Liu Wen-I, Liang Shu-Yuan, Wu Shu-Fang Vivienne, Chuang Yeu-Hui
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Int J Nurs Pract. 2014 Feb;20(1):46-52. doi: 10.1111/ijn.12120. Epub 2013 Jun 18.
This study aimed to explore the hand hygiene compliance among the nursing staff in Taiwanese freestanding nursing homes. A descriptive observational research design was used. A total of 782 opportunities for hand hygiene were observed by one trained research assistant in two freestanding nursing homes. The hand-hygiene observation tool was used to assess hand hygiene practice. The overall hand hygiene compliance among nursing staff in nursing homes was only 11.3%. Results further showed that the compliance was greater after contact with body fluids (odds ratio = 6.9, confidence interval (CI) = 3.75-9.88, P = 0.000) and lower before the performance of aseptic procedures (odds ratio = 0.15, CI = 0.04-0.63, P = 0.003) when compared with other activities. Hand hygiene compliance was relatively low among the nursing staff in freestanding nursing homes in Taiwan. To comprehensively analyze this issue, further research involving a larger number of nursing homes and strategies to improve compliance with hand hygiene among the nursing staff at these institutions is needed.
本研究旨在探讨台湾独立式养老院护理人员的手卫生依从性。采用描述性观察研究设计。一名经过培训的研究助理在两家独立式养老院共观察了782次手卫生机会。使用手卫生观察工具评估手卫生实践情况。养老院护理人员的总体手卫生依从率仅为11.3%。结果进一步显示，与其他活动相比，接触体液后的依从性更高（优势比=6.9，置信区间（CI）=3.75-9.88，P=0.000），而在进行无菌操作前的依从性较低（优势比=0.15，CI=0.04-0.63，P=0.003）。台湾独立式养老院护理人员的手卫生依从性相对较低。为全面分析此问题，需要开展涉及更多养老院的进一步研究以及提高这些机构护理人员手卫生依从性的策略。
