医院器具/物品手工清洗效果的影响因素及干预措施  

Factors Influencing the Effectiveness of Manual Cleaning of Hospital Equipment/Items and Intervention Measures

作　　者：朱海玉 王锦倩 王雪[1] 周晓铎 ZHU Haiyu;WANG Jinqian;WANG Xue;ZHOU Xiaoduo(Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院,河南南阳473000

出　　处：《河南医学研究》2024年第2期337-341,共5页Henan Medical Research

摘　　要：目的探讨医院器具/物品手工清洗效果相关因素及防治措施,以期为提高院内整体医疗服务水平提供科学依据。方法采用分层整群抽样法从南阳市中心医院抽取清洗后的173件医院器具/物品,采用问卷调查和现场采样检测法评估手工清洗消毒质量情况,根据是否合格分为合格组(141件)和不合格组(32件)。比较两组一般资料,通过单因素及多因素logistic回归方程分析医院器具/物品手工清洗不合格影响因素。结果不合格组器械类型精细类、重度污染程度、清洗消毒时间≤0.5 h、终洗用水质量不合格、清洗消毒人员相关知识缺乏比例高于合格组,污染器械放置时间长于合格组(P<0.05)。器械类型精细类、重度污染程度、清洗消毒时间≤0.5 h、终洗用水质量不合格、清洗消毒人员相关知识缺乏、污染器械放置时间过长是医院器具/物品手工清洗质量不合格的独立危险因素(P<0.05)。结论医院器具/物品手工清洗质量较差,可能与器械类型、污染程度、污染器械放置时间、清洗消毒时间、终洗用水质量、清洗消毒人员相关知识缺乏等有关,相关管理部门需给予重视,制定针对性防护措施,以提高清洗质量,降低院内感染风险。Objective To explore the related factors and prevention measures of manual cleaning effect of hospital utensils/articles.Methods A stratified cluster sampling method was used to collect 173 hospital utensils/articles after cleaning from Nanyang Central Hospital.Questionnaire survey and on-site sampling and detection were used to evaluate the quality of manual cleaning and disinfection,and they were divided into qualified group(141 pieces)and unqualified group(32 pieces)according to whether they were qualified.By comparing the two groups of general data,the influencing factors of unqualified manual cleaning of hospital equipment/articles were analyzed by univariate and multivariate logistic regression equation.Results In the unqualified group,the proportion of equipment type fine,severe pollution degree,cleaning and disinfection time≤0.5 hour,unqualified final washing water quality,lack of knowledge of cleaning and disinfection personnel was higher than that in the qualified group,and the placement time of contaminated instruments was longer than that in the qualified group,with statistical significance(P<0.05).Instrument type fine class,severe pollution degree,cleaning and disinfection time≤0.5 hour,unqualified quality of final washing water,lack of knowledge of cleaning and disinfection personnel,and too long placement time of contaminated instruments were the independent risk factors for unqualified manual cleaning of hospital utensils/articles(P<0.05).Conclusion The poor quality of manual cleaning of hospital utensils/articles may be related to the type of instruments,the degree of contamination,the time of placement of contaminated instruments,the time of cleaning and disinfection,the quality of final washing water,and the lack of relevant knowledge of cleaning and disinfection personnel.

关 键 词：医院器具/物品 手工 清洗效果 影响因素 防治措施 

分 类 号：R134[医药卫生—劳动卫生]