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.

中文翻译：

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患者和亲属的积极参与可以改善主观上对卫生措施的依从性，尤其是自我报告的手部卫生：AHOI初步研究的结果。

背景技术预防医院感染需要患者本身的参与。然而，在过去，患者一直不愿向人员指出与卫生有关的行为。在AHOI项目中，确定，测试和实现了患者积极参与预防感染的可能性。目标是基于三个维度的预防策略：“坚持”，“授权”和“接受”。“ AHOI”代表“患者，需要照料的人和照顾者的参与，以实现卫生意识的感染控制”。据报道，AHOI初步研究结果显示了多模式干预措施的实施。方法2017年，在两个外科病房进行了为期两阶段的患者调查，为期14周。除了干预措施外，还对个人卫生行为和知觉的接受程度，依从性和授权进行了评估。该捆绑包包括一个AHOI欢迎信箱，内含信息性和娱乐性小册子以及支持性奖励措施。此外，还安装了多种视觉材料，例如用于患者床头电视的视频演示，海报以及患者卧室和卫生设施中的视觉提示。结果入院时对179名受访者进行了调查，出院时对139名进行了调查，两个时间点均对133名进行了调查。几乎所有受访者都希望为控制感染做出贡献。AHOI项目已为患者所接受。三分之二的人希望更多地参与其中。超过三分之一的受访者指出了卫生方面的不足后，预期员工会做出负面反应。四名受访者发现医护人员的卫生状况不佳，并在与医护人员沟通后报告了非常积极的反应。超过五分之四的受访者感到良好的综合性和充分知情的事后干预。主动参与的感觉与主观参与和遵守卫生措施（尤其是自我报告的手部消毒）密切相关。结论结果表明，使用AHOI可以将患者包括在感染控制中。患者和亲属的积极参与与改善感染预防措施的依从性有关。超过五分之四的受访者感到良好的综合性和事后干预的充分信息。主动参与的感觉与主观参与和遵守卫生措施（尤其是自我报告的手部消毒）密切相关。结论结果表明，使用AHOI可以将患者包括在感染控制中。患者和亲属的积极参与与改善感染预防措施的依从性有关。超过五分之四的受访者感到良好的综合性和事后干预的充分信息。主动参与的感觉与主观参与和遵守卫生措施（尤其是自我报告的手部消毒）密切相关。结论结果表明，使用AHOI可以将患者包括在感染控制中。患者和亲属的积极参与与改善感染预防措施的依从性有关。