江苏省106所医疗机构消化内镜清洗质量问卷调查  

Questionnaire survey of cleaning quality of digestive endoscopes in 106 medical institutions in Jiangsu Province

作　　者：石雪平[1] 李雯[1] 谢甜芳 丁希伟[1] SHI Xue-ping;LI Wen;XIE Tian-fang;DING Xi-wei(Nanjing University Medical School Affiliated Drum Tower Hospital,Nanjing,Jiangsu 210008,China;不详)

机构地区：[1]南京大学医学院附属鼓楼医院消化内镜中心,江苏南京210008 [2]美国沃鲁夫(中国)培训中心,浙江杭州310005

出　　处：《中华医院感染学杂志》2021年第21期3356-3360,共5页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金资助项目(81602095);南京鼓楼医院立项护理科研基金资助项目(ZSA807-1)。

摘　　要：目的调查江苏省医疗机构消化内镜清洗质量监测与管理现状,为提高临床内镜清洗质量提供参考。方法以便利抽样法选择江苏省内106所医疗机构内镜中心,对其内镜清洗质量监测与管理进行问卷调查。结果 50.94%的机构来自三级甲等医院,三级医院中76.25%的内镜清洗人员来自物业技术人员,而二级医院中53.85%的清洗人员为护士;84.91%的机构能做到对每件内镜都执行床侧预处理,内镜干燥主要以气枪干燥为主,干燥时间方面部分机构并未达标;仅有68.86%的机构采取目测法执行内镜清洗质量监测,仅82.08%的医疗机构对内镜外表面进行清洗质量监测;16.04%的机构并未对洗消人员进行监测培训;75.47%的医疗机构仍以手工记录的方式对内镜清洗监测进行记录,11.32%的医疗机构从未做过相关内镜清洗质量检测记录。三级医院在内镜清洗规范性和清洗后质量监测执行率方面优于二级医院。结论各医疗机构对内镜清洗的规范性和清洗后的质量监测管理执行力还有待提高,管理层需重点关注内镜清洗质量监测,重视对洗消人员的清洗后质量监测的培训,从而提高消化内镜清洗消毒质量。OBJECTIVE To investigate the current status of monitoring and management of digestive endoscopes in medical institutions in Jiangsu Province so as to improve the cleaning quality of clinical endoscopes. METHODS Totally 106 endoscopy centers in Jiangsu Province were selected by convenience sampling method, and a questionnaire survey was conducted for the monitoring and management of cleaning quality of the endoscopes. RESULTS Among the medical institutions, 50.94% were tertiary three-A hospitals, 76.25% of the cleaning staff in the tertiary hospitals were property technicians, and 53.85% of the cleaning staff in grade II hospitals were nurses. 84.91% of the institutions could perform the bed side pretreatment for each endoscopic pole. The main drying method was air gun drying, and the drying time of some institutions did not meet the standard. Only 68.86% of the institutions adopted the visual method to monitor the cleaning quality of endoscopes, and only 82.08% of the medical institutions monitored the cleaning quality of the external surfaces of endoscopes. 16.04% of the institutions did not provide monitoring training for decontamination personnel;75.47% of the medical institutions still used manual recording method to record the monitoring of endoscopic cleaning, and 11.32% of the medical institutions have never made relevant records of endoscopic cleaning quality testing. The rates of standardized cleaning of endoscopes and implementation of monitoring of cleaning quality were higher in the tertiary hospitals than in the secondary hospital. CONCLUSION The standardization of cleaning of endoscopes and execution of monitoring of cleaning quality need to further improved, the management personnel should focus on the monitoring of cleaning quality of endoscopes and pay attention to the training for the cleaning staff so as to improve the cleaning and disinfection quality of the digestive endoscopes.

关 键 词：消化内镜 清洗质量 横断面调查 

分 类 号：R472.1[医药卫生—护理学]