江苏省养老机构新冠疫情防控现状调查  

Current status of prevention and control of COVID-19epidemic in elderly care institutions in Jiangsu Province

作　　者：范晶晶[1,2,3] 沈益鸣 吴晓松 田野[1,3] 谈智 褚宏亮[1,3] 徐燕 FAN Jing-jing;SHEN Yi-ming;WU Xiao-song;TIAN Ye;TAN Zhi;CHU Hong-liang;XU Yan(Jiangsu Provincial Center for Disease Control and Prevention,Nanjing,Jiangsu 210009,China;不详)

机构地区：[1]江苏省疾病预防控制中心消毒与媒介生物防制所,江苏南京210009 [2]南京医科大学,江苏南京211166 [3]国家卫生健康委员会肠道病原微生物重点实验室,江苏南京210009

出　　处：《中华医院感染学杂志》2021年第18期2872-2876,共5页Chinese Journal of Nosocomiology

基　　金：江苏省卫生健康委员会重点场所卫生状况与消毒质量监测项目专项基金资助项目(财社[2020]75号);江苏省卫生健康委科研项目(ZDA2020015);江苏省医学科研重点基金资助项目(K2019008);江苏省六个一工程拔尖人才科研基金资助项目(LGY2019074)。

摘　　要：目的调查江苏省养老机构在新型冠状病毒疫情下的防控现状及卫生状况,为更好地落实国家关于新型冠状病毒疫情的工作部署和提高养老机构卫生状况与消毒质量提供依据。方法采用自行设计的调查方案及调查问卷于2020年10月-12月对江苏省养老机构进行调查,利用“问卷星”平台收集汇总调查结果,利用SPSS 23.0软件对结果进行统计分析。结果93家养老机构在配备防疫物资、进行室内通风、环境清洁消毒、工作人员口罩佩戴方面比例较高,医养结合型和非医养结合型养老机构除免洗手消毒液配备率差异有统计学意义(P<0.05),其他调查的项目比较差异均无统计学意义。在卫生状况监测方面,对719份环境物体表面的样本进行新型冠状病毒核酸监测,检测结果均为阴性;空气、物体表面、餐饮具、工作人员手等1750份样本平均合格率为75.09%,其中餐饮具的合格率最低,保健医生手与清洁人员手之间合格率差异有统计学意义(P<0.05)。医养结合型和非医养结合型养老机构空气的合格率差异有统计学意义(P<0.05),而物体表面、餐饮具、工作人员手合格率差异均无统计学意义。结论参照《关于印发重点场所重点单位重点人群新冠肺炎疫情防控相关防控技术指南的通知》要求,江苏省各养老机构对国家下发通知的落实情况有待加强,环境卫生状况需要改善,建议加强养老机构环境的监督管理,同时尽快出台养老机构消毒相关的国家标准和规范。OBJECTIVE To investigate the current status of prevention and control of COVID-19epidemic and health status of elderly care institutions in Jiangsu Province so as to provide basis for better implementing the state′s work deployment on the COVID-19epidemic and improving the health status and disinfection quality of elderly care institutions.METHODS From Oct 2020to Dec 2020,a survey was conducted for the elderly care institutions in Jiangsu Province by using self-designed survey plans and questionnaires,the results of the survey were collected and summarized by"Questionnaire Star"platform,and statistical analysis was performed by using SPSS 23.0software.RESULTS The proportions of provision of anti-epidemic materials,indoor ventilation,environmental cleaning and disinfection,and staff′s wearing masks were relatively high in 93elderly care institutions,there was significant difference in the provision rate of hand-washing disinfectants between the medical treatment integrated care institutions and the non-medical treatment integrated care institutions(P<0.05),there were no significant differences in other survey items.In terms of health monitoring,719samples were collected from environmental object surfaces for test of new coronavirus nucleic acid,and all of the results were negative;the average qualified rate of 1750samples that were collected from air,object surfaces,tableware and staff′hands was 75.09%,the qualified rate of the tableware was the lowest,and there was significant difference in the qualified rate between the health care doctors′hands and the cleaning staff′s hands(P<0.05).There was significant difference in the qualified rate of air between the medical treatment integrated care institutions and the non-medical treatment integrated care institutions(P<0.05),while there were no significant differences in the qualified rates of object surfaces,tableware and working staff′hands.CONCLUSIONIn accordance with the requirements of the"Notice on Printing and Distributing the Technical Guidelines fo

关 键 词：养老机构 新型冠状病毒肺炎 防控 卫生状况 

分 类 号：R197.323[医药卫生—卫生事业管理]