Department of Community Medicine, Aminu Kano Teaching Hospital, Kano, Kano State, Nigeria.
Department of Community, Medicine Aminu Kano Teaching Hospital and Bayero University, Kano, Kano State, Nigeria.
Niger Postgrad Med J. 2021 Apr-Jun;28(2):94-101. doi: 10.4103/npmj.npmj_420_21.
Poor compliance with recommended hand hygiene practise by health-care workers is an emerging public health threat associated with significant morbidity, mortality and spread of multidrug-resistant microorganisms.
This study assessed the effect of voice reminder on compliance with recommended hand hygiene practise among the baseline, and post-intervention compliance with recommended hand hygiene among health-care workers using the WHO checklist for observation of 5-moments of hand hygiene of health-care workers in Kano.
Quasi-experimental study design was used. A total of 408 (204 in each arm) baseline and post-intervention observations were conducted in two hospitals in Kano, selected using a multistage sampling technique. Voice reminders were installed in the intervention hospital, and post-intervention observation was conducted 3 months after introducing a voice reminder. SPSS version 22.0 was used for data analysis. Relationship between variables was tested using χ and McNemar's test within the groups at 0.05 α-level of significance.
Baseline compliance with hand hygiene in the intervention and control hospitals were 31.4% and 48.0%, respectively. Post-intervention compliance in the intervention and control hospitals were found to be 78.0% and 65.2%, respectively. Voice reminder improved compliance with hand hygiene practise when compared with baseline by +148% (P# = 0.3) in the intervention hospital compared with +36% (P# =0.1) in the control hospital. The differences were not statistically significant post-intervention when compared with the baseline.
Voice reminder intervention improved hand hygiene compliance among health-care workers in the intervention hospital compared with the control hospital. Voice reminders should be provided in the hospitals by stakeholders. This can help in improving compliance with hand hygiene among health-care workers and reducing the burden of hospital-acquired infections due to the hands of health-care workers.
医护人员对推荐的手部卫生实践的依从性差是一种新兴的公共卫生威胁，与重大发病率、死亡率和多药耐药微生物的传播有关。
本研究评估了语音提示对使用世界卫生组织（WHO）医护人员手部卫生观察 5 时刻检查表观察到的基础期和干预后医护人员推荐的手部卫生实践依从性的影响，该检查表在卡诺的两家医院中使用。
采用准实验设计。使用多级抽样技术在卡诺的两家医院中进行了总共 408 次（每组 204 次）基线和干预后观察。在干预医院安装了语音提示，在引入语音提示 3 个月后进行了干预后观察。使用 SPSS 版本 22.0 进行数据分析。使用组内的 χ 和 McNemar 检验测试变量之间的关系，显著性水平为 0.05α。
干预和对照医院的基线手部卫生依从率分别为 31.4%和 48.0%。干预和对照医院的干预后依从率分别为 78.0%和 65.2%。与基线相比，干预医院的语音提示将手部卫生实践的依从率提高了+148%（P#=0.3），而对照医院仅提高了+36%（P#=0.1）。与基线相比，干预后两组之间的差异没有统计学意义。
与对照医院相比，语音提示干预提高了干预医院医护人员的手部卫生依从性。利益相关者应在医院提供语音提示。这有助于提高医护人员的手部卫生依从性，减少因医护人员手部引起的医院获得性感染负担。
