荧光标记法结合PDCA管理对提高多重耐药菌感染患者环境清洁质量的作用  

Effect of fluorescent labeling combined with PDCA management on improving environmental cleaning quality in patients with multiple resistant bacteria

作　　者：张娟[1] 许同梅 林宁 谢强[3] 涂秀 张岚岚[4] ZHANG Juan;XU Tong-mei;LIN Ning;XIE Qiang;TU Xiu;ZHANG Lan-lan(Department of Infection Management,Chuzhou Hospital Affiliated to Anhui Medical University(the First People's Hospital of Chuzhou City),Chuzhou,Anhui 239000,China;不详)

机构地区：[1]安徽医科大学附属滁州医院(滁州市第一人民医院)感染管理科,安徽滁州239000 [2]安徽医科大学附属滁州医院(滁州市第一人民医院)神经外二科 [3]安徽医科大学附属滁州医院(滁州市第一人民医院)检验科 [4]安徽医科大学附属滁州医院(滁州市第一人民医院)科教科

出　　处：《中华全科医学》2022年第8期1419-1422,共4页Chinese Journal of General Practice

基　　金：安徽省重点研究和开发计划项目(201904a07020005)。

摘　　要：目的针对医院多重耐药菌感染患者的环境清洁质量管理问题,通过开展质量循环改进(plan-do-check-action,PDCA)管理与荧光标记法相结合的干预措施,为临床提高此类患者环境清洁质量的相关研究提供参考依据。方法选取滁州市第一人民医院多重耐药菌感染患者床单元作为研究对象,其中2019年1—3月利用荧光标记法对多重耐药菌感染患者床单元的清洁状况进行基线调查(对照组)。2019年4—6月利用荧光标记法监测患者床单元清洁质量,结合监测-反馈培训-改进和提高的PDCA管理模式来逐步提高多重耐药菌感染患者床单元环境清洁质量(观察组)。记录2个时间段内荧光标注的反馈效果,同时对2个时段内多重耐药菌感染患者的防控措施落实情况应用SPSS 22.0统计学软件进行统计比较。结果与对照组相比,观察组的荧光标注点清除率和其他环境中发现的荧光点数占比分别由59.87%(282/471)和6.79%(32/471)改善至88.03%(412/468)和1.92%(9/468),组间比较差异具有统计学意义(均P<0.05)。结论通过开展PDCA管理与荧光标记法相结合的干预措施,能够有效提高医院多重耐药菌感染患者的环境清洁质量管理的效果。Objective To solve the environmental cleaning quality management problems of patients with multidrug-resistant bacteria infection in hospital,through the combination of plan-do-check-action(PDCA)management and fluorescent labeling,to provide reference for clinical research on improving the environmental cleaning quality of such patients.Methods The bed linen of patients with multidrug-resistant bacteria infection in the First People's Hospital of Chuzhou City was selected as the research object.From January to March 2019,the cleaning status of bed linen of patients with multidrug-resistant bacteria infection was baseline investigated by fluorescence labeling(control group).From April to June 2019,the cleaning quality of patients'bedsheets were monitored by fluorescence labeling method,and the environmental cleaning quality of patients'bedsheets were gradually improved by combining the monitoring-feedback training-improvement and enhancement of PDCA management mode(observation group).The feedback effect of fluorescence labeling in two time periods was recorded.Meanwhile,the implementation of prevention and control measures for patients with multidrug-resistant bacteria infection in the two periods was compared.Results Compared with the control group,the clearance rate of fluorescent labeling points and the proportion of fluorescent spots detected in other environments in the observation group were improved from 59.87%(282/471)and 6.79%(32/471)to 88.03%(412/468)and 1.92%(9/468),the differences were statistically significant between groups(all P<0.05).Conclusion The combination of PDCA management and fluorescent labeling can effectively improve the effect of environmental cleaning quality management in hospital patients with multidrug-resistant bacteria infection.

关 键 词：荧光标记法 PDCA管理 多重耐药 清洁质量 

分 类 号：R197.323.4[医药卫生—卫生事业管理]