CAJ | 학술논문

目的：掌握社区医院的卫生学状况，为社区医院指导医院内感染的控制重点和方向。方法对西安地区5家社区医院（观察组）2011～2013年的空气、物体表面、手卫生消毒、无菌物品、使用中的消毒液染菌量、紫外线强度进行卫生学监测，并与该地区5家二级医院（对照组）监测结果进行对比分析。结果观察组2011～2013年手卫生消毒合格率低于对照组，差异均有统计学意义（χ2=7.371、6.061、11.849，P＜0.05）；观察组2011~2013年合计合格率低于对照组，差异均有统计学意义（χ2=45.376、11.073、5.128，P＜0.05）；两组2011~2013年其他卫生学指标比较，差异均无统计学意义（P>0.05）。观察组中使用中的消毒液染菌量、合计合格率逐年增长，年间比较，差异均有统计学意义（χ2=14.617、54.402， P＜0.05）。结论社区医院的卫生学状况逐年在改善，但仍需重视及加强，尤其在手卫生消毒方面。
목적：장악사구의원적위생학상황，위사구의원지도의원내감염적공제중점화방향。방법대서안지구5가사구의원（관찰조）2011～2013년적공기、물체표면、수위생소독、무균물품、사용중적소독액염균량、자외선강도진행위생학감측，병여해지구5가이급의원（대조조）감측결과진행대비분석。결과관찰조2011～2013년수위생소독합격솔저우대조조，차이균유통계학의의（χ2=7.371、6.061、11.849，P＜0.05）；관찰조2011~2013년합계합격솔저우대조조，차이균유통계학의의（χ2=45.376、11.073、5.128，P＜0.05）；량조2011~2013년기타위생학지표비교，차이균무통계학의의（P>0.05）。관찰조중사용중적소독액염균량、합계합격솔축년증장，년간비교，차이균유통계학의의（χ2=14.617、54.402， P＜0.05）。결론사구의원적위생학상황축년재개선，단잉수중시급가강，우기재수위생소독방면。
Objective Master hygiene status of community health service station to guide the control keys and direction of the hospital-acquired infection. Methods It was monitored that air quality,object surface,hand hygiene and disinfection, sterile goods,the bacterium amount in disinfectant in use,ultraviolet intensity of 5 community health service stations(the observa-tion group) in Xi′an from 2011 to 2013,whose results were compared and analyzed with another 5 grade Ⅱhospital(the control group) in the region. Results The qualified rate of hand hygiene and disinfection in the observation group from 2011 to 2013 were lower than that of the control group,whose difference was statistically significant(χ2=7.371、6.061、11.849,P<0.05). The to-tal qualified rate in the observation group was lower than that of the control group. There was statistical significance in difference (χ2=45.376、11.073、5.128,P<0.05).There were no differences in other health indications(P>0.05). It was increasing annually in the bacterium amount of disinfectant in use. The difference has statistical significance between the years (χ2=14.617,P<0.05). Conclusion It has been improved in health status in community health service stations yearly. What we should especially focus on is hand hygiene and disinfection and constantly pay more attention to it.