应用集束化管理提高洁净手术室物表清洁质量  

Application of cluster management to improve the cleaning quality of surface in clean operating room.

作　　者：李亚楠[1] 别逢桂[1] 戴红霞[2] 常后婵[1] 白雪娇[1] 谭叶[1] 王文平[1] LI Ya-nan;BIE Feng-gui;DAI Hong-xia;CHANG Hou-chan;BAI Xue-jiao;TAN Ye;WANG Wen-ping(Operating room,Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences),Guangzhou 510080,Guangdong,China)

机构地区：[1]广东省人民医院(广东省医学科学院)手术室,广东广州510080 [2]澳门理工学院高等卫生学校,澳门999078

出　　处：《广东医学》2020年第11期1160-1163,共4页Guangdong Medical Journal

基　　金：广东省医学科研基金项目(A2018424)。

摘　　要：目的探讨集束化管理在洁净手术室环境物表清洁的干预效果.方法以洁净手术室的12种易被污染的物体表面为研究对象,将30间手术室随机分为对照组与观察组.对照组按照《医疗机构环境表面清洁与消毒管理规范》及《手术部(室)医院感染控制规范》常规清洁;观察组在常规清洁基础上实施集束化管理:对保洁员实施规范培训及考核、改进清洁用具及使用后处理方法、制定标准化的清洁消毒流程与方法、实施护士长-组长-组员三级质控.比较两组手术室内的物表清洁合格率、物表菌落数合格率以及手术室内施行手术病例的医院感染发生率和手术部位感染率.结果干预后观察组手术室内的物表清洁合格率、物表菌落数合格率高于对照组,观察组手术室内施行手术病例的医院感染发生率低于对照组,差异有统计学意义(P<0.05).结论集束化管理能有效提高洁净手术室物表清洁质量.Objective To investigate the effect of cluster management on the cleaning of environment in clean operating room. Methods Taking 12 kinds of easily polluted surfaces of clean operating rooms from as the research objects, 30 operating rooms were randomly divided into control group and experimental group. The control group was routinely cleaned in accordance with the management code of environmental surface cleaning and disinfection in medical institutions and code of nosocomial infection control in surgical departments(rooms). The experimental group implemented cluster management, including standardized training and assessment for cleaners, improved cleaning appliances and post-use treatment methods, formulated standardized cleaning and disinfection procedures and methods, and implemented three-level quality control of head nurse, group leader and team member, on the basis of routine cleaning. To compare the qualified rate of material table cleaning and the qualified rate of colony number of material table, the incidence of nosocomial infection and the infection rate of operation site between the two groups.Results After intervention, the qualified rate of material table cleaning and the qualified rate of colony number of material table in the experimental group was significantly higher than those in the control group;and the incidence of nosocomial infection in the experimental group was significantly lower than that in the control group(P<0.05). Conclusion Cluster management can effectively improve the cleaning quality of clean operating room.

关 键 词：集束化管理 洁净手术室 环境物表 清洁 

分 类 号：R472.1[医药卫生—护理学] K613[医药卫生—临床医学]