This study aimed to identify factors influencing hand hygiene compliance among elderly caregivers in long-term care facilities, based on the theory of planned behavior (TPB). A cross-sectional survey was conducted among 133 elderly caregivers from four long-term care facilities in Daegu Metropolitan City and Gyeongsangbuk-do, South Korea. Self-reported questionnaires assessed hand hygiene-related belief factors (behavioral, normative, and control beliefs), core TPB factors (attitude toward the behavior, subjective norm, perceived behavioral control), intention, and hand hygiene compliance. Descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression analyses were performed. The mean scores for hand hygiene attitude, subjective norm, and behavioral intention among participants exceeded the scale midpoint, whereas scores for control beliefs and perceived behavioral control were relatively lower. Hand hygiene compliance was significantly correlated with behavioral beliefs (r = 0.23, p = 0.008), control beliefs (r = 0.26, p = 0.002), attitude toward behavior (r = 0.18, p = 0.038), perceived behavioral control (r = 0.41, p < 0.001), and intention (r = 0.31, p < 0.001). Multiple regression identified perceived behavioral control (β = 0.33, p = 0.002) and intention (β = 0.23, p = 0.006) as significant predictors of compliance, explaining 19.1% of the variance (Adjusted R² = 0.191). Hand hygiene compliance among elderly caregivers is determined primarily by perceived behavioral control and intention. Interventions should not only enhance knowledge but also address structural and organizational factors-including workload, accessibility of hand hygiene facilities, feedback systems, and peer modeling-to strengthen caregivers’ perceived control and translate intention into action.
저자
Tae-Young Kim [ Department of Nursing, College of Health and Welfare, Gyeongkuk National University, Andong, Korea ]
Eun-Ju Jeon [ Department of Nursing, College of Health and Welfare, Gyeongkuk National University, Andong, Korea ]
Nam-Hyun Cha [ Department of Nursing, College of Health and Welfare, Gyeongkuk National University, Andong, Korea ]
Corresponding Author