Impact of World Health Organization multimodal hand hygiene improvement strategy on hand hygiene compliance among acupuncturists_West China Medical Journal

Authors：

 WANG Xiaoqing , SHEN Li , FENG Lin , ZHOU Ning , SUN Lu , CHEN Hong , LIU Xiaorong , HAN Jing

Department of Infection Control, Xi’an Hospital of TCM, Xi’an, Shaanxi 710021, P. R. China;

Corresponding author：

WANG Xiaoqing, Email: w.xq1123@163.com

Keywords：

Hand hygiene; Compliance; Nosocomial infection; Multimodal hand hygiene improvement strategy; Intervention; Acupuncturist

DOI：

10.7507/1002-0179.201701141

Video：

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Objective To understand the effect of World Health Organization(WHO) multimodal hand hygiene improvement strategy on hand hygiene compliance among acupuncturists. Methods All the acupuncturists in departments (Department of Acupuncture, Department of Encephalopathy, Department of Orthopedics and Traumatology) with acupuncture programs in Xi’an Hospital of TCM were chosen in this study between September 2015 and August 2016. Based on the WHO multimodal hand hygiene improvement strategy, comprehensive measures were regulated among acupuncturists. Hand hygiene compliance and accuracy, and hand hygiene knowledge score were compared before and after the strategy intervention. Then, the effects of key strategies were evaluated. Results Overall hand hygiene compliance rate, accuracy and knowledge scores increased from 51.07%, 19.86% and 81.90±2.86 before intervention to 72.34%, 51.70%, and 98.62±2.92 after intervention (P<0.05). Hand hygiene compliance rates also increased in various occasions such as before contacting the patient, after contacting the patient, before acupuncture treatment, and before acupuncture needle manipulation (P<0.05). Conclusion Hand hygiene compliance in acupuncturists can be significantly improved by the implementation of WHO multimodal hand hygiene improvement strategy.

Citation： WANG Xiaoqing, SHEN Li, FENG Lin, ZHOU Ning, SUN Lu, CHEN Hong, LIU Xiaorong, HAN Jing. Impact of World Health Organization multimodal hand hygiene improvement strategy on hand hygiene compliance among acupuncturists. West China Medical Journal, 2017, 32(4): 574-577. doi: 10.7507/1002-0179.201701141 Copy

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8.	Midturi JK, Narasimhan A, Barnett T,et al. A successful multifaceted strategy to improve hand hygiene compliance rates. Am J Infect Control, 2015, 43(5): 533-536.
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11.	张翔, 张卫红, 喻荣彬, 等. WHO" 多模式手卫生促进策略”对医护人员手卫生依从性影响. 中国感染控制杂志, 2014, 13(12): 757-759.
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13.	侯建玲, 许振霞, 赵国云. 基层医护人员洗手依从性现状分析. 中华医院感染学杂志, 2011, 21(16): 3002.
14.	王琳, 杜萍. 我国护理人员手卫生依从性的研究进展. 解放军护理杂志, 2013, 30(17): 41-50.
15.	周细坤, 陶宏坤. 基层医院医务人员手卫生的现状及医院感染管理. 中华医院感染学杂志, 2009, 19(19): 2588-2589.

1. 王晓青, 沈莉. 关于针灸继发感染病例的研究进展. 中国针灸, 2015, 359(12): 1319-1322.
2. World Health Organization. Guide to implementation: a guide to the implementation of the WHO multimodal hand hygiene improvement strategy. (2009-02)[2017-02-23]. .
3. World Health Organization. Hand hygiene technical reference manual: to be used by health-care workers, trainers and observers of hand hygiene practices. (2009)[2017-02-23]. .
4. World Health Organization. WHO guidelines on hand hygiene in health care: a summary. (2009-07)[2017-02-23]. .
5. 贾会学, 侯铁英, 李卫光, 等. 中国 68 所综合医院医院感染的经济损失研究. 中国感染控制杂志, 2016, 15(9): 637-641.
6. 陈萍, 刘丁. 中国近 30 年医院感染暴发事件的流行特征与对策. 中国感染控制杂志, 2010, 9(6): 387-392, 399.
7. Allegranzi B, Gayet-Ageron A, Damani N,et al. Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: a quasi-experimental study. Lancet Infect Dis, 2013, 13(10): 843-851.
8. Midturi JK, Narasimhan A, Barnett T,et al. A successful multifaceted strategy to improve hand hygiene compliance rates. Am J Infect Control, 2015, 43(5): 533-536.
9. Martín-Madrazo C, Soto-Díaz S, Cañada-Dorado A,et al. Cluster randomized trial to evaluate the effect of a multimodal hand hygiene improvement strategy in primary care. Infect Control Hosp Epidemiol, 2012, 33(7): 681-688.
10. Mathai AS, George SE, Abraham J. Efficacy of a multimodal intervention strategy in improving hand hygiene compliance in a tertiary level intensive care unit. Indian J Crit Care Med, 2011, 15(1): 6-15.
11. 张翔, 张卫红, 喻荣彬, 等. WHO" 多模式手卫生促进策略”对医护人员手卫生依从性影响. 中国感染控制杂志, 2014, 13(12): 757-759.
12. 尹维佳, 黄文治, 乔甫, 等. 大型医院提高医务人员手卫生依从性和正确性研究. 中国感染控制杂志, 2015, 14(9): 622-625.
13. 侯建玲, 许振霞, 赵国云. 基层医护人员洗手依从性现状分析. 中华医院感染学杂志, 2011, 21(16): 3002.
14. 王琳, 杜萍. 我国护理人员手卫生依从性的研究进展. 解放军护理杂志, 2013, 30(17): 41-50.
15. 周细坤, 陶宏坤. 基层医院医务人员手卫生的现状及医院感染管理. 中华医院感染学杂志, 2009, 19(19): 2588-2589.

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Impact of World Health Organization multimodal hand hygiene improvement strategy on hand hygiene compliance among acupuncturists

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