吉林省72所医疗机构软式内镜终末漂洗水质量调查及影响因素分析  

Status quo and influencing factors of the quality of final rinse water for flexible endoscope in 72 medical institutions in Jilin Province

作　　者：朱炫瑞 庄宜锦 刘文龙 王琇[1] Zhu Xuanrui;Zhuang Yijin;Liu Wenlong;Wang Xiu(Endoscopy Center,the First Hospital of Jilin University,Changchun 130021,China;Nursing Department,the First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院内镜中心,长春130021 [2]吉林大学第一医院护理部,长春130021

出　　处：《中华现代护理杂志》2023年第8期1017-1023,共7页Chinese Journal of Modern Nursing

基　　金：吉林省医疗卫生人才专项(JLSCZN2019-006)。

摘　　要：目的调查吉林省医疗机构软式内镜终末漂洗水质量管理现状,并分析影响纯化水质量的因素。方法采用方便抽样法,于2020年1—5月选取吉林省75所医疗机构为研究对象,采用自制的软式内镜终末漂洗水质量管理现状调查问卷对75所医疗机构内镜中心管理人员进行调查。同时,对医疗机构的内镜终末漂洗水进行现场采样,采集水处理设备终端、储水罐出口以及使用终端出水口水样,共159份,采用倾注及过滤法进行细菌总数检测。本研究共发放问卷75份,回收有效问卷72份,有效回收率为96.00%。结果40.28%(29/72)的医疗机构终末漂洗水生物学检测结果合格,且不同等级医疗机构终末漂洗水生物学检测合格率比较差异无统计学意义(P>0.05)。医疗机构终末漂洗水生产设备配置方面,终末漂洗用水类型、是否具备水处理设备、水处理工艺、是否安装原水预处理装置、是否安装消毒装置是终末漂洗水生物学检测结果的影响因素(P<0.05);终末漂洗水生产设备维护方面,在安装原水预处理及滤膜等设备的医疗机构中,是否记录终末漂洗水维护情况、是否定期更换滤膜、是否消毒储水罐及管路消毒情况是终末漂洗水生物学检测结果的影响因素(P<0.05);终末漂洗水质量监测方面,终末漂洗水质量相关监测制度的制订及监测情况的记录是终末漂洗水生物学检测结果的影响因素(P<0.05)。结论各医疗机构应提高相关部门对内镜终末漂洗水质量控制的重视,加大财政支持和科研支撑力度,制订并完善相关规范,统一行业标准及行为,从而确保软式内镜终末漂洗用水质量,保证医疗安全。Objective To explore the quality management status of the final rinse water for flexible endoscope in medical institutions in Jilin Province,and analyze the factors affecting the quality of purified water.Methods From January to May 2020,75 medical institutions in Jilin Province were selected as subjects by convenience sampling.A self-designed Flexible Endoscopic Final Rinse Water Quality Management Questionnaire was used to investigate the managers of the Endoscopy Center in 75 medical institutions.The final rinse water of medical institutions was sampled on site,and 159 water samples were collected from the water treatment equipment terminal,water storage tank outlet and use terminal outlet,and the total number of bacteria was detected by pouring and filtration method.A total of 75 questionnaires were distributed,and 72 valid questionnaires were recovered,with a valid recovery rate of 96.00%.Results A total of 40.28%(29/72)of medical institutions passed the final rinse water biological test results,and there was no statistically significant difference in the rate of passing the final rinse water biological test between different levels of medical institutions(P>0.05).In terms of the final rinse water production equipment configuration of medical institutions,the type of final rinse water,the availability of water treatment equipment,water treatment process,the installation of raw water pretreatment device,and the installation of disinfection device were the influencing factors of the biological test results of final rinse water,and the difference was statistically significant(P<0.05).In terms of the maintenance of the final rinse water production equipment,whether to record the maintenance of the final rinse water,whether to replace the filter membrane regularly,whether to disinfect the water storage tank and the disinfection of the pipeline in the medical institutions that installed the raw water pretreatment and filter membrane and other equipment were the influencing factors of the biological test results of

关 键 词：软式内镜 横断面调查 纯化水 质量控制 影响因素 

分 类 号：R472.1[医药卫生—护理学]