Mayer J A, Dubbert P M, Miller M, Burkett P A, Chapman S W
Infect Control. 1986 May;7(5):259-62. doi: 10.1017/s0195941700064171.
The present study provides the first systematic evaluation of strategies for increasing handwashing of hospital staff. Nursing staff on two intensive care units (ICUs) were observed over a 3-month period. After baseline observations, two interventions were implemented on the experimental unit: changing to an emollient handwashing agent, and providing feedback to staff about the frequency of handwashing. Feedback focused on the previous day's handwashing following completed patient contacts, interrupted patient contacts, and critical procedures. No increase in handwashing was observed following introduction of the emollient soap. However, when feedback was provided on the experimental ICU, handwashing following completed patient contacts (the major dependent measure) increased to 92%, and was significantly higher than handwashing on the control unit. Follow-up observations suggested that compliance on the experimental unit appeared to return to baseline levels.
本研究首次对增加医院工作人员洗手率的策略进行了系统评估。在3个月的时间里，对两个重症监护病房（ICU）的护理人员进行了观察。在基线观察之后，在实验病房实施了两项干预措施：更换为润肤洗手液，并向工作人员反馈洗手频率。反馈集中在完成患者接触、中断患者接触和关键操作后前一天的洗手情况。引入润肤皂后，未观察到洗手率增加。然而，当在实验性ICU提供反馈时，完成患者接触后的洗手率（主要相关指标）提高到了92%，且显著高于对照病房的洗手率。后续观察表明，实验病房的依从性似乎恢复到了基线水平。
