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| The effects of“to teach is to learn”idea on improving hand hygiene compliance of health care workers |
| ZHAO Zhi-fang*, XIA Guo-qin, CHEN Fei-er, ZHOU Su-lan, DAI Chun-mei
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| *Department of Nosocomial Infection Management,Tongde Hospital of Zhejiang Province,Hangzhou,Zhejiang 310012,China |
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Abstract Objective To investigate the effect of teaching and learning intervention measures on improving hand hygiene compliance of health care workers,and to provide a basis for improving the compliance of health care workers' hand hygiene and controlling hospital infections.Methods A total of 108 in-service health care workers in the Tongde Hospital of Zhejiang Province were selected,and the control group implemented the conventional hand hygiene promotion strategy based on hand hygiene training. The intervention group was based on the concept of “to teach is to learn”and the method of teaching the patients and their caregivers to wash their hands properly. The knowledge,attitudes,behaviors and compliance of hand hygiene after 3,6,9 and 12 months of intervention between two groups were evaluated.Results After 12 months of intervention,the hand hygiene compliance rates of the health care workers in the intervention group before contacting the patients,before cleaning/aseptic operation,after contacting with the patient,after contacting with the patient's body fluid,after contacting with the patient's environment and overall was 60.83%,63.33%,80.00%,99.17%,80.83% and 76.83%;the above rates in the control group were 38.33%,40.83%,64.17%,95.83%,52.50% and 58.33%,respectively. The improvement of hand hygiene compliance rate in the intervention group were higher than those in the control group（P<0.05）. The health knowledge awareness rate,attitude correctness rate and behavior formation rate in the intervention group were 94.55%,92.73% and 85.45%,respectively;the above rates in the control group was 86.79%,60.38% and 52.83%,respectively;the rates of having the right hand hygiene attitude and behavior were higher in the intervention group than those in the control group （P<0.05）,but there was no statistical significant difference in the awareness of hand hygiene knowledge between the two groups. （P>0.05）.Conclusion Intervention based on the concept of“to teach is to learn”can improve the compliance of hand hygiene among health care workers and develop good habits of hand hygiene.
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Received: 26 June 2018
Revised: 16 August 2018
Published: 06 November 2018
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