Influencing factors for standard precautions behaviors of primary health care workers based on structural equation model
10.11816/cn.ni.2025-251137
- VernacularTitle:基于结构方程模型的基层医务人员标准预防行为影响因素
- Author:
Yaya LI
1
;
Junni WEI
;
Chenxi ZHANG
;
Jiali XU
Author Information
1. 山西医科大学公共卫生学院流行病学教研室,山西太原 030001;洛阳市洛龙区疾病预防控制中心消毒与病媒生物控制科,河南洛阳 410300
- Publication Type:Journal Article
- Keywords:
Primary health care worker;
Healthcare-associated infection;
Standard precaution;
Knowledge-Atti-tude-Behavior;
Health Belief Model;
Structural equation model;
Influencing factor
- From:
Chinese Journal of Nosocomiology
2025;35(22):3479-3484
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To understand the current status of standard precautions knowledge,behaviors of the pri-mary health care workers and analyze the influencing factors so as to provide bases for improving the standard pre-caution behaviors of the primary health care workers.METHODS A total of 1320 primary health care workers from a district of Luoyang were recruited as the research subjects.In Dec.2024,a cross-sectional survey was conducted by using self-designed questionnaires on standard precautions knowledge,behavior scales,and Health Belief Mod-el(HBM)scales.The survey data were treated with statistical description,reliability and validity tests and struc-tural equation model(SEM)fitting.RESULTS A total of 1205 valid questionnaires were recovered,with an effec-tive recovery rate 91.29％(1205/1320).Among the primary health care workers,45.64％mastered standard pre-cautions knowledge,and 62.99％could implement standard precautions behaviors.There was significant differ-ence in the score of standard precautions knowledge among the health care workers of different genders and age(P＜0.05);the significant differences in standard precautions behavior scores were observed among the health care workers of different genders,professional titles,work regions,and unit natures(P＜0.05).After the Knowledge-Attitude-Behavior(KAB)theory was integrated with the Health Belief Model,the knowledge,per-ceived severity,perceived benefits,perceived barriers,cues to action and self-efficacy had direct impacts on stand-ard precautions behaviors during the implementation process of standard precautions,with direct effect values 0.054,0.112,0.276,-0.062,0.223 and 0.213,respectively.CONCLUSIONS The awareness rate of standard pre-cautions and the implementation level of related behaviors are relatively low among the primary health care work-ers.The standard precautions behaviors can be remarkable improved by designing reasonable training programs to improve medical staff's knowledge,perceived severity,perceived benefits,cues to action and self-efficacy,while by reducing perceived barriers.
