Randle J, Clarke M, Storr J
Queens Medical Centre, Nottingham, UK.
J Hosp Infect. 2006 Nov;64(3):205-9. doi: 10.1016/j.jhin.2006.06.008. Epub 2006 Aug 8.
The 'clean-your-hands' campaign has now been introduced into hospitals in England but it was initially piloted in six acute trusts. The campaign was multi-modal and aimed to improve hand hygiene compliance. This review reports the findings from one of the trusts involved in the pilot. The campaign consisted of a toolkit that included placing alcohol hand rub beside patients, along with posters and supporting marketing materials. A guide to implementation and a strategy aimed at increasing patient information and empowerment was also initiated. In order to assess the success of the campaign, audits of hand hygiene in healthcare workers were conducted over a six-month period. Additionally, data were obtained from staff surveys, patient surveys, usage levels of alcohol hand rub and interviews with the on-site lead. The local campaign indicated that a multi-modal campaign induced a marked increase in hand hygiene compliance (from 32% to 63%), with 74% of staff reporting increased compliance throughout the campaign. Usage of alcohol hand rub increased by 184%. The majority of patients indicated that the public should be actively involved in helping healthcare staff to improve their hand hygiene.
“清洁双手”运动现已在英格兰的医院推行，但最初是在6家急症信托机构进行试点。该运动采取多模式，旨在提高手部卫生的依从性。本综述报告了参与试点的其中一家信托机构的调查结果。该运动包括一个工具包，其中有在患者旁边放置酒精擦手液，以及海报和辅助宣传材料。还启动了一份实施指南和一项旨在增加患者信息及增强患者自主意识的策略。为评估该运动的成效，在6个月期间对医护人员的手部卫生情况进行了审计。此外，还从员工调查、患者调查、酒精擦手液使用水平以及与现场负责人的访谈中获取了数据。当地的这项运动表明，多模式运动使手部卫生的依从性显著提高（从32%提高到63%），74%的员工表示在整个运动期间依从性有所提高。酒精擦手液的使用量增加了184%。大多数患者表示公众应积极参与帮助医护人员改善手部卫生。
