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沙特阿拉伯一家初级医疗保健中心手部卫生自我评估框架的实施:一项随访研究。

Implementation of the Hand hygiene self-assessment framework in a primary healthcare Centre in Saudi Arabia: A follow-up study.

作者信息

Alharbi Olaa M, Imam Mohammed A, Alharbi Ahmad M

机构信息

Department of continuing professional development and continuing medical education, Umm Al-Qura University Medical clinic, Makkah 24381, Saudi Arabia.

Department of Medical Microbiology and Parasitology, Qunfudah Faculty of Medicine, Umm Al-Qura University, Al-Qunfudah, 21961, Saudi Arabia.

出版信息

Infect Prev Pract. 2024 Nov 29;7(1):100428. doi: 10.1016/j.infpip.2024.100428. eCollection 2025 Mar.

DOI:10.1016/j.infpip.2024.100428
PMID:39886209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11780078/
Abstract

Although HH (HH) practices can prevent healthcare related infections, low compliance is a major concern. We evaluated HH using a WHO observational tool and HH self-assessment framework (HHSAF) in 30 individuals in a mix of healthcare professions, before and after the implementation of the framework. In 182 opportunities to demonstrate HH practices, pre-implementation scores were assessed across five different domains including system change, training, and evaluation and feedback. Post-implementation scores obtained after 12 months showed HH compliance of 53%, with highest improvements seen across evaluation and feedback domain. The compliance rates after exposure to body fluids was 100%.

摘要

尽管手卫生(HH)措施可预防医疗相关感染,但依从性低仍是一个主要问题。在实施该框架之前和之后,我们使用世界卫生组织的观察工具和手卫生自我评估框架(HHSAF)对30名不同医疗职业的人员进行了手卫生评估。在182次展示手卫生措施的机会中,在实施前对包括系统变革、培训以及评估与反馈在内的五个不同领域进行了评分。12个月后获得的实施后评分显示手卫生依从率为53%,其中评估与反馈领域的改善最为明显。接触体液后的依从率为100%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7285/11780078/245c1a10b1f4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7285/11780078/245c1a10b1f4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7285/11780078/245c1a10b1f4/gr1.jpg

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本文引用的文献

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Hand hygiene initiative: comparative study of pre- and postintervention outcomes.手卫生倡议:干预前后结果的对比研究。
East Mediterr Health J. 2020 Feb 24;26(2):198-205. doi: 10.26719/2020.26.2.198.
2
Ten-year resistance trends in pathogens causing healthcare-associated infections; reflection of infection control interventions at a multi-hospital healthcare system in Saudi Arabia, 2007-2016.2007-2016 年沙特阿拉伯多医院医疗保健系统中感染控制干预措施的反映:导致医疗保健相关性感染的病原体十年耐药趋势。
Antimicrob Resist Infect Control. 2020 Jan 30;9(1):21. doi: 10.1186/s13756-020-0678-0.
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European intensive care physicians' experience of infections due to antibiotic-resistant bacteria.
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Antimicrob Resist Infect Control. 2020 Jan 2;9(1):1. doi: 10.1186/s13756-019-0662-8. eCollection 2020.
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Hand hygiene: Attitudes and practices of nurses, a comparison between 2007 and 2015.手部卫生:护士的态度与实践,2007年与2015年的比较
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Testing the WHO Hand Hygiene Self-Assessment Framework for usability and reliability.测试世卫组织手卫生自我评估框架的可用性和可靠性。
J Hosp Infect. 2013 Jan;83(1):30-5. doi: 10.1016/j.jhin.2012.05.017. Epub 2012 Nov 11.
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