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多模式手卫生依从性策略的效果:一项综合综述。

Efficacy of the multimodal strategy for Hand Hygiene compliance: an integrative review.

作者信息

Valim Marília Duarte, Rocha Ianne Lanna de Souza, Souza Thais Pedroso Martins, Cruz Yasmin Aparecida da, Bezerra Thaissa Blanco, Baggio Érica, Morais Richarlisson Borges de, Ribeiro Antônio César

机构信息

Universidade Federal de Mato Grosso,Faculdade de Enfermagem. Cuiabá-MT, Brasil.

Universidade Federal de Uberlândia, Escola Técnica de Saúde. Uberlândia-MG, Brasil.

出版信息

Rev Bras Enferm. 2019 Mar-Apr;72(2):552-565. doi: 10.1590/0034-7167-2018-0584. Epub 2019 Apr 18.

Abstract

OBJECTIVE

Evaluate, from the literature, the effectiveness of the implementation of the multimodal strategy for health professionals compliance with Hand Hygiene and its sustainability over time.

METHOD

Integrative review, with a view to answering the following question: "Is the implementation of the multimodal strategy effective in health professionals compliance with Hand Hygiene and can it be sustained over time?". The MEDLINE, SCOPUS, LILACS and CINAHL databases were used to retrieve the primary articles.

RESULTS

Twenty-five studies were analyzed. Among the components of the multimodal strategy, three need to be better worked: health education, feedback from practices and management involvement. Although it needs to focus more on its five elements, interventions based on the multimodal strategy have favored HH compliance and its long-term sustainability.

CONCLUSION

The strategy proved to be effective for HH compliance, especially when all integrating components are adequately addressed.

摘要

目的

从文献中评估多模式策略在促使卫生专业人员遵守手部卫生方面的有效性及其随时间的可持续性。

方法

进行综合综述,旨在回答以下问题:“多模式策略在促使卫生专业人员遵守手部卫生方面是否有效,以及能否长期维持?”。使用MEDLINE、SCOPUS、LILACS和CINAHL数据库检索原始文章。

结果

分析了25项研究。在多模式策略的组成部分中,有三个方面需要进一步完善:健康教育、实践反馈和管理参与。尽管需要更多地关注其五个要素,但基于多模式策略的干预措施有利于手部卫生的遵守及其长期可持续性。

结论

该策略被证明在促使手部卫生遵守方面是有效的,特别是当所有整合要素都得到充分解决时。

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