医院过氧化氢低温等离子体灭菌质量评价指标体系构建  

Construction of quality evaluation index system for hydrogen peroxide low-temperature plasma sterilization in hospitals

作　　者：丁丽娜[1] 姚卓娅[1] 耿军辉[1] 李漫春 詹朦 殷月 王俊锋 余丽英 DING Li-na;YAO Zhuo-ya;GENG Jun-hui;LI Man-chun;ZHAN Meng;YIN Yue;WANG Jun-feng;YU Li-ying(Dept.of Disinfection Supply Center,Henan Provincial People’s Hospital,Henan Provincial Key Laboratory of Quality Control for Medical Device Sterilization,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院消毒供应中心,河南省医疗器械灭菌质控医学重点实验室,河南郑州450000

出　　处：《护理学报》2024年第20期60-66,共7页Journal of Nursing（China）

基　　金：河南省医疗器械灭菌质控医学重点实验室开放课题(MJZK20220003)。

摘　　要：目的构建系统、规范的过氧化氢低温等离子体灭菌质量评价指标体系,为科学评价其灭菌效果提供参考。方法以三维质量评价模型为理论框架,通过文献回顾、理论分析、小组讨论法制订过氧化氢低温等离子体灭菌质量评价指标体系初稿,采用德尔菲法对全国15名消毒供应、感染防控、设备管理等相关领域专家进行2轮函询,并运用层次分析法确定指标权重。结果2轮函询问卷有效回收率分别为88%、100%,专家权威系数分别为0.940、0.960,肯德尔和谐系数分别为0.166、0.236(均P<0.001)。最终确定的医院过氧化氢低温等离子体灭菌质量评价指标体系包括3项一级指标、11项二级指标、52项三级指标。结论构建的过氧化氢低温等离子体灭菌质量评价指标内容科学、全面、实用,具有针对性,可为过氧化氢低温等离子体灭菌质量评价提供理论参考。Objective To construct a systematic and standardized quality evaluation index system for hydrogen peroxide low-temperature plasma sterilization,and to provide reference for scientifically evaluating sterilization efficacy.Methods Using a three-dimensional quality evaluation model as theoretical framework,the draft of the quality evaluation index system was formulated through literature review,theoretical analysis,and group discussions.With Delphi method,two rounds of survey were conducted in 15 experts from various fields including disinfection supply,infection prevention and control,and equipment management.Analytic hierarchy process(AHP)was used to determine the weight of the indicators.Results Effective response rate of two rounds of survey was 88%and 100%;expert authority coefficient 0.940 and 0.960,and Kendall’s harmony coefficient 0.166 and 0.236,respectively(all P<0.001).The final quality evaluation index system for hydrogen peroxide low-temperature plasma sterilization in hospitals consisted of 3 first-level,11 secondary-level,and 52 third-level indicators.Conclusion The constructed quality evaluation index system for hydrogen peroxide low-temperature plasma sterilization is scientific,practical,and targeted,providing theoretical reference for the quality evaluation of hydrogen peroxide low-temperature plasma sterilization.

关 键 词：过氧化氢等离子体 低温灭菌 质量控制 评价指标 德尔菲技术 

分 类 号：R472.1[医药卫生—护理学]