Demirel Aslihan
Aslihan Demirel, Department of Infectious Diseases, Istanbul Kadikoy Florence Nightingale Hospital, Istanbul, Turkey.
Pak J Med Sci. 2019;35(3):721-725. doi: 10.12669/pjms.35.3.6.
Improving the compliance to hand hygiene in healthcare providers is important to reduce healthcare-associated infections. This study aimed to compare the compliance rate before and after the improvement of compliance to hand hygiene.
In this study 270 of the 348 medical staff working in a 61-bed private hospital was observed. The informed observation was performed by the infection control committee in the entire hospital using "Five Moments for Hand Hygiene" for a period of one year. After the first six months, an improvement study was conducted together with the hospital's quality department using the plan-do-check-act cycle. The study was conducted in a private hospital in Istanbul/Turkey; Kadıkoy Florence Nightingale Hospital in 2014.
In the first six months of the year, 153 actions were observed at 316 proper situations. The compliance rate was 35%, 54% and 64% for the physicians, nurses and, other healthcare staff, respectively. The overall compliance rate was 48%. One hundred eighty-three actions were observed for 306 situations after the improvement and education studies. The compliance rate was 29%, 72% and 86%. The overall mean compliance rate was 60%.
The promotion of hand hygiene requires the cooperation of the hospital administrators, infection control committee, and quality departments for better hand hygiene practices among the healthcare providers.
提高医护人员对手卫生的依从性对于减少医疗相关感染至关重要。本研究旨在比较手卫生依从性改善前后的依从率。
本研究观察了一家拥有61张床位的私立医院中348名医护人员中的270名。由医院感染控制委员会在全院采用“手卫生五个时刻”进行为期一年的知情观察。在前六个月之后，与医院质量部门一起使用计划-执行-检查-行动循环开展了一项改进研究。该研究于2014年在土耳其伊斯坦布尔的一家私立医院——卡德柯伊弗洛伦斯·南丁格尔医院进行。
在该年的前六个月，在316个适当情况下观察到153次手卫生行为。医生、护士和其他医护人员的依从率分别为35%、54%和64%。总体依从率为48%。在改进和教育研究后，在306个情况下观察到183次手卫生行为。依从率分别为29%、72%和86%。总体平均依从率为60%。
促进手卫生需要医院管理人员、感染控制委员会和质量部门的合作，以便医护人员更好地践行手卫生规范。
