Latar Belakang Praktik membersihkan tangan (hand hygiene) sangat penting dalam lingkungan rumah sakit untuk mencegah penyebaran infeksi nosokomial atau Hospital-Acquired Infections (HAI), terutama central line-associated bloodstream infections (CLABSI), yang sering dikaitkan dengan penggunaan perangkat intravaskular seperti pada pasien hemodialisis. Praktik membersihkan tangan dapat dilakukan dengan mencuci tangan enam langkah WHO selama 40–60 detik atau menggunakan hand rub berbahan dasar alkohol selama 20–30 detik. Kepatuhan dalam membersihkan tangan tidak hanya penting bagi tenaga kesehatan, tetapi juga pasien dan keluarga pasien, terutama pasien rawat jalan yang berisiko tinggi terkena infeksi, seperti pasien hemodialisis. Penelitian ini bertujuan menilai kepatuhan kebersihan tangan keluarga pasien hemodialisis di RSUI. Metode Penelitian ini merupakan penelitian deskriptif observasional dengan desain penelitian cross-sectional dilaksanakan di RSUI pada bulan September 2024. Sampel diambil melalui pencatatan observasi langsung praktik membersihkan tangan berdasarkan form kepatuhan kebersihan tangan yang diterbitkan oleh WHO. Hasil Angka kepatuhan kebersihan tangan keluarga pasien hemodialisis di RSUI adalah 15%, yakni 30 perlakuan membersihkan tangan dari total 200 kesempatan membersihkan tangan. Persentase keluarga pasien yang membersihkan tangan sebelum melakukan kontak dengan pasien adalah 16%, yakni 16 perlakuan dari 100 kesempatan, dan setelah melakukan kontak dengan pasien dan lingkungannya adalah 14%, yakni 14 perlakuan dari 100 kesempatan. Kesimpulan Tingkat kepatuhan kebersihan tangan keluarga pasien hemodialisis di RSUI tergolong rendah.

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Introduction Hand hygiene practices are very important in the hospital environment to prevent the spread of Hospital-Acquired Infections (HAI), which are often associated with the use of intravascular devices such as in hemodialysis patients. Hand hygiene practices can be done by washing hands in six WHO steps for 40-60 seconds or using an alcohol-based hand rub for 20-30 seconds. Hand hygiene is not only important for health workers, but also for patients and their families, especially outpatients who are at high risk of infection, such as hemodialysis patients. This study aims to assess hand hygiene compliance of family carers/caregivers of hemodialysis patients at RSUI. Method This study is an observational descriptive study with a cross-sectional research design conducted at RSUI in September 2024. Samples were taken through direct observation recording of hand hygiene practices based on the hand hygiene compliance form published by WHO. Results The hand hygiene compliance rate of hemodialysis patient families at RSUI was 15%, which is 30 treatments out of a total of 200 hand hygiene opportunities. The percentage of patient families who cleaned their hands before making contact with patients was 16%, which is 16 treatments out of 100 opportunities, and after making contact with patients and their environment was 14%, which is 14 treatments out of 100 opportunities. Conclusion The level of hand hygiene compliance of families of hemodialysis patients at RSUI is relatively low.