医疗机构普通病床单元终末消毒现状调查与思考  

Cleaning and sterilization of general ward bed unit: asurvey and analysis report of current status from medical institutions

作　　者：惠菊芬[1] 尹海蓓[1] 祝晶晶[1] 薛菲[1] 蒋珍珍 

机构地区：[1]解放军455医院,上海200052 [2]上海嘉定区徐行社区卫生服务中心,上海201809

出　　处：《东南国防医药》2015年第4期412-413,447,共3页Military Medical Journal of Southeast China

摘　　要：目的了解医疗机构普通病床单元终末消毒现状。方法采用自设问卷对本地区21家医疗机构、临床护士及华东地区重症监护培训班的护理专业人员共计494人进行访谈及问卷调查。结果 21家医疗机构中,床单位采用臭氧消毒法15家(71.4%),紫外线灯管照射法6家(28.6%);病房墙面、桌、椅、床头柜等3家(14.3%)消毒剂喷雾,7家(33.3%)消毒剂擦拭。381名护士中了解臭氧消毒器、紫外线灯管的维护保养分别为134名(35.2%)、261名(68.4%);了解消毒剂喷雾、擦拭的浓度、适应症与禁忌症分别为223名(58.5%)、194名(50.8%)。结论普通病床单元终末消毒方法与国家消毒技术规范存在差距;临床护士对消毒方法认知不足;普通病床单元消毒规范岗位培训有其重要性及必要性。Objective To Investigate the sterilization of medical institutions general ward bed unitin order to develop a rea-sonable ward bed unit sterilization system and to provide a theoretical basis for effective bed unit sterilization.Methods A total of 494 people were questionnairedin 21 local medical institutions including clinical nurses and trained nursing professionals to obtain a general ward bed unit relevant contents of sterilization system, sterilization methods, clinical nurse＆#39;s perception of the work.Results The 21 medical institutions have their own general ward bed unit terminal sterilization management system.Ozone disinfection （71.4%） and UV lamp exposure （28.6%） method is more commonly used.Peracetice acid （concentration of 2%） wiped （14.3%） or sprayed method are used （33.3%） in other part ofgeneral ward bed unitsterilization.In the 381 nurses,134 （35.2%） and 261 （68.4%） of them understand ozone disnifection, UV lamp maintenance and repair.223 （58.5%） and 194 （50.8%） of them know the concentra-tion of disinfectant spray and wipe,indication and contraindication.Conclusion Survey shows that there is no standardized steriliza-tion management system.Supervision of related functions is ineffective.Clinical nurses are lack of knowledge on sterilization methods. It shows that general ward bed unit sterilization system job training has its importance and necessity.

关 键 词：医疗机构 普通病床 消毒 调查 

分 类 号：R187[医药卫生—流行病学]