Implementation of the world health organization hand hygiene improvement strategy in critical care units.
Implementation of the world health organization hand hygiene improvement strategy in critical care units.
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DOI：
10.1186/2047-2994-2-15
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发表时间：
2013-05-14
影响因子：
5.5
通讯作者：
Abdullah D
中科院分区：
文献类型：
--
作者：
Mazi W;Senok AC;Al-Kahldy S;Abdullah D
为了确定重症监护室干预活动前后的手部卫生依从性，本研究在沙特阿拉伯塔伊夫阿卜杜勒阿齐兹国王专科医院的重症监护室（ICU）、新生儿重症监护室（NICU）、烧伤科（BU）和肾脏科进行。使用世卫组织手部卫生方案的观察分四个阶段进行，第一阶段为2010年4月24日至5月6日，第二阶段为2010年5月29日至6月9日。在第一阶段和第二阶段之间进行了教育干预。随访阶段III和IV分别为2010年10月1 -15日和2011年3月15-30日。观察到1，975次手部卫生机会，包括第一阶段409次，第二阶段406次，第三阶段620次和第四阶段540次。干预前的依从率为67%，第二阶段为81%，第三阶段和第四阶段分别降至59%和65%。ICU中的依从性从I期的39%增加到IV期的81%（p < 0.05）在整个研究期间持续。在所有阶段，护士的依从率最高。在干预后阶段观察到的医生依从性改善在随访阶段消失。错过的手卫生机会是在接触患者之前、接触患者周围环境之后和无菌技术之前。团队合作和领导被认为是促进遵守的因素。世卫组织手卫生战略与健康教育、持续评价和团队方法相结合，提高了遵守率，但在某些重症监护领域并没有持续下去。
To determine hand hygiene compliance before and after an intervention campaign in critical care units, this study was carried out in the Intensive care unit (ICU), Neonatal intensive care unit (NICU), Burns unit (BU) and the Kidney unit of the King Abdul Aziz Specialist Hospital, Taif, Saudi Arabia. The observation using the WHO hand hygiene protocol took place in four phases with phase I, between April 24-May 06 2010 and phase II from May 29-June 09 2010. An educational intervention took place between the Phases I and II. Follow-up Phases III and IV were from 01–15 October 2010 and 15–30 March 2011 respectively. 1,975 hand hygiene opportunities comprising of 409 in Phase I, 406 in Phase II, 620 in Phase III and 540 Phase IV were observed. Compliance rate was 67% pre-intervention, 81% in phase II, declining to 59% and 65% in phases III and IV. Increased compliance in the ICU from 39% in Phase I to 81% in Phase IV (p < 0.05) was sustained throughout the study. Highest compliance rates were recorded among nurses in all phases. The improved compliance for physicians observed in the post-intervention phase was lost in follow-up phases. Missed opportunities for hand hygiene were before patient contact, after touching patient’s surrounding and before aseptic techniques. Team-work and leadership were identified as enhancing factors for compliance. The WHO hand hygiene strategy combined with health education, continuous evaluation and team approach resulted in increased compliance but this was not sustained in certain critical care areas.
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影响因子：
4.4
作者：
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通讯作者：
Bolon, Maureen
影响因子：
4.5
作者：
Sax, Hugo;Uckay, Ilker;Pittet, Didier
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Castells, Xavier
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作者：
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通讯作者：
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