Active involvement of patients and relatives improves subjective adherence to hygienic measures, especially selfreported hand hygiene: Results of the AHOI pilot study
| العنوان: | Active involvement of patients and relatives improves subjective adherence to hygienic measures, especially selfreported hand hygiene: Results of the AHOI pilot study |
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| المؤلفون: | Kathleen Dittmann, Nils-Olaf Hübner, Tillmann Görig, Axel Kramer, S. Diedrich, Claus-Dieter Heidecke |
| المصدر: | Antimicrobial Resistance and Infection Control Antimicrobial Resistance and Infection Control, Vol 8, Iss 1, Pp 1-9 (2019) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, Disease transmission, Pilot Projects, 030501 epidemiology, 0302 clinical medicine, Hygiene, Surveys and Questionnaires, Health care, Infection control, Pharmacology (medical), Hand Hygiene, 030212 general & internal medicine, Empowerment, media_common, Middle Aged, Infectious Diseases, Incentive, Feeling, Health education, Practice Guidelines as Topic, Female, Guideline Adherence, 0305 other medical science, Microbiology (medical), Adult, medicine.medical_specialty, Adolescent, Patients, media_common.quotation_subject, lcsh:Infectious and parasitic diseases, 03 medical and health sciences, Young Adult, Cross infection, Intervention (counseling), medicine, Humans, lcsh:RC109-216, Family, Aged, Infection Control, business.industry, Research, Public Health, Environmental and Occupational Health, Prevention and control, Cross-Sectional Studies, Family medicine, Feasibility Studies, Self Report, Patient Participation, business |
| الوصف: | Background The prevention of nosocomial infections requires participation from the patients themselves. In the past, however, patients have been apprehensive to point out hygiene-relevant behaviour to the personnel. In the project AHOI, the possibilities of active patient involvement in infection prevention are identified, tested and realized. The goal is a prevention strategy based upon three dimensions: “adherence”, “empowerment” and “acceptance”. “AHOI” stands for the “Activation of patients, persons in need of care and care givers for a Hygiene-conscious participatiOn in Infection control”. Results from the AHOI pilot study on the implementation of a multimodal intervention bundle are reported. Methods In 2017, a two-stage patient survey was conducted on two surgical wards for 14 weeks. In addition to the intervention bundle, acceptance, adherence and empowerment regarding individual hygiene behaviour and perception were evaluated. The bundle included an AHOI-welcome-box with an informational and entertaining brochure and supportive incentives. Furthermore, multiple visual materials like video presentations for patients’ bedside TV, posters and visual reminders in the patients’ bedrooms and sanitary facilities were installed. Results 179 respondents were surveyed at admission, 139 at discharge and 133 at both time points. Almost all respondents wanted to contribute to infection control. The AHOI project was well accepted by patients. Two-thirds wanted to be more involved. More than a third expected a negative response from staff after pointing out hygiene deficiencies. Four respondents observed a deficiency in hygiene with healthcare personnel and reported a very positive reaction once this was communicated to the personnel. More than four-fifths of the respondents felt well integrated and adequately informed post intervention. The feeling of active involvement correlated significantly with subjective participation and adherence to hygienic measures, especially self-reported hand disinfection. Conclusion The results demonstrated that the required inclusion of patients in infection control is possible with AHOI. Active involvement of patients and relatives is associated with improvements in adherence to infection prevention measures. |
| تدمد: | 2047-2994 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::895785a7429364bdffb2bd3b4505d260Test https://pubmed.ncbi.nlm.nih.gov/31890157Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....895785a7429364bdffb2bd3b4505d260 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20472994 |
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