Department of Nursing, Zhongnan Hospital of Wuhan University, Wuhan, China.
Office of Healthcare-Associated Infection Management of Wuhan University, Wuhan, China.
Epidemiol Infect. 2023 Apr 28;151:e73. doi: 10.1017/S0950268823000602.
My 5 moments (M5M) was used less frequently among cleaning staff members, suggesting that a poor compliance score in this group may not indicate deficient handwashing. This quasi-experimental study compared hand hygiene compliance (HHC), hand hygiene (HH) moments, and HH time distribution in the control group (no HH intervention; = 21), case group 1 (normal M5M intervention; = 26), case group 2 (extensive novel six moments (NSM) training; = 24), and case group 3 (refined NSM training; = 18). The intervention's effect was evaluated after 3 months. The HHC gap among the four groups gradually increased in the second intervention month (control group, 31.43%; case group 1, 38.74%; case group 2, 40.19%; case group 3, 52.21%; < 0.05). After the intervention period, the HHC of case groups 2 and 3 improved significantly from the baseline (23.85% vs. 59.22%, 27.41% vs. 83.62%, respectively; < 0.05). 'After transferring medical waste from the site' had the highest HHC in case group 3, 90.72% (95% confidence interval, 0.1926-0.3967). HH peak hours were from 6 AM to 9 AM and 2 PM to 3 PM. The study showed that the implementation of an NSM practice can serve as an HHC monitoring indicator and direct relevant training interventions to improve HH among hospital cleaning staff.
我的 5 个时刻（M5M）在清洁人员中使用较少，这表明该组的依从性评分低可能并不表示手部卫生不足。这项准实验研究比较了对照组（无手部卫生干预；n=21）、病例组 1（常规 M5M 干预；n=26）、病例组 2（广泛的新型六时刻（NSM）培训；n=24）和病例组 3（改进的 NSM 培训；n=18）的手部卫生依从性（HHC）、手部卫生（HH）时刻和 HH 时间分布。在干预 3 个月后评估干预效果。在第二个干预月，四个组之间的 HHC 差距逐渐增大（对照组为 31.43%；病例组 1 为 38.74%；病例组 2 为 40.19%；病例组 3 为 52.21%；均<0.05）。干预期后，病例组 2 和 3 的 HHC 从基线显著改善（分别为 23.85%对 59.22%，27.41%对 83.62%；均<0.05）。病例组 3 中“从现场转移医疗废物”的 HHC 最高，为 90.72%（95%置信区间，0.1926-0.3967）。HH 高峰时间为上午 6 点至 9 点和下午 2 点至 3 点。本研究表明，实施 NSM 实践可以作为 HHC 监测指标，并指导相关培训干预措施，以提高医院清洁人员的 HH。
