改进手术室地面清洁洁具清洗方法的效果评价

目的通过改进手术室地面洁具清洗方法，规范地面清洁工作，预防和控制手术室医院感染的发生，提高管理质量。方法将手术室一体式拖把更换为可拆卸式，并应用全自动洗衣机实施地巾机械清洗与消毒（机械清洗组），比较机械清洗组与手工清洗组（手工清洗地巾）的消毒效果及用时。结果机械清洗组在地面及地巾的消毒效果监测中合格率均达96.67%（29/30），而手工清洗组地面及地巾的消毒效果监测合格率分别为83.33%（25/30）、66.67%（20/30）；机械清洗组完成手术间清洁消毒及批量清洁地巾的时间分别为（1.91±0.37） min和（35.00±2.47）min，手工清洗组完成手术间清洁消毒及批量清洁地巾的时间分别为（4.53±1.56 ）min和（41.00±5.33） min；上述指标两两比较，差异均有统计学意义(均P＜0.01)。结论机械清洗地巾能有效提高地面清洁质量，缩短清洁时间。

Evaluation on effectiveness of improved cleaning method for operating room floor mop towel

ObjectiveTo improve cleaning methods of ground towel in operating room , standardize the cleaning of ground of operating room, prevent and control the occurrence of healthcare associated infection (HAI) ,and improve management quality.MethodsOperating room mops were changed into detachable mops, ground towels were cleaned and disinfected by automated washing machine (mechanical cleaning group), disinfection effect and time need to finish cleaning between mechanical cleaning group and manual cleaning group were compared.ResultsThe qualified rates of disinfection effect of ground and ground towels in mechanical cleaning group were both 96.67%(29/30) , in manual cleaning group was 83.33%（25/30）and 66.67%（20/30）respectively；the time need to complete the cleaning and disinfection of operating ground and batch cleaning of towels in mechanical cleaning group was（1.91±0.37）and （35.00±2.47）minutes respectively，and in mechanical cleaning group was（4.53±1.56 ）and （41.00±5.33）minutes respectively；there was significant difference between two groups (all P<0.01). ConclusionMechanically towel cleaning method can effectively improve ground cleaning effectively and shorten cleaning time.