门诊采血患者感染性废物收集结果及影响因素分析  

Analysis of infectious waste collection and influencing factors in outpatient blood collection

作　　者：李翠萍[1] 刘青[1] LI Cui-ping;LIU Qing(The Second People's Hospital of Jiaozuo,Henan 454001,China)

机构地区：[1]河南省焦作市第二人民医院,河南454001

出　　处：《中国卫生检验杂志》2023年第22期2794-2797,共4页Chinese Journal of Health Laboratory Technology

摘　　要：目的为分析河南省焦作市第二人民医院门诊采血患者感染性废物收集结果及相关影响因素,为做好门诊采血医疗废物源头管理提供参考。方法抽样选取2022年12月医院门诊采血患者的临床资料,分析采血后感染性废物收集结果及人口学特征、采血方法、按压模式等数据。采用logistic回归分析感染性废物收集失败的影响因素。结果1003例门诊采血患者感染性废物收集成功率为95.7%。单因素分析显示,不同性别、费别、疾病种类的患者感染性废物收集成功率差异无统计学意义(P>0.05);不同年龄、按压模式、采血方法的患者感染性废物收集成功率差异有统计学意义(P<0.05)。二元logistic回归分析显示,婴幼儿收集失败风险高;医用干棉签按压收集失败风险高于医用瓶口贴按压者;指尖采血收集失败风险高于静脉采血者。结论影响医院门诊采血患者感染性废物收集结果的主要因素是年龄、按压模式及采血方法,应采取合适的按压模式,落实医疗废物源头管理,降低疾病传播风险。Objective This paper aims to analyze the infectious waste collection and the influencing factors in outpatient blood collection in the Second Peoples Hospital of Jiaozuo City,so as to provide reference for the source management of medical waste in outpatient blood collection.Methods The clinical data of patients collected from the outpatient department in December 2022 were selected,and the results of infectious waste collection,demographic characteristics,blood collection methods and compression mode after blood collection were analyzed.Factors for failed infectious waste collection were analyzed using logistic regression.Results The success rate of infectious waste collection in 1003 outpatient blood sampling patients was 95.7%.Univariate analysis showed that there was no statistical significance on the difference in the success rate of infectious waste col-lection among patients with different genders,fees and disease types(P>0.05).There was statistical significance on the suc-cess rate of infectious waste collection between different ages,pressing mode and blood collection methods(P<0.05).The binary logistic regression analysis showed that the risk of collection failure is high in infants;the risk of collection failure in sur-gical dry swab press was higher than that in medical bottle mouth press;the risk of fingertip blood collection failure was higher than that of venous blood collection.Conclusion The main factors affecting the medical waste collection results are age,press-ing mode and blood collection method.The appropriate pressing mode should be adopted to implement the source management of medical waste and reduce the risk of disease transmission.

关 键 词：门诊采血患者 按压模式 感染性废物收集 影响因素 医疗废物源头管理 

分 类 号：R446[医药卫生—诊断学]