Chaberny I F, Möller I, Graf K
Institut für Med. Mikrobiologie und Krankenhaushygiene, Medizinische Hochschule Hannover.
Pneumologie. 2009 Apr;63(4):219-21. doi: 10.1055/s-0028-1100830. Epub 2009 Mar 2.
Hand disinfection is a well-known and appropriate practise for infection prevention. Hence, it is logical to encourage its compliance and to provide its sustainability in the daily routine of a hospital. Several campaigns address an improvement of this important prevention measure.
In the Hannover Medical School the health staffs on the intensive care units and bone marrow transplantation wards were examined for this topic by a standardised questionnaire. The aim was to detect deficiencies and the level of knowledge.
The forms were handed out to 838 health-care workers on 12 wards. 346 (41.2 %) were analysed. Inadequate hand disinfection due to a lack of time was the most common answer (43.1 %), followed by "there is no reason" (37.3 %). The alcoholic hand rub should be better available (50.3 %) and a continuing education programme should be provided (42.8 %) for improving hand hygiene practise.
The survey revealed the known risk factors for non-compliance. At this point, the national hand campaign "Aktion Saubere Hände" supports training courses by providing instruction materials for all participants. These materials are used for training health-care workers individually.
手部消毒是一种广为人知且恰当的感染预防措施。因此，在医院日常工作中鼓励遵守手部消毒规定并确保其可持续性是合乎逻辑的。多项活动致力于改善这一重要的预防措施。
在汉诺威医学院，通过标准化问卷对重症监护病房和骨髓移植病房的医护人员进行了关于该主题的调查。目的是发现不足之处和知识水平。
问卷发放给了12个病房的838名医护人员。对346份（41.2%）问卷进行了分析。因时间不足导致手部消毒不充分是最常见的答案（43.1%），其次是“没有理由”（37.3%）。酒精擦手液应更易于获取（50.3%），并且应提供继续教育项目（42.8%）以改善手部卫生习惯。
调查揭示了已知的不遵守规定的风险因素。此时，全国性的手部活动“Aktion Saubere Hände”通过为所有参与者提供指导材料来支持培训课程。这些材料用于对医护人员进行个别培训。
