临床和实验医学杂志2024,Vol.23Issue(3) :333-337.DOI:10.3969/j.issn.1671-4695.2024.03.028

我国726所医疗机构消化内镜中心清洗消毒人员相关调查与分析

Structure and training of endoscope reprocessing staff for gastrointestinal endoscopy:a nationwide web survey covering 726 medical in-stitutions

韦键 丛雪
临床和实验医学杂志2024,Vol.23Issue(3) :333-337.DOI:10.3969/j.issn.1671-4695.2024.03.028

我国726所医疗机构消化内镜中心清洗消毒人员相关调查与分析

Structure and training of endoscope reprocessing staff for gastrointestinal endoscopy:a nationwide web survey covering 726 medical in-stitutions

韦键 1丛雪2
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作者信息

  • 1. 首都医科大学附属北京友谊医院护理部 北京 100050
  • 2. 首都医科大学附属北京友谊医院消化分中心 北京 100050
  • 折叠

摘要

目的 了解全国范围内的消化内镜中心清洗消毒人员组成与培训的现况,加强对消化内镜清洗消毒人员的管理,促进我国内镜清洗消毒人员培训体系的形成,提高消化内镜清洗消毒质量.方法 2020年10月至2022年2月,采用便利抽样的方式,选取全国744所医疗机构,针对消化内镜清洗消毒人员结构组成与培训现状进行问卷调查.结果 共计纳入26个省市的726所医疗机构(其中三级医院460家,二级医院266家).消化内镜清洗消毒人员结构与培训现状:(1)清洗消毒专职人员结构:有清洗消毒技术人员的189所(26.03%),轮岗护士的193所(26.58%),护士固定岗的195所(26.86%),轮岗护士+清洗消毒专职人员的81所(11.16%);(2)岗前培训:474所(65.29%)的医疗机构有统一的洗消上岗培训规范,但375所(51.65%)的医疗机构没有消化内镜洗消专业上岗证;(3)内镜清洗消毒人员的培训:为内镜清洗消毒人员提供培训占比最高的是本单位内镜中心内部组织培训,共有435所(59.92%),为洗消人员提供培训最多的是本单位固定负责洗消质控护士,共有447所(61.57%),培训模式最多采用的是"手把手"教学,共有527所(72.59%);(4)内镜清洗消毒人员考核:536所(73.83%)的医疗机构会对洗消人员工作质量进行定期考核.结论 我国消化内镜的开展仍处于上升期,各医疗机构内镜再处理过程中的清洗剂、消毒剂的选择和相关设备投入差异较大.应重视对消化内镜清洗消毒专职人员的培训与继续教育,并落实消化内镜清洗消毒专职人员的管理,如人员准入制度、上岗前、后的规范培训与考核.

Abstract

Objective To investigate the situation of the structure and training of the endoscope reprocessing staff in gastrointestinal en-doscopy centers,strengthen the management of the endoscope repmcessing staff,and to promote the formation of the training system for the profes-sionals of gastrointestinal endoscope reprocessing in China.Methods From October 2020 to February 2022,a questionnaire survey covering structure and training of GI endoscope reprocessing staff was conducted to 744 medical institutions seleted by convenience sampling.Results A total of 726 medical institutions were included,including 460 tertiary hospitals and 266 secondary hospitals.Structure and training status of per-sonnel responsible for cleaning and disinfecting digestive endoscopes:(1)structure of dedicated personnel for cleaning and disinfection:full-time endoscope reprocessing staff accounted for 189 medical institution(26.03%),rotation nurses accounted for 193 medical institution(26.58%),nurse fixed post accounted for 195 medical institution(26.86%),rotating nurses+dedicated cleaning and disinfection personnel account for 81 medical institution(11.16%);(2)reprocessing training:474 medical institution(65.29%)of them had the unified endoscope reprocessing training standard,and 375 medical institution(51.65%)of them did not have the professional endoscope reprocessing certificate of gastrointesti-nal endoscope;(3)training for endoscopic cleaning and disinfection personnel:the highest proportion of training for endoscope reprocessing staff was organized by the hospital endoscopy center 435 medical institution(59.92%),the nurses responsible for quality control of endoscopic repro-cessing in the department provided the most training for staff(61.57%),and the most common mode of training for them was"Hand-by-hand"527 medical institution(72.59%);(4)assessment of endoscopic cleaning and disinfection personnel:536 medical institution(73.83%)of medical institutions will regularly assess the work quality of staff Conclusion The development of digestive endoscopy in China is still on the rise,and there are significant differences in the selection of cleaning agents and disinfectants,as well as the investment of related equipment,in the endoscopic reprocessing process among medical institutions.It is necessary to pay attention to the training and continuing education of full-time staff for cleaning and disinfection of gastrointestinal endoscopes,and to implement the management of them,such as personnel access system,standardized training and assessment before and after working.

关键词

消化内镜/清洗消毒/人员培训/横断面调查

Key words

Digestive Endoscopy/Cleaning and disinfection/Training/Cross-sectional survey

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基金项目

北京友谊医院科研启动基金(yyqdkt2020-33)

出版年

2024
临床和实验医学杂志
首都医科大学附属北京友谊医院

临床和实验医学杂志

CSTPCD
影响因子:1.504
ISSN:1671-4695
参考文献量19
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