Department of Clinical and Chemical Pathology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Department of Public Health and Community Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.
Am J Infect Control. 2020 Mar;48(3):249-254. doi: 10.1016/j.ajic.2019.07.019. Epub 2019 Oct 7.
Although educational programs could enhance knowledge, practices, and compliance with hand hygiene (HH) for health care workers, the researches focusing on effective methods for educating and increasing the compliance with HH practices are scanty. Consequently, the researchers conducted the present study to assess HH-related knowledge, attitude, and compliance rate after the implementation of a modified version of the World Health Organization (WHO) multimodal strategy was written in the background.
A pretest-posttest quasiexperimental study was conducted in a university hospital in Cairo among 84 nurses. The study consisted of 4 phases: baseline assessment, intervention, postintervention assessment, and follow-up phase. The intervention (HH-campaign) consisted of 4 components: infrastructure change, training/education of health care workers, posting visual reminders, and development of institutional safety climate "hand hygiene champions."
HH compliance rate significantly increased from 28% before the intervention to 50% after the intervention and 58% after the follow-up period (P < .001). The knowledge score and the attitude score significantly improved before and after the intervention (P < .001). The use of alcohol handrub significantly increased from 9.5% before the intervention to 65% after the intervention and 76% after the follow-up period.
Implementation of a modified version of the World Health Organization multimodal strategy successfully doubled HH compliance rates. Tackling a social way of thinking together with regular frequent training and follow-up are essential to sustain adherence to safe HH practices.
尽管教育计划可以提高医护人员的知识、实践和遵守手卫生（HH）的水平，但专注于教育和提高 HH 实践依从性的有效方法的研究仍然很少。因此，研究人员在世界卫生组织（WHO）多模式策略的修改版本的背景下进行了本研究，以评估 HH 相关知识、态度和依从率。
在开罗的一所大学医院进行了一项预试验后准实验研究，共有 84 名护士参与。研究分为 4 个阶段：基线评估、干预、干预后评估和随访阶段。干预（HH 运动）包括 4 个组成部分：基础设施改变、医护人员培训/教育、张贴视觉提示和发展机构安全氛围“手卫生冠军”。
HH 依从率从干预前的 28%显著增加到干预后的 50%和随访后的 58%（P<0.001）。知识得分和态度得分在干预前后显著提高（P<0.001）。酒精擦手液的使用率从干预前的 9.5%显著增加到干预后的 65%和随访后的 76%。
实施 WHO 多模式策略的修改版本成功地将 HH 依从率提高了一倍。共同解决一种社会思维方式，以及定期频繁的培训和随访，对于维持安全 HH 实践的依从性至关重要。
