Comparison of hand hygiene compliance of health care workers observed through multiple methods
10.12138/j.issn.1671-9638.20245202
- VernacularTitle:多途径观察医务人员手卫生依从性的比较研究
- Author:
Xiao-Man PAN
1
;
Yi-Hong WU
;
Xia LI
;
Li-Ming YANG
;
Li-Jun SHEN
Author Information
1. 铜仁市妇幼保健院院内感染控制科,贵州 铜仁 553400
- Keywords:
concealed observation method;
monitoring observation method;
hand hygiene;
compliance;
correlation
- From:
Chinese Journal of Infection Control
2024;23(9):1163-1166
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status of hand hygiene(HH)compliance with concealed observa-tion method,compare compliance rates of HH of health care workers(HCWs)obtained through concealed observa-tion method,direct observation method and monitoring observation method,provide effective surveillance methods and means for further improving HH compliance.Methods Data about HH compliance and HH products consump-tion in a hospital obtained through monitoring observation method,concealed observation method,and direct obser-vation method were collected,all observed HCWs have received unified training,the correlation among three me-thods and HH consumption were explored.Results Differences in HH compliance rates obtained by different ob-servation methods were statistically significant(x2=17.401,P＜0.001).The direct observation method had the highest HH compliance rate at 95.08％,while the concealed observation method had the lowest HH compliance rate at 50.83％.The daily consumption of HH products was highest in department of neonatology,at 119.14 mL/bed-day,and lowest in department of pediatrics,at 10.39 mL/bed-day.The monitoring observation method(r=0.975,P=0.005)and the concealed observation method(r=0.949,P=0.012)had a good correlation with the consump-tion of HH products.The concealed observation method showed that the department with the highest HH compli-ance rate was department of neonatology,at 90.00％.Conclusion The actual HH compliance can be indirectly re-flected by comprehensive monitoring observation method and the consumption of HH products per bed-day.
