Evaluation Of The Effect Of Hand Hygiene Education On Hospitalized Children Based On The Theory Of Knowledge-based Line Model

ObjectiveThrough the investigation of hand hygiene knowledge of hospitalized children,we can understand the current situation of hand hygiene knowledge of hospitalized children;Implement the hand health education based on the knowledge base theory based on the baseline survey,and discuss the health education for hospitalization patients.The awareness of hand hygiene knowledge and the impact of hand hygiene behavior.MethodsTaking the method of convenient cluster sampling,100 children who were hospitalized in a third-grade hospital in Wuhan from November 1,2018 to December31,2018 were selected as subjects.A hospitalized child conducted a hand hygiene knowledge survey to understand the hand hygiene knowledge and behavior status of hospitalized children.On the basis of the baseline survey,children in the pediatric digestive department of the intervention group were given hand hygiene education based on the theory of knowledge and belief model,and the hospitalized children in the respiratory department of the control group used routine hand health education.The use of hand hygiene knowledge awareness rate,hand washing technology assessment pass rate,hand washing pass rate and hospitalized child hand washing formation rate to evaluate the effect of health education.The data was analyzed by SPSS20.0 statistical software.The count data was statistically described by frequency and percentage.The measurement data was described by mean and standard deviation.Analyze whether there is any difference in hand hygiene between the two groups of hospitalized children before and after health education.If the data follows the normal distribution and the variance is homogeneous,the variance analysis or t test is used.If the normal distribution is not met,the rank sum test is used.Results1.A total of 96 hospitalized children were enrolled in the study,and 48 in the intervention group and the control group.There were no significant differences in gender,age,family type,father’s occupation,maternal occupation,household registration type,and current residence type between the two groups(P>0.05).2.The awareness rate of hand hygiene knowledge of hospitalized children:The awareness rate of hand hygiene knowledge of hospitalized children before and after health education was 12.5%and 95.83%,respectively,and the difference was statistically significant(χ~2=63.69,P<0.05).After health education,the awareness rate of hand hygiene knowledge of hospitalized children in the intervention group was 95.83%higher than that of the control group 14.58%(χ~2=101.3,P<0.05).3.Passing rate of hospitalized children’s hand washing techniques:The pass rate of hand washing techniques in the intervention group before and after health education was 25%and 83.3%,respectively,and the difference was statistically significant(χ~2=214.55,P<0.05);After health education The pass rate of the hand washing technique in the intervention group was 83.3%,and the pass rate of the hand washing technique in the control group was 68.7%.The difference was statistically significant(χ~2=16.62,P<0.05).4.The rate of hand washing behavior in hospitalized children:The rate of hand washing in hospitalized children in the intervention group was 94.6%,and the rate of hand washing in hospitalized children was 72.9%.The difference was statistically significant(χ~2=18.000,P<0.05).5.The average number of colonies in the hand specimens of hospitalized children:The average number of colonies of hand specimens in the intervention group was(20.29±20.77/cm~2)and(10.54±6.19/cm~2),respectively,and the difference was statistically significant(t=-2.97,P<0.05).The average number of colonies in the hand specimens of the intervention group and the control group after washing the hands were(10.54±6.19/cm~2)and(30.76±20.39/cm~2),respectively,and the difference was statistically significant(t=-2.01,P<0.05).6.The rate of hand washing in hospitalized children:(1)The rate of hand washing in the intervention group before health education was6.25%,and the rate of hand washing after health education was 79.17%.The rate of hand washing after health education was higher than that before health education.(2)After the health education,the pass rate of hand washing in the intervention group was 79.17%,and the pass rate in the control group was 12.5%.The pass rate of the intervention group was higher than that of the control group.ConclusionBased on the knowledge and belief model theory,the health education of hospitalized children’s hand hygiene can improve the level of hand hygiene knowledge of hospitalized children,improve the level of hand washing techniques of hospitalized children,and promote the development of good hand washing habits for hospitalized children.Hand health education improves hand hygiene knowledge in hospitalized children and improves hand hygiene behavior in hospitalized children.