■为了确定对重症监护病房医护人员的手部卫生依从性的看法和知识,通过材料和方法观察性研究将它们与遵守手部卫生的依从性数据相关联:结合了定量方法,根据个人调查的完成,和基于直接观察的定性方法。三级医院的成人重症监护病房(A-ICU)和儿科重症监护病房(P-ICU)。有187名卫生专业人员。收集了专业人员的个人和工作数据,以及与他们关于手部卫生的知识和看法有关的问题。
结果:这187名专业人员,75,9%来自A-ICU,占研究人群的80%以上,91.4%曾接受过手卫生培训。关于知识,35%的A-ICU专业人员和近50%的P-ICU专业人员认为,洗手比用酒精为基础的解决方案消除微生物的手摩擦更有效。他们有更好的感觉,他们正确地执行洗手(89.32%ICU-P和82.93%ICU-A),比我们将它们与直接观察获得的依从率(ICU-P73.8%和ICU-A51.4%,P=0.0001)。
结论:尽管以前有过手部卫生方面的培训,他们有不完整的知识,尽管他们高估了医疗保健相关感染的问题,他们有一种与现实不符的看法。
UNASSIGNED: To identify perceptions and knowledge about the adherence to hand hygiene of the healthcare staff of an intensive care unit, correlating them with compliance data on adherence to hand hygiene through observational studies MATERIAL AND METHOD: A quantitative methodology has been combined, based on the completion of a personal survey, and a qualitative methodology based on direct observation. Units of Intensive Care of Adults (A-ICU) and Pediatrics (P-ICU) of a tertiary hospital. There were 187 health professionals. Personal and work data of the professionals were collected, as well as questions related to their knowledge and perceptions about the hand hygiene.
RESULTS: Those 187 professionals, 75,9% from A-ICU, represented more than 80% of the study population, and 91.4% had received previous training on hand hygiene. Regarding knowledge, 35% of the A-ICU professionals and almost 50% from the P-ICU consider that hand washing is more effective than hand friction with alcohol-based solutions for the elimination of microorganisms. They have a better perception that they correctly perform the hand washing (89.32% ICU-P and 82.93% ICU-A), than when we compare them to the adherence rates obtained by direct observation (ICU-P 73.8% and ICU-A 51.4%, P=0.0001).
CONCLUSIONS: Despite having previous training on hand hygiene, they have incomplete knowledge and, although they overestimate the problem of the healthcare-associated infections, they have a perception that does not fit with reality.