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医务人员对负压病房的消毒执行现状及认知调查

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目的 调查医务人员对负压病房的消毒执行现状及认知水平。方法 采用目的抽样法于2023年4月抽取陆军军医大学第一附属医院、重庆市公卫中心、空军军医大学唐都医院、中南大学湘雅附二院等医院有负压病房消毒经验的118名医务人员,对负压病房的空气/物表/织物/污物消毒具体措施、特殊硬件设施管理、消毒工具的管理、消毒效果监测等内容进行问卷调查。结果 118名医务人员参与调查,回收有效问卷116份,职业背景中护理专业人员109人(93。96%),临床医疗人员3人(2。59%),专职感控人员4人(3。45%);负压系统开启情况下,20。69%(24/116)的消毒人员未对病房内空气进行消毒,62。07%(72/116)的消毒人员选择含氯消毒剂+抹布进行擦拭,87。07%(101/116)的消毒人员对负压病房内患者的排泄物等进行了预处理;93。96%(109/116)的消毒人员所在的医疗机构有单独的消毒工具存储间;31。03%(36/116)的医务人员不清楚负压病房送排风口位置。结论 负压病房的消毒工作存在消毒不足或消毒过度的情况,各地医务人员对负压病房的消毒认知水平不一,应进行相关培训进一步提高其认知水平、规范消毒措施。
A survey on the current status and knowledge of medical staff on the implementation of sterilization in negative pressure wards
OBJECTIVE To investigate the current status and knowledge of medical staff on the implementation of sterilization in negative pressure wards.METHODS In Apr.2023,118 medical staff with experience in disinfection of negative pressure wards were selected by purposive sampling method from the First Affiliated Hospital of Army Medical University,Chongqing Public Health Center,Tangdu Hospital of Air Force Military Medical University,and the Second Affiliated Hospital of Xiangya of Central South University by the purpose sampling method,and a questionnaire survey on the specific measures of air/surface/fabric/dirt disinfection,the management of special hardware facilities,the management of disinfection tools,and the monitoring of disinfection effect in negative pressure wards was conducted.RESULTS Totally 118 medical staff participated in the survey,and 116 valid ques-tionnaires were collected,with 109(93.96%)nursing professionals,3(2.59%)clinical medical staff and 4(3.45%)full-time sensory control staff in the occupational background;With the negative pressure system on,20.69%(24/116)of the disinfecting staff did not disinfect the air in the wards,62.07%(72/116)of the disinfec-ting personnel chose chlorine disinfectant+rags for wiping,87.07%(101/116)of the disinfecting staff pre-trea-ted patients'excreta,etc.in the negative pressure wards.93.96%(109/116)of the disinfecting staff's healthcare facilities had separate storage room for disinfecting tools.31.03%(36/116)of the medical staff were not aware of the location of the air supply and exhaust outlets in the negative pressure wards.CONCLUSION Disinfection in negative pressure wards was either insufficient or excessive,and the sterilization awareness levels of medical pro-fessionals in the negative pressure wards varied by region,so relevant training should be carried out to further im-prove their awareness level and standardize disinfection measures.

Negative pressure wardInfectious diseasesDisinfectInfectionQuestionaire survey

李婷婷、杨莎、张慧兰、罗红霞、邓国宏、游建平

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陆军军医大学第一附属医院感染病科,重庆 400038

负压病房 传染病 消毒 感染 问卷调查

重庆市卫生适宜技术推广基金资助项目

2020jstg037

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(4)
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