层级管理在消化内镜清洗消毒质量管理中的应用效果  

Application effects of hierarchical management in quality management of digestive endoscopy cleaning and disinfection

作　　者：赵田田 ZHAO Tiantian(Central Sterile Supply Department of Zhoukou Central Hospital,Zhoukou 466000 Henan,China)

机构地区：[1]周口市中心医院消毒供应中心,河南周口466000

出　　处：《中国民康医学》2025年第9期138-140,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察层级管理在消化内镜清洗消毒质量管理中的应用效果。方法:回顾性分析2021年7月至2023年6月该院80件消化内镜的临床资料,2021年7月至2022年6月实施常规管理,2022年7月至2023年6月实施层级管理,比较层级管理实施前后消毒合格率、护理人员消化内镜清洗消毒知识掌握度评分、消化内镜清洗消毒相关指标(每月清洗刷更换条数、每月活检通管维修条数、内镜表面黄斑个数)水平和内镜检查患者呼吸道感染发生率。结果:实施后,消化内镜消毒合格率为92.50%(74/80),高于实施前的77.50%(62/80),差异有统计学意义(P<0.05);实施后,护理人员消化内镜清洗消毒理论知识、管理及操作掌握度评分均高于实施前,差异有统计学意义(P<0.05);实施后,每月清洗刷更换条数、每月活检通管维修条数、内镜表面黄斑个数均少于实施前,差异有统计学意义(P<0.05);实施后,内镜检查患者呼吸道感染发生率为0,低于实施前的20.00%(6/30),差异有统计学意义(P<0.05)。结论:层级管理应用于消化内镜清洗消毒质量管理可提高消化内镜消毒合格率、护理人员消化内镜清洗消毒知识掌握度评分,改善消化内镜清洗消毒相关指标水平,降低内镜检查患者呼吸道感染发生率,效果优于常规管理。Objective:To observe applications effect of hierarchical management in quality management of digestive endoscopy cleaning and disinfection.Methods:The clinical data of 80 digestive endoscopes in the hospital from July 2021 to June 2023 were retrospectively analyzed.From July 2021 to June 2022,routine management was implemented,while from July 2022 to June 2023,hierarchical management was implemented.The disinfection qualified rate,the score of nursing staff’s knowledge mastery of cleaning and disinfection of digestive endoscopy,the level of related indicators of cleaning and disinfection of digestive endoscopy(the number of cleaning brushes replaced per month,the number of biopsy tube maintenance per month,the number of macular on the surface of endoscopy),and the incidence of respiratory tract infections in the patients were compared before and after the implementation of hierarchical management.Results:After the implementation,the digestive endoscopy disinfection qualified rate was 92.50%(74/80),which was higher than 77.50%(62/80)before the implementation,and the difference was statistically significant(P<0.05).After implementation,the scores of nursing staff’s knowledge mastery of theoretical knowledge,management and operation of digestive endoscopy cleaning and disinfection were higher than those before the implementation,and the differences were statistically significant(P<0.05).After the implementation,the number of cleaning brushes replaced per month,the number of biopsy tube maintenance per month,the number of macular on the surface of endoscopy were less than those before the implementation,and the differences were statistically significant(P<0.05).Further,after the implementation,the incidence of respiratory tract infection in the patients undergoing endoscopy was 0,which was lower than 20.00%(6/30)before the implementation,and the difference was statistically significant(P<0.05).Conclusions:The application of hierarchical management in the quality management of digestive endoscopy cleaning and disi

关 键 词：消化内镜 层级管理 清洗消毒 质量管理 消毒合格率 呼吸道感染 

分 类 号：R187[医药卫生—流行病学]