背景:医护人员(HCWs)的手部卫生(HH)对于预防疗养院的感染至关重要。然而,HCW中的HH依从性(HHC)仍然很低。本研究旨在研究反馈光对HCWs\'HHC的影响。
方法:一项为期5个月的介入研究是在一个疗养院的三个病房中进行的。干预期间,当HCW使用ABHR时,含酒精的手擦(ABHR)分配器上出现了带有微笑的绿灯,确认HCWs使用ABHR。使用自动手部卫生监测系统(AHHMS)监测HHC。
结果:共纳入64例HCWs。AHHMS在公寓和肮脏的杂物间收集了23,696个HH机会。总的来说,在干预期间,公寓中的HHC从基线时的50%(95%CI:48,53)增加到56%(95%CI:54,58)。然而,随访期间HHC水平的升高并未持续.
结论:AHHMS能够评估干预措施。我们在公寓中发现了光导反馈的显着效果。然而,关灯后,HHC的增加并未持续.
BACKGROUND: Hand hygiene (HH) among health care workers (HCWs) is crucial in preventing infections in nursing homes. However, HH compliance (HHC) among HCWs remains low. This study aimed to investigate the effect of feedback lights on HCWs\' HHC.
METHODS: A 5-month interventional study was conducted in 3 wards in a nursing home in Denmark. During the intervention period, a green light with a smiley appeared on the alcohol-based hand rub (ABHR) dispensers when HCWs used the ABHR, acknowledging HCWs for using the ABHR. HHC was monitored using an automatic HH monitoring system (AHHMS).
RESULTS: A total of 64 HCWs were enrolled. The AHHMS collected 23,696 HH opportunities in apartments and dirty utility rooms. Overall, HHC in the apartments increased from 50% at baseline (95% CI: 48, 53) to 56% (95% CI: 54, 58) during the intervention. However, the increased HHC level was not sustained during follow-up.
CONCLUSIONS: The AHHMS enabled the assessment of the intervention. We found a significant effect of light-guided feedback in the apartments. However, the increased HHC was not sustained after the light was switched off.