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objectives. To characterize handwashing behaviors of children and assess the efficacy of a waiting room–based hand hygiene intervention at improving handwashing ability.
design. Prospective randomized pilot study.
setting. Emergency department waiting room at a freestanding urban pediatric hospital.
participants. Children (8–18 years) and their parent.
intervention. Participants were randomized to glow gel hand washing without hand hygiene education or glow gel hand washing with hand hygiene education. After participants washed with glow gel, “dirty areas” were illuminated using a black light, and hands were scored. A questionnaire about handwashing behavior was administered. All subjects returned 2–4 weeks after intervention to repeat glow gel hand washing and the questionnaire.
results. Sixty pediatric patients and 57 parents were recruited, with 77% of patients returning for follow up. Patients were 50% male, 58% Latino, 28% African American, and 8% Caucasian. At the initial visit, 91% of children reported hand washing after using the bathroom and 78% reported hand washing before dinner. On the basis of objective scoring, all children improved handwashing ability when compared with the initial visit (P=0.02 ) and were more likely to use warm water at follow up ( P= 0.01). Parents did not significantly improve handwashing ability (P=0.73). conclusion. Glow gel hand washing is an effective method to improve children’s handwashing ability. This short-term intervention was effective even in the absence of specific hand hygiene education. This intervention could serve as a valuable public health measure to teach hand washing in healthcare settings.
手卫生教育与促进一直是个很重要,但是却很难提高的问题。本研究中,作者通过了随机对照实验,评价发光凝胶(GLOW GEL)对于提高手卫生教育效果的影响。比较新颖,与战友分享。
为了便于大家阅读,我进行了快译,不当之处,请大家指正!
【设计】前瞻性随机化预调查
【设置】在一个独立的城市医院儿科急诊科候诊室。
【参与者】儿童(8-18岁)和他们的父母。
【干预】参与者被随机发光凝胶洗手教育组和发光凝胶洗手非教育组,手部卫生教育或发光凝胶手与手部卫生教育洗衣机。所有的参与者均用发光凝胶吸收液洗手,“脏的地方”,采用了黑色的光照明,进行评分。通过有关洗手行为的调查问卷进行管理。所有的研究对象在干预结束后,再用这种方法洗手2-4周。
【结果】60个儿科患者和57名家长被招募,77%的患者进行随访。患者分别为50%为男性,58%为拉丁裔,28%的非裔美国人,和8%的白人。在初次拜访,91%的儿童在使用卫生间后洗手,78%报告了在吃饭前洗的手。客观评分的基础上,所有的孩子比初次访问相比,洗手能力显著提高,随访后更愿意使用温水洗手。对父母的影响没有达到显著性水平。
【结论】发光凝胶洗手是一种有效的方法,可以显著提高孩子的洗手能力。在特定的手部卫生教育的情况下,这种短期的干预措施是有效的。这种干预可以作为一个有价值的公共卫生措施,在医疗机构教导手卫生。 |
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