临床留取痰标本行为学干预研究  

Praxiology Intervention for Sputum Sample in Clinic:A Study

作　　者：王建斌[1] 吴俊霞[1] 刘长德[1] 曹景辉[1] 王斐[1] 

机构地区：[1]清华大学玉泉医院,北京100049

出　　处：《中华医院感染学杂志》2007年第4期415-416,共2页Chinese Journal of Nosocomiology

摘　　要：目的从行为学角度探讨临床留取痰标本管理方法,以提高痰标本留取质量。方法通过某综合性二级甲等医院呼吸内科病房2004年9月-2005年2月,常规留取痰标本质量的调查,采取行为学干预措施,评价干预效果。结果2004年9月-2005年2月,呼吸内科病房常规留取痰标本质量合格率为23.7%,采取行为学干预措施后,2005年4-8月,常规留取痰标本质量合格率为30.1%,两者差异无统计学意义。结论临床常规留取痰标本质量偏低,行为学干预措施并没有显著性提高痰标本质量,痰标本进行细菌培养前的细胞学显微镜检查是保证痰标本质量的重要措施,应成为医疗常规,行为科学研究任重而道远。OBJECTIVE To discuss the management methods of sputum sample retained clinically based on the praxiology, and aim at improving the quality of the sputum retained. METHODS Through investigating the quality of sputum sample retained routinely from the department of internal medicine in a general hospital at the duration from Sep 2004 to Feb 2005, the intervention effect was evaluated by carrying out the measure of praxiology intervention. RESULTS The qualification rate was 23.7% fr the sputum sample retained routinely from the hospital at the duration from Sep 2004 to Feb 2005, after carrying out the measure of praxiology intervention, the qualification rate was 30.1 % at the duration from Apr 2005 to Aug 2005. Statistic data showed that there was no significant difference. CONCLUSIONS The quality of the sputum sample retained routinely is poor, and the measure of praxiology intervention failed to improve the quality of the sputum sample. Microscopy is the most important measure to ensure the quality of the sputum sample for the cytology test before cultivating the sample, and should be a routine test in hospital. The study on praxiology intervention will be further carried out in the future.

关 键 词：痰标本 行为学 干预 

分 类 号：R472.6[医药卫生—护理学]