13] van De Mortel TF,Kermode S,Progano T,et al. A comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students[J]. J Adv Nurs,2012,68(3): 569-579. DOI:10.1111/j.1365-2648.2011.05758.x. [14] van de Mortel TF,Apostolopoulou E,Petrikkos G. A comparison of the hand hygiene knowledge, beliefs, and practices of Greek nursing and medical students[J]. Am J Infect Control,2010,38(1):75-77.DOI:10.1016/j.ajic.2009.05.006. [15] Ceylan B,Gunes U,Baran L,et al.Examining the hand hygiene beliefs and practices of nursing students and the effectiveness of their handwashing behaviour[J].J Clin Nurs,2020,29(21/22):4057-4065. DOI:10.1111/jocn.15430. [16] 彭健,沈蓝君,陈祎婷,等. COSMIN-RoB清单简介及测量工具内部结构研究的偏倚风险清单解读[J].中国循证医学杂志,2020, 20(10):1234-1240. DOI:10.7507/1672-2531.202003163. [17] Birgili F,Baybuga M,Ozkoc H,et al.Validation of a Turkish translation of the Hand Hygiene Questionnaire[J]. East Mediterr Health J,2019,25(5):299-305.DOI:10.26719/emhj.18.039. [18] 陈细曲,王惠婷,骆俊宏. 护士手部卫生意识量表的编制与信效度研究[J]. 中华现代护理杂志,2018,24(35):4239-4242. DOI:10.3760/cma.j.issn.1674-2907.2018.35.005. [19] 徐爱红. 老年慢性病患者基于保护动机理论护理干预的效果观察[J].护理学报, 2021,28(16):47-51. DOI:10.16460/j.issn1008-9969.2021.16.047. [20] 蒲丛珊,王义婷,丁磊,等. 孕产妇分娩恐惧测评工具的研究进展[J]. 护理学报,2022,29(1):30-34.DOI:10.16460/j.issn1008-9969.2022.01.030. [21] 张丽娜,付菊芳,刘维,等.患者参与医疗机构手卫生促进调查问卷的构建[J].中国感染控制杂志,2015, 14(6):393-398.DOI: 10.3969/j.issn.1671-9638.2015.06.009. [22] 周光霞,赵营宇,董英,等.患者参与手卫生的研究现状[J]. 护理管理杂志,2018,18(4):294-297. DOI:10.3969/j.issn.1671-315x.2018.04.015. [23] Lastinger A,Gomez K,Manegold E,et al.Use of a patient empowerment tool for hand hygiene[J]. Am J Infect Control,2017,45(8):824-829. DOI:10.1016/j.ajic.2017.02.010. [24] Ng WK,Shaban RZ,van de Mortel T. Hand hygiene beliefs and behaviours about alcohol-based hand rub use: questionnaire development, piloting and validation[J]. Infect Dis Health,2020, 25(1):43-49.DOI:10.1016/j.idh.2019.10.001. [25] Seyed NS, Palenik CJ, Mirmasoudi SK, et al.Comparing knowledge and self-reported hand hygiene practices with direct observation among Iranian hospital nurses[J]. Am J Infect Control, 2017,45(6):65-67.DOI:10.1016/j.ajic.2017.03.007. [26] Ng WK.Behavioural determinants of hand hygiene: Cultural and religious factors influencing hand hygiene compliance among Muslim healthcare workers in the United Arab Emirates[D]. Australia:The University of Sydney,2020. [27] Lydon S,Greally C,Tujjar O,et al.Psychometric evaluation of a measure of factors influencing hand hygiene behaviour to inform intervention[J]. J Hosp Infect,2019,102(4): 407-412. DOI:10.1016/j.jhin.2019.02.003. [28] Michie S,van Stralen MM,West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions[J]. Implement Sci,2011,6(1): 42-42. DOI:10.1186/1748-5908-6-42. [29] 陶娟,陈慧颖,蓝莹,等. 手卫生行为量表的汉化及信效度检验[J]. 中华护理杂志,2022, 57(9):1147-1152. DOI:10.3761/j.issn.0254-1769.2022.09.018. [30] 蔡利,单岩,杜理平,等. 国外行为改变轮理论的概述与实践[J]. 解放军护理杂志,2019, 36(7):59-62. DOI: 10.3969/j.issn.1008-9993.2019.07.014. [31] Ram P.Practical guidance for measuring handwashing behavior[Z]. Washington DC:World Bank, 2010. [32] Jenner EA, Fletcher BC, Watson P, et al.Discrepancy between self-reported and observed hand hygiene behaviour in healthcare professionals[J]. J Hosp Infect,2006,63(4):418-422.DOI: 10.1016/j.jhin.2006.03.012. [33] Mokkink LB, de Vet HCW,Prinsen CAC,et al. COSMIN Risk of Bias checklist for systematic reviews of Patient-Reported Outcome Measures[J]. Qual Life Res, 2018,27(5):1171-1179. DOI:10.1007/s11136-017-1765-4. [34] 董丽,卢芳燕,吕斐翠,等.胰腺癌患者自我报告结局评估工具的研究进展[J].中华护理杂志,2020,55(11): 1718-1722. DOI:10.3761/j.issn.0254-1769.2020.09.11.020. [35] Tan HC, Ho JA, Kumarusamy R, et al.Measuring social desirability bias: do the full and short versions of the Marlowe-Crowne Social Desirability scale matter?[J]. J Empir Res Hum Res Ethics, 2022, 17(3):382-400. DOI:10.1177/15562646211046091. |
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