口腔正畸器械清洗质量的影响因素分析及改进措施

目的探讨口腔正畸器械清洗质量的影响因素,并拟定相应改进措施。方法采用便利抽样法,抽取我院口腔科2019年3—8月80件正畸器械为研究对象,其中有10件存在清洗质量不合格,命名为不合格组。收集消毒供应室工作人员相关资料和操作标准考核数据,经多因素logistic回归分析影响因素。结果多因素logistic回归分析显示,直接机洗的清洗方法、预处理不规范、清洗剂选择不合格、清洗质量监测办法(目测+镜检方法)是影响口腔正畸器械清洗质量的独立危险因素(P<0.05)。结论消毒供应室和口腔正畸科室应拟定改进制度,确保操作规范,提高正畸器械清洗质量。

Analysis of the influencing factors and improvement measures in the cleaning quality of orthodontic appliances

Objective To discuss the influencing factors of cleaning quality of orthodontic appliances and formulate corresponding improvement measures.Methods By using the convenience sampling method,80 orthodontic appliances from our department of stomatology from March to August 2019 were selected as the study objects,and 10 of them were found to be of unqualified cleaning quality,it was named as the unqualified group.The relevant data of the staff in the disinfection supply room and operation standard assessment data were collected,and the influencing factors was analyzed through multi-factor logistic regression analysis.Results Multivariate logistic regression analysis showed that the cleaning method of direct machine washing,the non-standard pretreatment,the unqualified cleaning agent selection,and the cleaning quality monitoring method(visual inspection+microscopic inspection method)were the independent risk factors that affect the cleaning quality of orthodontic appliances(P<0.05).Conclusion The medical staff of disinfection supply room and the orthodontic department should formulate an improved system to ensure the operation standard and improve the cleaning quality of orthodontic appliances.