PROFESSIONALS’ ADHESION TO THE PRACTICE OF HAND HYGIENE AT A HEALTH CENTER OF THE FEDERAL DISTRICT - EVALUATION OF THE CORRECT TECHNIQUE
Resumo
Objective: To evaluate the adhesion rate to the hand hygiene practice and the application of the technique among the professionals at a Health Center. Method: This is an exploratory study of a quantitative character made from a questionnaire that evaluates technique, time, solutions used, and professionals’ adhesion to the hand hygiene practice. Results: 44 health professionals were evaluated in 90 hand hygiene opportunities, with P=0.026, showing low adherence of professionals. The nurses were the professionals who most adhered to the practice without considering the correct technique (64%). The average time for hand hygiene was 20-30 seconds, and in 13 times the hands were sanitized using only water. Conclusion: Professionals did not adhere to hand hygiene in a satisfactory way, thus, health education, based on the results found and considering the difficulties of the place, can become a solution strategy.
Palavras-chave
Referências
Silvestrin, Elizangela et al. Higiene das mãos: Conhecimento dos profissionais de saúde em um hospital universitário. Rev Inst Ciênc Saúde. 2007, 25(1): 7-13. Avaliable form: https://www.unip.br/presencial/comunicacao/publicacoes/ics/edicoes/2007/01_jan_mar/V25_N1_2007_p7-13.pdf
Agência Nacional de Vigilância Sanitária, Ministério da Saúde. Manual de segurança do paciente – higienização das mãos em serviços de saúde. Brasília: ANVISA/MS; 2008. P 10,44,66,57. Avaliable from: http://bvsms.saude.gov.br/bvs/publicacoes/seguranca_paciente_servicos_saude_higienizacao_maos.pdf.
Belela-Anacleto ASC, Sousa BEC, Yoshikawa JM, Avelar AFM, Pedreira MLG. Higienização das mãos e a segurança do paciente: perspectiva de docentes e universitários. Texto Contexto Enferm, Florianópolis, 2013 Out-Dez; 22(4): 901-8. Avaliable from: http://www.scielo.br/pdf/tce/v22n4/05.pdf.
Locks Lindsay, Lacerda JT, Gomes Elonir, Tine ACPS. Qualidade da higienização das mãos de profissionais atuantes em unidades básicas de saúde. Rev. Gaúcha Enferm. (Online) vol.32 no.3 Porto Alegre Sept. 2011. Avaliable from: http://dx.doi.org/10.1590/S1983-14472011000300019
Padoveze MC, Figueiredo RM . O papel da Atenção Primária na prevenção de Infecções Relacionadas à Assistência à Saúde. Rev. Esc. Enferm. USP [online]. 2014, vol.48, n.6, pp.1137-1144. Avaliable from: http://dx.doi.org/10.1590/S0080-623420140000700023.
Mota EC, Barbosa DA, Silveira BRM, Rabelo TA, Silva NM, Silva PLN, et al. Higienização das mãos: uma avaliação da adesão e da prática dos profissionais de saúde no controle das infecções hospitalares. Rev Epidemiol Control Infect. 2014;4(1):12-17. Avaliable from: https://online.unisc.br/seer/index.php/epidemiologia/article/viewfile/4052/3379.
Boyce JM, Pittet D. Guideline for Hand Hygiene in Health-Care Settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR Recomm Rep. 2002;51(RR-16):1-45. Avaliable from: https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5116a1.htm.
Zottele C, Magnago TSBS, Dullius AIS, Kolankiewicz ACB, Ongaro JD. Hand hygiene compliance of healthcare professionals in an emergency department. Rev Esc Enferm USP. 2017; 51: e03242. Avaliable from: http://dx.doi.org/10.1590/S1980-220X2016035503242.
Santos FM, Gonçalves VMS. Lavagem das mãos no controle da infecção hospitalar: um estudo sobre a execução da técnica. Enfermagem Integrada. Ipatinga – MG, v.2, n. 1, jul/ago. 2009, pp 152-163 . Avaliable from: https://www.unilestemg.br/enfermagemintegrada/artigo/v2/Fernanda_santos_e_Virginia_goncalves.pdf.
Skodova Manuela et al. Avaliação da qualidade da técnica de higiene das mãos em alunos de enfermagem e medicina em dois cursos de graduação. Rev. Latino-Am. Enfermagem [online]. 2015, vol.23, n.4, pp.708-717. Avaliable from: http://dx.doi.org/10.1590/0104-1169.0459.2607.
Pittet D, Mourouga P, Perneger TV, Members of the Infection Control Program. Compliance with handwashing in a teaching hospital. Ann Intern Med 1999;130:126--30. Avaliable from: https://www.ncbi.nlm.nih.gov/pubmed/10068358.
Larson E, Killien M. Factors influencing handwashing behavior of patient care personnel. Am J. Infect Control 1982; 10:93--9. Avaliable from: https://www.ncbi.nlm.nih.gov/pubmed/6922685.
Mcguckin M, Waterman R, Storr J, et al. Evaluation of a patient-empowering hand hygiene programme in the U.K. J Hosp Infect 2001;48:222—7. Avaliable from: https://www.ncbi.nlm.nih.gov/pubmed/11439010.
Jarrin Tejada C, Bearman G. Hand hygiene compliance monitoring: the state of the art. Curr Infect Dis Rep. 2015 Abr; 17 (4): 470. Avaliable from: https://www.ncbi.nlm.nih.gov/pubmed/25870138.
[BRASIL. Histórico de cobertura da saúde da família. Avaliable from: . Acesso em julho de 2018.
Robert S., Chambers S. Diagnosis and management of Staphylococcus aureus infections of the skin and soft tissue. Intern Med J, v. 35, p. 97S-105S, 2005. Avaliable from: https://www.ncbi.nlm.nih.gov/pubmed/16271065
Rotter M. Hand washing and hand disinfection. In: Mayhall CG, editor. Hospital epidemiology and infection control. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 1999. Pp. 1339–1355.
DOI: https://doi.org/10.26694/repis.v4i0.7482
Apontamentos
- Não há apontamentos.
Bases/Indexadores:
Internacionais: Cuiden; Index Copernicus International; Research Bible; Latindex; CrossRef; Scholar Google; REDIB; PKP Index; DOAJ; MIAR; Biblioteca Virtual em Saúde (BVS); BDEnf.