PDCA循环护理管理在降低内镜室院内感染中的价值

目的探讨PDCA循环护理管理在改善内镜院内感染的价值。方法采用自身对照队列研究方法,将近一年中山大学附属第七医院内镜室检查的患者600例作为研究对象,将其中2018年5月-2018年10月300例作为对照组,将2018年11月-2019年3月300例作为研究组,对比实施PDCA循环护理管理前后,内镜室空气合格率、医护人员感染知识知晓率、职业暴露发生率、内镜消毒清洗合格率。结果研究组内镜室空气合格率较为99.0%,明显高于对照组,组间对比统计学意义存在(P<0.05);研究组医护人员无茵操作率和手卫生合格率均达100%,,而感染知识知晓率为93.33%,均明显高于对照组(P<0.05),两组洗手率比较未见统计学差异(P>0.05);内镜感染监测方面,研究组的内镜腔消毒合格率和内镜外表消毒合格率均较高,但两组比较差异未见统计学差异(P>0.05);而研究组职业暴露发生率0.33%,低于对照组(P<0.05)。结论PDCA循环护理管理可以最大限度降低内镜室感染的概率,有效减少感染风险事件,同时有利于内镜室护理人员有效增强感染控制意识以降低职业暴露风险。

The value of PDCA cycle nursing management in reducing endoscopic infections

Objective to explore the value of PDCA circular nursing management in improving nosocomial endoscopic infection.Methods using self-control contrast cohort study method,nearly a year,600 cases of patients with endoscopy room check in the seventh affiliated hospital of Sun-Y eh Sen University as the research objecl,which in May 2018 to October 2018,300 cases as control group,will be in November 2018 to March 2019,300 cases as a team,before and after contrast to implement PDCA circulation nursing management,qualified rate of endoscopy room air,medical staff aware of knowledge about infection,the incidence of occupational exposure,the qualification rate of endoscopic disinfection cleaning.Results the air qualification rate of endoscopy room in the study group was 99.0%,significantly higher than that in the control group,and there was statistically significant difference between the two groups(P<0.05).The aseptic operation rate and hand hygiene qualification rate of medical staff in the study group were 100%,while the knowledge rate of infection was 93.33%,which was significantly higher than that of the control group(P<0.05).There was no statistical difference in hand washing rate between the two groups(P>0.05).In terms of endoscopic infection monitoring,the qualified rate of endoscopic cavity disinfection and endoscopic appearance disinfection in the study group were both higher,but there was no statistical difference between the two groups(P>0.05).The incidence of occupational exposure in the study group was 0.33%,lower than that in the control group(P<0.05).Conclusion PDCA cycle nursing management can minimize the probability of endoscopic infection,effectively reduce the risk of infection events,and help endoscopic nursing staff to effectively enhance infection control awareness to reduce occupational exposure risks.