摘要
目的评价使用电子系统对医务人员手卫生依从性的影响。方法采用“health care workers”、“electronic system”、“hand hygiene”,以及“电子系统”和“手卫生”作为关键词,从Ovid、Web of Science、PubMed、Cochrane、CINAHL、ClinicalTrials.gov、知网和万方等网站检索,分析电子系统对医务人员手卫生依从性的影响和可接受性。结果检索到2736篇文献,最终纳入13篇。11项结果表明,使用电子监测系统可以改善手卫生依从性,其中9个研究测得依从率增幅为10%~45%,2个研究分别指出手卫生次数增多16.28次和洗手液用量增加2.215 L;其余1个研究显示依从率降低3.6%,1个研究依从率基本没有变化。医务人员对电子系统产生抵抗心理的主要原因是侵犯隐私、影响健康和设备自身缺陷。结论使用电子系统可以改善医务人员的手卫生依从性,但要考虑电子系统可能带来的潜在影响,未来应探索有效的实施方式,改进电子系统缺陷,更大程度上发挥作用。
Objective To evaluate the impact of application of electronic monitoring system(EMS)on hand hygiene(HH)compliance of health care workers(HCWs).Methods“Health care workers”,“electronic system”,and“hand hygiene”were used as key words,Ovid,Web of Science,PubMed,Cochrane,CINAHL,clinicaltrials.gov,China National Knowledge Infrastructure(CNKI),and Wangfang database were searched,effect and acceptability of EMS on HH compliance of HCWs were analyzed.Results 2736 literatures were retrieved and 13 were included,11 results showed that application of EMS could improve HH compliance,of which 9 studies detected an increase in the compliance rate ranging from 10%to 45%,2 studies showed that the frequency of HH increased by 16.28 times and consumption of hand sanitizer increased by 2.215 liters respectively;the other study showed that the compliance rate decreased by 3.6%,and the compliance rate of one study basically did not change.The main reasons for HCWs’resistance to electronic system are infringement of privacy,impact on health and device defects.Conclusion Application of electronic system can improve the HH compliance of HCWs,but the potential impact of electronic system should be considered,in the future,effective implementation methods should be explored to correct the defects of electronic system and play a role to a greater extent.
作者
霍瑞婷
孙强
韩辉
HUO Rui-ting;SUN Qiang;HAN Hui(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,China;Key Lab of Health Economics and Policy Research,National Health Commission of the People’s Republic of China,Jinan 250012,China;Department of Medical Affair,Oilu Hospital of Shandong University,Jinan 250012,China)
出处
《中国感染控制杂志》
CAS
CSCD
北大核心
2021年第11期1041-1046,共6页
Chinese Journal of Infection Control
关键词
电子手卫生监测系统
手卫生
效果
系统综述
electronic hand hygiene monitoring system
hand hygiene
effect
systematic review