中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
11期
1266-1268
,共3页
感染%消毒%防护服%普通隔离衣%防水透气隔离衣
感染%消毒%防護服%普通隔離衣%防水透氣隔離衣
감염%소독%방호복%보통격리의%방수투기격리의
Infection%Disinfection%Protective clothing%Ordinary isolation gown%Spray disinfection of proofed breathable isolation gown
目的 探讨感染科护士在护理操作中采用防水透气隔离衣表面喷雾消毒的防护效果,为替代普通隔离衣提供临床依据.方法 选取感染科护士14名为研究对象,使其进入2个不同病种病房操作,其中6名护士穿透气防水隔离衣采用隔离衣表面喷雾消毒的护士为观察组,8名护士使用普通隔离衣穿脱更换为对照组.两组护士每个病房护理操作完毕后分别在其隔离衣的肩部、袖口及腹部3个部位,选择5 cm×5 cm区域测试点,观察测试点上的菌落数,比较两组不同区域污染的菌落数的差异.结果 护士在感染病房护理操作过程中,对照组隔离衣袖口污染菌落数与胸部差异无统计学意义(P＞0.05),腹部区域污染菌落数高于胸部区域,差异有统计学意义(t=-3.737,P =0.002)；观察组穿防水透气隔离衣护士3个测试点污染菌落数比较差异无统计学意义(P＞0.05)；两组隔离衣胸部和袖口区域菌落数比较差异无统计学意义(P＞0.05),观察组隔离衣腹部区域污染菌落数为(0.83±1.17) cfu/cm2 低于对照组的(17.40±9.77) cfu/cm2,差异有统计学意义(t=-4.085,P=0.002).结论 护士在感染病房护理操作过程中,应用普通隔离衣腹部区域是最易受细菌污染的部位,其次是袖口,最后是胸部；与更换普通隔离衣相比,防水透气隔离衣喷雾消毒法可减少腹部区域的细菌污染,其预防交叉感染的效果优于普通隔离衣,而且操作方便,值得临床推广.
目的 探討感染科護士在護理操作中採用防水透氣隔離衣錶麵噴霧消毒的防護效果,為替代普通隔離衣提供臨床依據.方法 選取感染科護士14名為研究對象,使其進入2箇不同病種病房操作,其中6名護士穿透氣防水隔離衣採用隔離衣錶麵噴霧消毒的護士為觀察組,8名護士使用普通隔離衣穿脫更換為對照組.兩組護士每箇病房護理操作完畢後分彆在其隔離衣的肩部、袖口及腹部3箇部位,選擇5 cm×5 cm區域測試點,觀察測試點上的菌落數,比較兩組不同區域汙染的菌落數的差異.結果 護士在感染病房護理操作過程中,對照組隔離衣袖口汙染菌落數與胸部差異無統計學意義(P＞0.05),腹部區域汙染菌落數高于胸部區域,差異有統計學意義(t=-3.737,P =0.002)；觀察組穿防水透氣隔離衣護士3箇測試點汙染菌落數比較差異無統計學意義(P＞0.05)；兩組隔離衣胸部和袖口區域菌落數比較差異無統計學意義(P＞0.05),觀察組隔離衣腹部區域汙染菌落數為(0.83±1.17) cfu/cm2 低于對照組的(17.40±9.77) cfu/cm2,差異有統計學意義(t=-4.085,P=0.002).結論 護士在感染病房護理操作過程中,應用普通隔離衣腹部區域是最易受細菌汙染的部位,其次是袖口,最後是胸部；與更換普通隔離衣相比,防水透氣隔離衣噴霧消毒法可減少腹部區域的細菌汙染,其預防交扠感染的效果優于普通隔離衣,而且操作方便,值得臨床推廣.
목적 탐토감염과호사재호리조작중채용방수투기격리의표면분무소독적방호효과,위체대보통격리의제공림상의거.방법 선취감염과호사14명위연구대상,사기진입2개불동병충병방조작,기중6명호사천투기방수격리의채용격리의표면분무소독적호사위관찰조,8명호사사용보통격리의천탈경환위대조조.량조호사매개병방호리조작완필후분별재기격리의적견부、수구급복부3개부위,선택5 cm×5 cm구역측시점,관찰측시점상적균락수,비교량조불동구역오염적균락수적차이.결과 호사재감염병방호리조작과정중,대조조격리의수구오염균락수여흉부차이무통계학의의(P＞0.05),복부구역오염균락수고우흉부구역,차이유통계학의의(t=-3.737,P =0.002)；관찰조천방수투기격리의호사3개측시점오염균락수비교차이무통계학의의(P＞0.05)；량조격리의흉부화수구구역균락수비교차이무통계학의의(P＞0.05),관찰조격리의복부구역오염균락수위(0.83±1.17) cfu/cm2 저우대조조적(17.40±9.77) cfu/cm2,차이유통계학의의(t=-4.085,P=0.002).결론 호사재감염병방호리조작과정중,응용보통격리의복부구역시최역수세균오염적부위,기차시수구,최후시흉부；여경환보통격리의상비,방수투기격리의분무소독법가감소복부구역적세균오염,기예방교차감염적효과우우보통격리의,이차조작방편,치득림상추엄.
Objective To explore the protection effect of the spray disinfection of proofed breathable isolation gown on the nursing operation in infection department,so as to provide some evidence for replace the ordinary isolation gown that use in clinic.Methods Totals of fourteen nurses in infection department were recruited and six nurses dressed on waterproof breathable isolation gown and adopted the spray disinfection as the experiment group,eight nurses were dressed on ordinary isolation gown as the control group.Three test points of the shoulder,cuff and abdomen on the isolation gown and each size was 5 cm × 5 cm,were selected and the number of bacterial colony was observed.Results In the control group,there was no significant difference in the number of bacterial colony between the cuff and the chest( P ＞0.05 ),and the bacterial number of abdomen was significandy higher than that of the chest ( t =- 3.737,P =0.002 ).While there was no significant difference in the number of bacterial colony between three test points in the experiment group( P ＞ 0.05 ) and the difference of the number of bacterial colony in the cuff and chest point between two groups was not significant (P ＞0.05 ).Abdominal area pollution colonies in experiment group was significantly lower than that in control group[ (0.83±1.17) cfu/cm2 vs (17.40±9.77) cfu/cm2,t=-4.085;P=0.002].Conclusions During the nursing operation in the infection department,the most vulnerable contamination part of ordinary isolation gown is abdominal area,secondary is cuff,and chest part is followed.While the spray disinfection of waterproofed breathable isolation gown can significantly reduce bacteria number on the abdominal area,and is convenient operation,which can be popularized in clinic.
