Intervention effect on hand hygiene of health care workers in a general in-tensive care unit
10.3969/j.issn.1671-9638.2015.11.017
- VernacularTitle:综合重症监护病房医护人员手卫生干预效果分析
- Author:
Lili CHENG
;
Xiuyue ZHANG
;
Hongyan YANG
;
Ximeng ZHAO
;
Yanan MA
- Publication Type:Journal Article
- Keywords:
intensive care unit;
health care worker;
hand washing;
hand hygiene;
compliance rate;
monitoring
- From:
Chinese Journal of Infection Control
2015;(11):783-785
- CountryChina
- Language:Chinese
-
Abstract:
Objective To intervene hand hygiene(HH)of health care workers (HCWs)in an intensive care unit(ICU)of a hospital,and evaluate HH compliance of HCWs and influencing factors.Methods 37 HCWs from an ICU of a teaching hospital were chosen as studied subjects,HH status before and after intervention was observed and analyzed by direct and indirect methods.Results In the first monitoring stage,HH rate in baseline and post-intervention survey stage was signifi-cantly different (46.96% vs 63.30%,χ2 =7.344,P =0.007);in the second monitoring stage,HH compliance rate in-creased from 57.85% to 88.58%.HH compliance rate was positively correlated with consumption of HH product per bed-day(r=0.725,P <0.001),but negatively correlated with incidence of healthcare-associated infection(HAI)and case rate of HAI(r=-0.983,-0.990,respectively,both P <0.001),HH rate to alcohol-based hand sanitizers was positively correlated with consumption of HH product per bed-day (r=0.391,P <0.001 ).Conclusion Long-term monitoring and intervention of HH compliance is necessary,combination of direct observation and indirect assessment of HH product con-sumption is helpful for effective monitoring and intervention of HH compliance among HCWs.
