Participação da família na promoção da adesão à higienização das mãos: percepção de familiares e profissionais de saúde
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Arquivos
Data
2021
Autores
Almeida, Fernanda Fachetti Xavier [UNIFESP]
Orientadores
Belela-Anacleto, Aline S.C. [UNIFESP]
Tipo
Trabalho de conclusão de curso de graduação
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução. Embora a higienização das mãos (HM) represente o modo mais simples e eficaz
para prevenção de infecções relacionadas a assistência à saúde (IRAS), a adesão ao
procedimento é extremamente baixa, não ultrapassando 50% de todas as oportunidades de
execução. Estudos apontam que a participação dos pacientes e familiares representa estratégia
efetiva na promoção da adesão à HM. Entretanto, são escassas as pesquisas sobre a participação
parental no âmbito da adesão à HM. Objetivo. Avaliar a percepção de familiares e profissionais
de saúde em relação à participação da família na promoção da HM em unidades de internação
pediátricas. Método. Estudo tipo survey descritivo realizado em um hospital universitário de
São Paulo. A amostra foi composta por 40 familiares de crianças hospitalizadas e 66
profissionais de saúde. A coleta dos dados ocorreu de março a julho de 2021 a partir da
aplicação de dois instrumentos elaborados com base em pesquisas sobre a temática e nas
recomendações da Organização Mundial da Saúde para HM. Os instrumentos foram
previamente validados por juízes especialistas quanto à clareza, abrangência e pertinência. Os
resultados foram analisados segundo estatística descritiva. Aspectos éticos. O estudo foi
aprovado pelo Comitê de Ética em Pesquisa. Resultados. Todos (n=40; 100%) os familiares
disseram considerar a HM importante e mais da metade (n=28; 70%) respondeu que lembraria
o profissional de higienizar as mãos caso ele não o fizesse. Questionando “você higienizou as
mãos?” (n=15; 39.4%) ou pedindo diretamente “você poderia higienizar as mãos?” (n=15;
39.4%) foram consideradas as melhores formas de lembrá-los. Mais da metade dos familiares
(n=30; 75%) relatou que gostaria de receber mais informações sobre HM. Em relação aos
profissionais, a maioria (n=58; 87.8%) considera a participação dos pacientes/familiares um
método efetivo para aumentar a adesão ao procedimento, sendo a pergunta “você higienizou as
mãos?” a opção mais frequentemente indicada (n=34; 51.5%). Mais da metade dos profissionais
(n=38; 63,3%) responderam que não sentiriam confortáveis caso acontecesse. Conclusão.
Tanto familiares como profissionais de saúde consideram importante e concordam com a
participação da família na promoção da adesão à HM, embora não se sintam confortáveis com
a situação.
Introduction. Although hand hygiene (HH) is considered the most simple and effective measure to prevent healthcare associated infections (HAI), HH compliance is extremely low and does not exceed 50% of all opportunities. Studies results show that patient and family participation represent an effective strategy in promoting adherence to HH. However, few studies address parent participation in promoting HH adherence. Objective. To analyze family and healthcare professional’s perception toward family participation in the promotion of HH in pediatric units. Method. Survey study conducted at a university hospital in São Paulo. The sample consisted of 40 family members of hospitalized children and 66 healthcare professionals. Data collection took place from March to July 2021 through the application of two questionnaires designed based on studies on the subject and on the recommendations of the World Health Organization for HH. The questionnaires were previously validated by experts. The results were analyzed using descriptive statistics. Ethical aspects. The study was approved by the Research Ethics Committee. Results. All (n=40; 100%) family members said they considered HH important and more than half (n=28; 70%) responded that they would remind the professional to wash their hands if they did not. Questioning "did you sanitize your hands?" (n=15; 39.4%) or directly asking "could you sanitize your hands?" (n=15; 39.4%) were considered the best ways to remember them. More than half of family members (n=30; 75%) reported that they would like to receive more information about HH. Regarding to professionals, most (n=58; 87.8%) consider the participation of patients/family members an effective method to increase adherence to the procedure, being the question "did you sanitize your hands?" the most frequently indicated option (n=34; 51.5%). More than half of the professionals (n=38; 63.3%) responded that they would not feel comfortable if it happened. Conclusion. Both family members and health professionals consider it important and agree with the family's participation in promoting adherence to HH, although they do not feel comfortable with the situation.
Introduction. Although hand hygiene (HH) is considered the most simple and effective measure to prevent healthcare associated infections (HAI), HH compliance is extremely low and does not exceed 50% of all opportunities. Studies results show that patient and family participation represent an effective strategy in promoting adherence to HH. However, few studies address parent participation in promoting HH adherence. Objective. To analyze family and healthcare professional’s perception toward family participation in the promotion of HH in pediatric units. Method. Survey study conducted at a university hospital in São Paulo. The sample consisted of 40 family members of hospitalized children and 66 healthcare professionals. Data collection took place from March to July 2021 through the application of two questionnaires designed based on studies on the subject and on the recommendations of the World Health Organization for HH. The questionnaires were previously validated by experts. The results were analyzed using descriptive statistics. Ethical aspects. The study was approved by the Research Ethics Committee. Results. All (n=40; 100%) family members said they considered HH important and more than half (n=28; 70%) responded that they would remind the professional to wash their hands if they did not. Questioning "did you sanitize your hands?" (n=15; 39.4%) or directly asking "could you sanitize your hands?" (n=15; 39.4%) were considered the best ways to remember them. More than half of family members (n=30; 75%) reported that they would like to receive more information about HH. Regarding to professionals, most (n=58; 87.8%) consider the participation of patients/family members an effective method to increase adherence to the procedure, being the question "did you sanitize your hands?" the most frequently indicated option (n=34; 51.5%). More than half of the professionals (n=38; 63.3%) responded that they would not feel comfortable if it happened. Conclusion. Both family members and health professionals consider it important and agree with the family's participation in promoting adherence to HH, although they do not feel comfortable with the situation.