71名医务人员在SARS病区个人防护调查  

Personal Prevention Against SARS: A Survey among 71Personal Prevention Against SARS: A Survey among 71[S Medical Workers

作　　者：张静茹[1] 陈荠[1] 童燕菁[1] 陈素萍[1] 

机构地区：[1]中国中医研究院广安门医院,北京100053

出　　处：《中华医院感染学杂志》2004年第9期1031-1033,共3页Chinese Journal of Nosocomiology

基　　金："十五"86 3计划重大项目编号 :2 0 0 3 AA2 0 81 0 1

摘　　要：目的　了解医务人员在 SARS病区工作中个人防护过程出现错误的环节 ,降低医务人员的感染机会。方法　把穿脱隔离衣等过程设计成 2 2个问题条目 ,并制成观察表 ,由 3名安全防护员进行监督和检查 ,并认真记录每日 4班的防护情况 ,出现错误后及时纠正。结果　在穿衣和脱衣过程中均存在不同的错误 ,其中穿衣过程错误率平均 12 .2 4 % ,其中健之素擦手错误率占 5 4 .93% ,其次是口罩、工作帽、手套、眼罩分别为 13.6 2 %、11.2 7%、9.86 %、8.4 5 % ;脱衣程序错误率平均 2 1.78% ,其中健之素擦手错误率占 70 .4 3% ,其次泡雨靴、脱正穿隔离衣、喷雾、脱手套分别为 5 2 .11%、2 9.5 8%、19.70 %、15 .96 % ;脱衣错误率明显高于穿衣 ,男性错误率明显高于女性 ,高级职称错误率高于低级职称 ,但与科别无关。结论　医务人员在进入 SARS病区中均出现不同防护错误 ,对医务人员规范的培训和监督是预防错误的关键 ,加强监督力度是实现医务人员零感染的重要环节。OBJECTIVE To discover the possible wrong steps made by medical staff in personal prevention procedure in SARS wards and reduce infection opportunities of medical staff. METHODS The whole procedure of putting on and taking off isolation clothes had been divided into 22 steps and designed into a chart which filled by three safety supervisers who monitored the medical staff′s prevention procedure everyday and the wrong steps made by medical staff had been corrected timely. RESULTS Different mistakes had been found in the procedure of putting on and taking off isolation clothes. In the procedure of putting on isolation clothes, the average (mistake) rate was 12.24%. The mistake rate in sterilizing hands with jian zhi su was 54.93% and the mistake rate of putting on mask, work cap, gloves and eyeshade were (13.62%,) (11.27%,) 9.86%, and 8.45%, respectively. In the procedure of taking off isolation clothes, the average mistake rate was 21.78%, among which the mistake rate in sterilizing hands with jian zhi su was 70.43%, the mistake rate of sterilizing water-proof boots, taking off isolation cloths, spraying sterilization, and taking off gloves were (51.11%,) (29.58%,) 19.70%, and (15.96%,) respectively. The mistake rate in procedure of taking off isolation clothes was obviously higher than that in the procedure of putting on isolation clothes. The mistake rate of male was higher than female, the senior higher than the junior. There was no significant difference with their profession. CONCLUSIONS Different preventive and protective mistakes have been made when medical staff entered SARS wards. The training and inspecting to medical staff is the key to prevent mistakes. Highlight the supervision is absolutely needed to fulfill the aim of zero infection among medical staff.

关 键 词：医务人员 SARS 防护 

分 类 号：R183.3[医药卫生—流行病学]