手卫生依从性研究的系统评价（翻译有奖）

潮水

Systematic Review of Studies on Compliance with Hand Hygiene Guidelines in Hospital Care
Infect Control Hosp Epidemiol 2010;31:283–294
Objectives.To assess the prevalence and correlates of compliance and noncompliance with hand hygiene guidelines in hospital care.

Design.A systematic review of studies published before January 1, 2009, on observed or self-reported compliance rates.

Methods.Articles on empirical studies written in English and conducted on general patient populations in industrialized countries were included. The results were grouped by type of healthcare worker before and after patient contact. Correlates contributing to compliance were grouped and listed.

Results.We included 96 empirical studies, the majority ( ) in intensive care units. In general, the study methods were not very robust and often ill reported. We found an overall median compliance rate of 40%. Unadjusted compliance rates were lower in intensive care units (30%–40%) than in other settings (50%–60%), lower among physicians (32%) than among nurses (48%), and before (21%) rather than after (47%) patient contact. The majority of the time, the situations that were associated with a lower compliance rate were those with a high activity level and/or those in which a physician was involved. The majority of the time, the situations that were associated with a higher compliance rate were those having to do with dirty tasks, the introduction of alcohol-based hand rub or gel, performance feedback, and accessibility of materials. A minority of studies ( ) have investigated the behavioral determinants of hand hygiene, of which only 7 report the use of a theoretical framework with inconclusive results.

Conclusions.Noncompliance with hand hygiene guidelines is a universal problem, which calls for standardized measures for research and monitoring. Theoretical models from the behavioral sciences should be used internationally and should be adapted to better explain the complexities of hand hygiene

黑旋风

我来试试！不知翻译的如何！请提出宝贵意见！！！

天师

怎么还没见挂上网啊，加油啊

色色

系统地研究述评与手部卫生准则遵守医院护理
感染控制杂志2010; 31:283-294
Objectives.To评估的流行和遵守，并在医院护理手部卫生指引违规关联。

Design.A 1月1日之前发表的研究，2009年观察或自我报告，系统评价的遵守率。

在英语书面实证研究Methods.Articles和工业化国家的人口一般病人进行了包括在内。结果按类型分组的医护人员接触病人前后。遵守相关因素促成了分组和上市。

Results.We包括96实证研究，多数在重症监护病房（）。一般来说，学习方法不是很强大，经常生病报告。我们发现了40％的整体平均合格率。未经调整的合格率较低的重症监护病房（30％-40％）高于其他设置（50％-60％），其中医师较低（32％）比护士（48％），前（21％），而较后（47％）病人接触。当时的多数，这是一个合格率较低的情况下进行相关的具有高活性的水平和/或那些在一名医生参与。当时的多数，这是一个较高的合格率有关联的情况是那些跟脏任务，酒精搓手或凝胶，绩效反馈的介绍，以及材料获取。少数的研究（）已经调查了手部卫生，行为决定因素，其中只有7报告的一个不确定的结果的理论框架。

手部卫生指引Conclusions.Noncompliance是一个普遍的问题，为研究和监测规范措施要求。从行为科学的理论模型，并应采用国际上应该修改，以更好地解释手的复杂性卫生

潮水

回复 4# lllan086
欢迎参加有奖翻译活动，译文还需要重新编辑和整理。天师等会员的译文可以参考！

天师

谢谢，潮水版主的鼓励！

真优美123

回复 6# 天师

天师老师为安徽争光了.

天师

医务人员手卫生依从性研究的系统评价
感染控制与医院流行病学杂志，2010，31:283-294
【目的】评价医疗机构手卫生依从性和不规范的发生率及其相关性。
【设计】对2009年1月1日之前发表的关于手卫生观察或自我报告依从性的文献进行系统评价。
【方法】工业化国家一般患者中进行的实验研究英文文献被纳入。研究结果根据医护人员接触病人前和接触病人后进行分组。依从性影响因素相关性也进行分组和列出。
【结果】共纳入96篇实证研究的文献，主要是在重症监护病房（ICU）。这些研究方法通常都不是那么严谨和有报道缺陷的。我们发现平均依从性为40％，ICU中未调整的依从性更低。。。。。。
【结论】手卫生指南依从性低是个普遍问题，需要对研究方法和测量方法进行标准化。行为科学理论模型应该广泛采纳和应用更好地解释手卫生的复杂性。

放飞梦想

回复 4# lllan086


    您是不是用的翻译软件啊，错误有点太多哦！

婉若秋水

回复 1# 潮水

这应该就是一篇meta分析的文章吧？国内专家的医院感染论文中有写meta分析的吗？