Centre for Patient Safety and Service Quality, Department of Surgery and Cancer, Imperial College London, St Mary's Hospital, London, UK.
Centre for Patient Safety and Service Quality, Department of Surgery and Cancer, Imperial College London, St Mary's Hospital, London, UK.
J Hosp Infect. 2015 Mar;89(3):141-62. doi: 10.1016/j.jhin.2014.11.010. Epub 2014 Dec 16.
Patients could help to improve the hand hygiene (HH) compliance of healthcare professionals (HCPs) by reminding them to sanitize their hands.
To review the effectiveness of strategies aimed at increasing patient involvement in reminding HCPs about their HH.
A systematic review was conducted across Medline, EMBASE and PsycINFO between 1980 and 2013.
Twenty-eight out of a possible 1956 articles were included. Of these, 23 articles evaluated the effectiveness of developed patient-focused strategies and five articles examined patients' attitudes towards hypothetical strategies. Sixteen articles evaluated single-component strategies (e.g. videos) and 12 articles evaluated multi-modal approaches (e.g. combination of video and leaflet). Overall, the strategies showed promise in helping to increase patients' intentions and/or involvement in reminding HCPs about their HH. HCP encouragement appeared to be the most effective strategy. However, the methodological quality of the articles in relation to addressing the specific aims of this review was generally weak.
A number of strategies are available to encourage patients to question HCPs about their HH. Better controlled studies with more robust outcome measures will enhance understanding about which strategies may be most successful and why.
患者可以通过提醒医护人员（HCPs）进行手部卫生（HH）来帮助提高 HH 依从性。
回顾旨在增加患者参与提醒 HCP 手部卫生的策略的有效性。
在 1980 年至 2013 年间，在 Medline、EMBASE 和 PsycINFO 上进行了系统评价。
从可能的 1956 篇文章中筛选出 28 篇。其中，23 篇文章评估了针对患者的开发策略的有效性，5 篇文章研究了患者对假设策略的态度。16 篇文章评估了单一成分策略（例如视频），12 篇文章评估了多模式方法（例如视频和传单的结合）。总体而言，这些策略在帮助增加患者提醒 HCP 注意 HH 的意愿和/或参与度方面显示出了前景。医护人员的鼓励似乎是最有效的策略。然而，与本综述的具体目标相关的文章在方法学质量方面普遍较弱。
有许多策略可用于鼓励患者询问 HCP 关于 HH 的情况。更好的控制研究和更强大的结果衡量标准将增强对哪些策略可能最成功以及为什么成功的理解。
