Báo cáo tuân thủ vệ sinh tay: Quan sát trực tiếp và quan sát qua camera kết hợp với phản hồi thông tin tại một bệnh viện ở Việt Nam=Reports of hand hygiene compliance: Direct observation versus camera observation with information feedback in a Vietnamese hospital

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Tác giả: Thị Quỳnh Châu Đào, Minh Tuấn Huỳnh, Mộng Hảo Lê, Thị Yến Nhi Lê, Thanh Tuyền Nguyễn, Thị Hằng Nga Nguyễn, Thị Thoa Trịnh

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.141-148

Bộ sưu tập: Metadata

ID: 478204

Thêm vào giỏ

Hand hygiene (HH) is a simple but effective method to prevent the spread of microbial agents to patients, thereby preventing healthcare-associated infections. This study aimed to compare the effectiveness of direct and camera monitoring methods combined with information feedback. Methods: A cross-sectional study was conducted on all healthcare workers (HCWs) at the University Medical Center Ho Chi Minh City, Viet Nam from February to April 2024. The data were collected the number of hand hygiene opportunities (HHOs) from two methods: direct and via camera observation combined with information feedback. Results:. The hand hygiene (HH) compliance rate between the two observation methods had a statistically significant difference (p <
0.05). The rate of HH compliance when observing directly combined with information feedback was 1.20 times higher (95% CI 1.14- 1.27, p <
0.001) compared to the method of observing via camera combined with information feedback. The study found some factors related to the rate of HH compiance. Females had a HH compliance rate of 1.29 times (95% CI 1.16- 1.42) compared to males. Nurses had a HH compliance rate of 1.28 times that of nurse assistants (95% CI 1.06-1.55). The office hours shifts had a HH compliance rate of 1.24 times that of the night duty shifts (95% CI 1.12-1.38). Compared with the time point “After contact with the patient's surroundings”, the time point “Before contact with the patient” had a 1.31 times higher rate of VST compliance (95% CI 1.10 - 1.56). Conclusions: The direct observation method is more affected by the “Hawthorne” effect than monitoring via camera methods. Applying a new feedback method (based on images recorded by cameras) that directly impacts HCWs' knowledge and attitudes is necessary and more effective than the traditional method in monitoring compliance with HH practices.So sánh hiệu quả của tuân thủ vệ sinh tay qua phương pháp giám sát trực tiếp và qua camera kết hợp với phản hồi thông tin. Phương pháp: Cắt ngang mô tả. Nghiên cứu thực hiện trên đối tượng nhân viên y tế có thực hành thăm khám, điều trị cho người bệnh. Kết quả: Tỷ lệ tuân thủ vệ sinh tay (VST) khi quan sát trực tiếp kết hợp với phản hồi thông tin cao hơn 1,20 lần (KTC 95% 1,14-1,27, p <
0,001) so với phương pháp quan sát qua camera kết hợp với phản hồi thông tin. Một số yếu tố liên quan đến tỷ lệ tuân thủ VST thông qua quan sát trực tiếp và quan sát qua camera kết hợp phản hồi thông tin: Nữ có tỷ lệ tuân thủ VST cao hơn 1.29 lần (KTC 95% 1,16-1,42) so với nam. Điều dưỡng có tỷ lệ tuân thủ VST cao hơn 1.28 lần so với Hộ lý (KTC 95% 1,06-1,55). Ca làm việc giờ hành chính có tỷ lệ tuân thủ VST cao hơn 1,24 lần so với ca trực đêm (KTC 95% 1,12-1,38). So với thời điểm “Sau khi tiếp xúc với vùng xung quanh người bệnh”, thời điểm “Trước khi tiếp xúc với người bệnh” có tỷ lệ tuân thủ VST bằng 1,31 lần (KTC 95% 1,10 - 1,56). Kết luận: Phương pháp quan sát trực tiếp chịu ảnh hưởng của hiệu ứng “Hawthorne” nhiều hơn so với phương pháp giám sát qua camera. Việc áp dụng một phương pháp phản hồi mới (Dựa vào hình ảnh trực qua camera ghi nhận được) có tác động trực tiếp vào kiến thức và thái độ của nhân viên là cần thiết và hiệu quả hơn so với phương pháp truyền thống trong việc giám sát tuân thủ thực hành vệ sinh tay.

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