精细化管理在手术室与供应室一体化手术器械管理中的价值  

Value of fine management in the integrated surgical instruments management in operating room and supply room

作　　者：谭燕玲[1] 杜思甜 王小英[1] 曹景瑜 TAN Yah-ling;DU Si-tian;WANG Xiao-yin;CAO Jing-yu(Disinfection Supply Room,People's Hospital of Yingde City,Guangdong Province,Yingde 513000,China;Operating Room,People's Hospital of Yingde City,Guangdong Province,Yingde 513000,China)

机构地区：[1]广东省英德市人民医院消毒供应室,广东英德513000 [2]广东省英德市人民医院手术室,广东英德513000

出　　处：《中国当代医药》2018年第35期151-153,共3页China Modern Medicine

摘　　要：目的探讨精细化管理在手术室与供应室一体化手术器械管理中的效果。方法随机抽取我院实施精细化管理前(2016年1～12月)后(2017年1～12月)各1000件手术器械作为研究对象,比较实施精细化管理前后的无菌物品合格率、物品包装合格率、器械清洗合格率。同时比较精细化管理实施前后医护人员的MBI-GS职业倦怠量表评分。结果实施精细化管理后无菌物品合格率(99.60%)、物品包装合格率(99.20%)、器械清洗合格率(99.30%)均高于实施前的95.60%、97.50%和97.80%,差异有统计学意义(P<0.05)。实施精细化管理后医护人员的情绪衰竭、工作态度评分分别为(2.24±0.32)、(2.20±0.15)分,均低于实施前的(4.62±0.36)、(4.72±0.25)分,成就感评分为(5.18±0.25)分,高于实施前的(3.12±1.30)分,差异有统计学意义(P<0.05)。结论在手术室与供应室一体化手术器械管理中实施精细化管理取得较佳的效果,值得推广。Objective To explore the effect of fine management in the management of surgical instruments in operating room and supply room. Methods One thousand surgical instruments were randomly sampled before(from January to December 2016) and after(from January to December 2017) the implementation of fine management in our hospital.The qualified rates of sterile articles, goods packaging and instrument cleaning before and after the implementation of fine management were compared. At the same time, the MBI-GS job burnout scale scores of medical staff before and after the implementation of fine management were compared. Results After the implementation of fine management, the qualified rates of sterile articles, goods packaging and instrument cleaning were 99.60%, 99.20% and 99.30% respectively, which were significantly higher than those before the implementation of 95.60%, 97.50% and 97.80%, and the differences were statistically significant(P<0.05). The scores of emotional exhaustion and working attitude were(2.24±0.32),(2.20 ±0.15) points respectively after the implementation of fine management, which were lower than those of(4.62±0.36),(4.72±0.25) points before the implementation, the score of the medical staff′s sense of achievement was(5.18±0.25) points, which was higher than that of(3.12 ±1.30) points before the implementation, and the differences were statistically significant(P<0.05). Conclusion The fine management has achieved better results in the integrated management of surgical instruments in the operating room and supply room, which is worth popularizing.

关 键 词：精细化管理 手术室 供应室 一体化 手术器械 管理 效果 

分 类 号：R472.3[医药卫生—护理学]