Graveto João Manuel Garcia do Nascimento, Rebola Rita Isabel Figueira, Fernandes Elisabete Amado, Costa Paulo Jorge Dos Santos
Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Rev Bras Enferm. 2018 May;71(3):1189-1193. doi: 10.1590/0034-7167-2017-0239.
Hand hygiene plays a key role in the prevention of healthcare-associated infections. Therefore, this study aims to analyze nurses' adherence to hand hygiene and identify intervention strategies to improve this procedure.
Integrative literature review, using the Cochrane methodology, to answer the following question: "What is the level of effectiveness of training in improving nurses' adherence to hand hygiene?".
Studies show that nurses' adherence to hand hygiene has increased from 42.9% to 61.4% (p<0.001), or even from 63% to 76% (p<0.005) after a specific training intervention.
After training, nurses' adherence to hand hygiene improved, particularly when compared to the other professionals involved. Despite its simplicity, the implementation of a training program and its subsequent follow-up have a positive on nurses' attitudes and adherence to hand hygiene.
手部卫生在预防医疗相关感染中起着关键作用。因此，本研究旨在分析护士对手部卫生的依从性，并确定改善这一程序的干预策略。
采用Cochrane方法进行综合文献综述，以回答以下问题：“培训在提高护士手部卫生依从性方面的有效性水平如何？”
研究表明，经过特定的培训干预后，护士对手部卫生的依从性从42.9%提高到了61.4%（p<0.001），甚至从63%提高到了76%（p<0.005）。
培训后，护士对手部卫生的依从性有所提高，特别是与其他相关专业人员相比。尽管培训计划实施简单，但其后续跟进对护士对手部卫生的态度和依从性有积极影响。
