Santana-López B N, Santana-Padilla Y G, Santana-Cabrera L, Martín-Santana J D, Molina-Cabrillana M J
Servicio de Medicina Intensiva, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.
Servicio de Medicina Intensiva, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.
J Healthc Qual Res. 2020 Jul-Aug;35(4):225-235. doi: 10.1016/j.jhqr.2020.04.003. Epub 2020 Jun 24.
To identify perceptions and knowledge about the adherence to hand hygiene of the healthcare staff of an intensive care unit, correlating them with compliance data on adherence to hand hygiene through observational studies MATERIAL AND METHOD: A quantitative methodology has been combined, based on the completion of a personal survey, and a qualitative methodology based on direct observation. Units of Intensive Care of Adults (A-ICU) and Pediatrics (P-ICU) of a tertiary hospital. There were 187 health professionals. Personal and work data of the professionals were collected, as well as questions related to their knowledge and perceptions about the hand hygiene.
Those 187 professionals, 75,9% from A-ICU, represented more than 80% of the study population, and 91.4% had received previous training on hand hygiene. Regarding knowledge, 35% of the A-ICU professionals and almost 50% from the P-ICU consider that hand washing is more effective than hand friction with alcohol-based solutions for the elimination of microorganisms. They have a better perception that they correctly perform the hand washing (89.32% ICU-P and 82.93% ICU-A), than when we compare them to the adherence rates obtained by direct observation (ICU-P 73.8% and ICU-A 51.4%, P=0.0001).
Despite having previous training on hand hygiene, they have incomplete knowledge and, although they overestimate the problem of the healthcare-associated infections, they have a perception that does not fit with reality.
通过观察性研究确定重症监护病房医护人员对手卫生依从性的认知和知识，并将其与手卫生依从性的合规数据相关联。
采用了一种定量方法，基于个人调查问卷的完成情况，以及一种基于直接观察的定性方法。研究对象为一家三级医院的成人重症监护病房（A-ICU）和儿科重症监护病房（P-ICU）。共有187名卫生专业人员。收集了专业人员的个人和工作数据，以及与他们对手卫生的知识和认知相关的问题。
这187名专业人员中，75.9%来自A-ICU，占研究人群的80%以上，91.4%曾接受过手卫生方面的培训。在知识方面，35%的A-ICU专业人员和近50%的P-ICU专业人员认为洗手比用含酒精溶液擦手更有效地消除微生物。他们对自己正确洗手的认知较好（P-ICU为89.32%，A-ICU为82.93%），但与直接观察获得的依从率相比（P-ICU为73.8%，A-ICU为51.4%，P=0.0001），实际情况并非如此。
尽管他们曾接受过手卫生方面的培训，但知识并不完整，并且尽管他们高估了医疗相关感染问题，但他们的认知与实际情况不符。
