Longtin Yves, Sax Hugo, Allegranzi Benedetta, Hugonnet Stéphane, Pittet Didier
University of Geneva Hospitals, Switzerland.
Infect Control Hosp Epidemiol. 2009 Sep;30(9):830-9. doi: 10.1086/599118.
Research suggests that patients could improve healthcare workers' compliance with hand hygiene recommendations by reminding them to cleanse their hands.
To assess patients' perceptions of a patient-participation program to improve healthcare workers' compliance with hand hygiene.
Cross-sectional survey of patient knowledge and perceptions of healthcare-associated infections, hand hygiene, and patient participation, defined as the active involvement of patients in various aspects of their health care.
Large Swiss teaching hospital.
Of 194 patients who participated, most responded that they would not feel comfortable asking a nurse (148 respondents [76%]) or a physician (150 [77%]) to perform hand hygiene, and 57 (29%) believed that this would help prevent healthcare-associated infections. In contrast, an explicit invitation from a healthcare worker to ask about hand hygiene doubled the intention to ask a nurse (from 34% to 83% of respondents; P < .001) and to ask a physician (from 30% to 78%; P < .001). In multivariate analysis, being nonreligious, having an expansive personality, being concerned about healthcare-associated infections, and believing that patient participation would prevent healthcare-associated infections were associated with the intention to ask a nurse or a physician to perform hand hygiene (P < .05). Being of Jewish, Eastern Orthodox, or Buddhist faith was associated also with increased intention to ask a nurse (P < .05), compared with being of Christian faith.
This study identifies several sociodemographic characteristics associated with the intention to ask nurses and physicians about hand hygiene and underscores the importance of a direct invitation from healthcare workers to increase patient participation and foster patient empowerment. These findings could guide the development of future hand hygiene-promotion strategies.
研究表明，患者可通过提醒医护人员洗手来提高他们对手部卫生建议的依从性。
评估患者对一项旨在提高医护人员手部卫生依从性的患者参与计划的看法。
对患者关于医疗相关感染、手部卫生及患者参与（定义为患者积极参与自身医疗护理的各个方面）的知识和看法进行横断面调查。
瑞士大型教学医院。
在参与调查的194名患者中，大多数人表示让护士（148名受访者[76%]）或医生（150名[77%]）洗手会让他们感觉不舒服，57名（29%）患者认为这有助于预防医疗相关感染。相比之下，医护人员明确邀请患者询问手部卫生情况后，询问护士的意愿增加了一倍（从受访者的34%增至83%；P <.001），询问医生的意愿也增加了一倍（从30%增至78%；P <.001）。多因素分析显示，无宗教信仰、性格外向、担心医疗相关感染以及认为患者参与可预防医疗相关感染与让护士或医生洗手的意愿相关（P <.05）。与基督教信仰者相比，犹太教、东正教或佛教信仰者询问护士的意愿也有所增加（P <.05）。
本研究确定了与询问护士和医生手部卫生情况的意愿相关的几个社会人口学特征，并强调了医护人员直接邀请对增加患者参与和增强患者权能的重要性。这些发现可为未来手部卫生促进策略的制定提供指导。
