印度古吉拉特邦一家多专科医院培训前后手卫生坚持率的比较

R. Solanki, K. Tanna, Asha Dayabhai Halpati, Navin Ishwarbhai Shah
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引用次数: 0

摘要

简介:在卫生保健机构中打破感染传播链的最有效方法是手卫生。然而,HH的依从率/依从性在世界范围内是不同的。医疗机构应遵循全面、系统的方法来评估HH依从率。定期监测和必要的反馈对于提高健康照护率/依从性至关重要。目的:了解医护人员健康培训对健康依从率的影响。材料和方法:本前瞻性研究在印度古吉拉特邦艾哈迈达巴德的SMS多专科医院进行。该研究为期6个月(2019年10月- 2020年3月)。在ICU和NICU的不同医护人员中,培训前203次,培训后213次,共获得416个机会。按照世界卫生组织(WHO) HH指南,由训练有素的非参与中立人员通过直接观察方法测量HH依从率。对重症监护病房(ICU)和新生儿重症监护病房(NICU)的HCWs(医生、护理人员和护理人员)进行了HH培训。根据WHO的五项HH运动,计算ICU和NICU医护人员培训前和培训后的HH依从率。采用卡方检验进行统计分析。结果:ICU医护人员培训前和培训后的HH依从率分别为41%和69%。NICU医护人员培训前和培训后的HH依从率分别为52%和75%。医护人员训练后ICU和NICU的HH依从率均有提高,差异有统计学意义(p值<0.00001)。培训前和培训后,护理人员的HH依从率均高于医生(ICU为45%,67%;NICU为58%,78%)。手部摩擦是HH的首选方法(93%)。结论:HH培训提高了ICU和NICU医护人员的HH依从率。对医护人员进行入职培训和定期培训,可提高医护人员的遵医嘱率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Hand Hygiene Adherence Rate before and after Training in a Multispecialty Hospital, Gujarat, India
Introduction: The most effective way to break the chain of transmission of infection in healthcare facility is Hand Hygiene (HH). However, the HH adherence rate/compliance is varying worldwide. Healthcare facilities should follow comprehensive, systematic approach for assessment of HH adherence rate. Periodic monitoring and necessary feedback is critical to improve HH adherence rate/compliance. Aim: To know the impact of the HH training of Healthcare Workers (HCW) on HH adherence rate. Materials and Methods: This prospective study was conducted at SMS Multispecialty Hospital, Ahmedabad, Gujarat, India. The study was conducted for the duration of six months (October 2019-March 2020). Total 416 opportunities were accessed in two sessions {203 pretraining and 213 post-training} among different HCWs of ICU and NICU. HH adherence rate was measured by direct observation methods by trained, non participating neutral person as per World Health Organisation (WHO) HH guidelines. HH training was given to HCWs (doctors, nursing staff and attendant) of Intensive Care Unit (ICU) and Neonatal Intensive Care Unit (NICU). Pre and post-training HH adherence rate was calculated among HCWs of ICU and NICU in respect to WHO’s five movement of HH. Chi-square test was used to do statistical analysis. Results: Pre and post-training HH adherence rate of HCWs of ICU is 41% and 69% respectively. However, pre and post- training HH adherence rate of HCWs of NICU was 52% and 75%, respectively. Both ICU and NICU post-training HH adherence rate of HCWs was improved which was statistically significant (p-value <0.00001). Both pre and post-training, compared to doctors, nursing staff had better HH adherence rate (45%, 67% in ICU and 58% and 78% in NICU). Hand rub was preferred method of HH (93%). Conclusion: The HH training improved the HH adherence rate of HCWs of ICU and NICU. Induction and periodic training of HCWs improves HH adherence rate of HCWs.
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