CAJ | 학술논문

目的比较血污手术器械两种浸泡方法的效果,并分析其影响因素,控制关键环节,提高手术器械清洗质量和清洗效率、降低损耗.方法分析血污手术器械清洁效果的影响因素,对器械初始保湿方法进行验证,针对关键因素制定改进措施.结果清水组器械氧化反应率为19.60％,消毒液组器械氧化反应率为2.30％,组间比较差异具有统计学意义(x2=26.04,P＜0.01).关键环节控制前卵圆钳返洗率为23.7％,损耗率为15.0％,关键环节控制后,卵圆钳返洗率为0.7％,损耗率为0,组间比较差异有统计学意义(x2分别为74.25,48.69;P＜0.01).结论消毒供应室控制关键环节,能提高手术器械清洗质量和清洗效率,降低损耗.
목적 비교혈오수술기계량충침포방법적효과,병분석기영향인소,공제관건배절,제고수술기계청세질량화청세효솔、강저손모.방법 분석혈오수술기계청길효과적영향인소,대기계초시보습방법진행험증,침대관건인소제정개진조시.결과 청수조기계양화반응솔위19.60％,소독액조기계양화반응솔위2.30％,조간비교차이구유통계학의의(x2=26.04,P＜0.01).관건배절공제전란원겸반세솔위23.7％,손모솔위15.0％,관건배절공제후,란원겸반세솔위0.7％,손모솔위0,조간비교차이유통계학의의(x2분별위74.25,48.69;P＜0.01).결론 소독공응실공제관건배절,능제고수술기계청세질량화청세효솔,강저손모.
Objective To compare the effect of two kinds of soaking methods on bloodstained surgical insturments,and analyze influence factors for instruments clean effect,control key link,improve quality and clean surgical instruments washing efficiency,and to reduce the consumption.Methods Points on three analysis phase:analysis of the cause and gory surgical instruments clean effect.Factors validation phase:on the basis of the moisturizing method is verified.Improve phase:for key factors,establishing countermeasure.Results Oxidation rate of instruments in water group was 19.60％,and 2.30％ in disinfection group,the difference between two groups was significant ( x2=26.04,P ＜0.01 ).Re-washing rate of oval forceps was 23.7％ and consumption rate was 15.0％ before quality control and those were 0.7％ and 0 after quality control,the difference was significant ( x2=74.25,48.69,respectively; P ＜ 0.01 ).Conclusions Sterilization supply &distribution control two keys could improve the quality and washing efficiency of surgical instruments,and reduce the consumption.