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Evaluation the Effectiveness of Hand-Washing Health Education to Enhance the Knowledge, Attitude, and Behavior Among Family Caregivers of the Hospitalized Patients

Wednesday, 1 August 2012

Shu-Yun Hsu, RN, MS
Department of nursing, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
Li-Chi Chiang, RN, PhD
School of Nursing, School of Nursing, National Defense Medical Center, Taipei, Taiwan

Learning Objective 1: Improve the implementation rate of hand washing.

Learning Objective 2: Reduce nosocomial infection rates.

Background: Hand-washing of health care providers has been emphasized to reduce the nosocomial infection in hospital during last decade. Many teaching programs have been developed to enhance the compliance and accuracy of hand-washing in hospital. To improve the right cognition and behaviors of family caregivers were the important because their highly contact with patients.

Purpose: To evaluate the effectiveness of two teaching methods in promoting  family caregivers about wash hand knowledge, attitude, behavior and bacteria counting in hand.

Methods: Randomized control trial was designed to compare two teaching methods-- the education with guidance leaflet and the education with the video. Data were collected before and after intervention three days.

Results: The results revealed that both different teaching methods have positive effects on the hand-washing knowledge, attitude, and behaviors. However there are no significantly differences of the improvement of hand-washing knowledge, attitude and behaviors between two teaching methods. Family caregivers received the hand-washing teaching with leaflet has significantly less bacteria counting in hand compared to the other group.

Conclusion: Two teaching methods positively improve the hand-washing knowledge, attitude, and behaviors. Family caregivers received the hand-washing teaching with leaflet has better effects on the hand hygiene. Most family caregivers were adult that they could learn the hand washing by self-directed learning. Leaflet might be a good educational material to transmit the knowledge by repeated reinforcing family caregivers in hospital.

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