复用手术器械清洁质量的影响因素分析及应对措施  

Analysis of factors affecting cleaning quality of reusing surgical instruments and corresponding countermeasures

作　　者：张洋[1] ZHANG Yang

机构地区：[1]中南大学湘雅医院消毒供应中心

出　　处：《护理实践与研究》2019年第22期144-146,共3页Nursing Practice and Research

摘　　要：目的探讨复用手术器械清洁质量的影响因素,并拟定相应应对措施。方法采用抽样调查法,选取2017年3月至2018年3月我院消毒供应中心回收需要清洁的224件复用手术器械作为抽查目标,其中有19件清洗不合格,统计所有回收手术器械清洁、消毒、包装过程中的相关资料,录入统计学软件进行处理。结果多因素logistic回归分析显示,清洗剂选择、预处理不规范、二次污染是影响复用手术器械清洁质量的独立危险因素(P <0. 05)。结论复用手术器械应选择合适清洁剂、规范清洁操作标准以及使用后预处理,延长使用寿命,避免因重复使用清洁不合格器械而增加医源性感染风险。Objective To explore the influencing factors of the cleaning quality of reusing surgical instruments and formulate corresponding countermeasures. Methods Using sampling survey method,224 pieces of reusing surgical instruments that need to be cleaned were collected from our disinfection supply center from March 2017 to March 2018 as the target of sampling. Among them,19 pieces were unqualified for cleaning,and the relevant materials of all reclaimed surgical instruments were counted in the process of cleaning,disinfection and packaging,and were entered into statistical software for processing. Results Multivariate logistic regression analysis showed that cleaning agent selection,non-standard pretreatment,and secondary pollution were independent risk factors for the cleaning quality of reusing surgical instruments( P < 0. 05). Conclusion Reuse of surgical instruments should choose appropriate cleaning agents,standard cleaning operation standards and pre-treatment after use to prolong service life and avoid the risk of iatrogenic infection due to repeated use of clean and unqualified devices.

关 键 词：复用手术器械 清洁质量 影响因素 应对措施 

分 类 号：R47[医药卫生—护理学]