Compliance of hand hygiene in maintaining the catheter for hemodialysis

ABSTRACT Objective: to assess the compliance of the practice of hand hygiene in maintaining the temporary double-lumen catheter for hemodialysis, through the use of process indicator at the University Hospital of the University of São Paulo. Method: a quantitative, exploratory, descriptive, observational study. Sample consists of 155 observations of patients with catheter from March to November 2011, using the Maintenance Indicator Temporary Dual Lumen Catheter for Hemodialysis. Results: the overall compliance rate was 65.8%. Of the 13 specific components evaluated, 9 (69.2%) had 100% compliance. Hand hygiene by health professionals presented one of the worst rates (83.9%). Conclusion: it is necessary to implement strategies to reduce the rates of non-compliance, improve quality of care and safety of patients with catheter, and explore factors that affect the process, such as structural issues, and behavioral materials.摘要： 目的：本研究旨在借助流程指标，评估圣保罗大学附属医院内血液透析临时双腔导管维护环节的手卫生执行合规性。 方法：采用定量、探索性、描述性观察研究设计。研究样本为2011年3月至11月期间的155例带导管患者的观察数据，评估工具为《血液透析临时双腔导管维护流程指标》。 结果：整体合规率为65.8%。在评估的13项具体指标中，9项（占比69.2%）的合规率达100%。其中，医护人员手卫生合规率为本次评估中表现较差的指标之一，仅为83.9%。 结论：亟需制定相关策略以降低不合规率，提升导管患者的照护质量与患者安全，并需进一步探究影响该流程的各类因素，如结构体系问题与行为相关因素等。