两种扫床法对扫床质量及病室环境影响的比较

目的比较两种扫床法对扫床质量及病室环境的影响，寻找一种适合临床、科学有效、操作简便的扫床方法。方法利用抽签方法随机将科室的病床分为研究组及对照组各14张床，研究组使用粘尘滚进行扫床，对照组采用传统的湿式扫床法。比较两种扫床方法在扫床评分、扫床总时间、病房空气培养菌落数及病床表面培养菌落数。结果研究组扫床总时问为（16．91±1．30）min／d明显低于对照组的（24．90±2．21）min／d，差异有统计学意义（t=-17．094，P〈0．01）；两组扫床评分比较差异无统计学意义（P〉0．05）；两组扫床前后病房空气及病床表面培养菌落数比较，差异均无统计学意义（P〉0．05）；研究组及对照组扫床后床表面培养菌落数分别为（7．80±2．50），（8．65±2．41）cfu／cm^2，均低于扫床前的（13．15±3．71），（15．00±2．75）cfu/cm%2，差异均有统计学意义（t分别为8．033，12．867；P〈0．05）。结论使用粘尘滚扫床具有操作简便、不伤护士手、节省成本、扫床质量可靠、清洁作用好、对空气几乎没有污染等特点，具有实用性和有效性。

Comparison of sweep quality and influencing on the ward environment among two sweeping bed methods

Objective To compare the sweep quality and influencing on the ward environment among two sweeping bed methods so as to find a suitable, scientific effective and simple operation way of sweeping bed in clinic. Methods Wards of department were randomly divided into two groups. Each group have 5 wards and 14 beds. Sticky dust roll was used in experimental group and wet-model sweeping bed was used in control group. Comparison sweeping bed score and time, air samples of ward and surface samples of beds, receivability of nurses. Results Comparison with wet-model sweeping bed, time of sticky dust roll sweeping bed was saved （16.91±1.30） min/dvs （24.90±2.21） min/d], sweeping bed score （4.58±0.49） vs （4.48±0.50） ], air samples of ward before sweeping bed （444.75±137.91 ） cfufm2 vs （463.90±116.73 ）efu/m2 ] and after sweeping bed （453.50±114.40 ） efu/m2 vs （453.30±107.58 ） cfu/m2 ], and the difference was statistically significant （t = 8. 033,12. 867, respectively; P 〉 0. 05 ）. While the surface samples of beds of two groups before sweeping bed （ 13.15±3.71 ） cfu/m2 and （ 15.00±2.75 ） cfu/m2 ,after sweeping bed （7.80：1： 2.50） cfu/m2 and （ 8.65±2.41 ） cfu/m2, the differences were significant （ t = 8. 033,12. 867, respectively ; P 〈 0.05 ）. Conclusions Sticky dust roll sweeping bed is a convenient, reliable, clean and no air contamination way of sweeping bed. It is useful and effective and well worth to popularized in conditional hospital.