CAJ | 학술논문

目的了解惠州市近年来各级医疗卫生单位医务人员手部消毒效果,为科学指导医务人员消毒工作,预防和控制院内感染提供科学依据.方法按卫生部《消毒技术规范》方法和相关标准要求,于2010年—2011年对当地市级(Ⅰ级)、县区级(Ⅱ级)、乡镇级(Ⅲ级)、社会医疗四类医疗卫生单位医务人员手部进行了消毒效果监测.结果2年来共监测上述单位医务人员手部消毒效果样品共2528份.市级(Ⅰ级)、县区级(Ⅱ级)、乡镇级(Ⅲ级)和社会医疗四类医疗卫生单位的2010年度合格率分别为91.77﹪、92.25﹪、91.53﹪、82.29﹪,2011年度合格率分别为93.75﹪、96.33﹪、94.20﹪、83.27﹪,Ⅰ级、Ⅱ级、Ⅲ级和社会医疗的年度同类对比,合格率均有所上升,且同类两者之间差异并无显著性(P<0.005);同年度Ⅰ级、Ⅱ级、Ⅲ级之间的差异并无显著性(P<0.005),但社会医疗与Ⅰ级、Ⅱ级、Ⅲ级的差异有显著性(P>0.005).结论惠州市市级(Ⅰ级)、县区级(Ⅱ级)、乡镇级(Ⅲ级)医疗卫生单位医务人员手部消毒效果合格率较高、消毒工作稳定且水平相当,但社会医疗单位的效果较低、与Ⅰ级、Ⅱ级、Ⅲ级医疗卫生单位存在一定差距,将是今后消毒监测的重点,应特别加强对社会医疗单位医务人员手部消毒工作的落实.
목적료해혜주시근년래각급의료위생단위의무인원수부소독효과,위과학지도의무인원소독공작,예방화공제원내감염제공과학의거.방법안위생부《소독기술규범》방법화상관표준요구,우2010년—2011년대당지시급(Ⅰ급)、현구급(Ⅱ급)、향진급(Ⅲ급)、사회의료사류의료위생단위의무인원수부진행료소독효과감측.결과2년래공감측상술단위의무인원수부소독효과양품공2528빈.시급(Ⅰ급)、현구급(Ⅱ급)、향진급(Ⅲ급)화사회의료사류의료위생단위적2010년도합격솔분별위91.77﹪、92.25﹪、91.53﹪、82.29﹪,2011년도합격솔분별위93.75﹪、96.33﹪、94.20﹪、83.27﹪,Ⅰ급、Ⅱ급、Ⅲ급화사회의료적년도동류대비,합격솔균유소상승,차동류량자지간차이병무현저성(P<0.005);동년도Ⅰ급、Ⅱ급、Ⅲ급지간적차이병무현저성(P<0.005),단사회의료여Ⅰ급、Ⅱ급、Ⅲ급적차이유현저성(P>0.005).결론혜주시시급(Ⅰ급)、현구급(Ⅱ급)、향진급(Ⅲ급)의료위생단위의무인원수부소독효과합격솔교고、소독공작은정차수평상당,단사회의료단위적효과교저、여Ⅰ급、Ⅱ급、Ⅲ급의료위생단위존재일정차거,장시금후소독감측적중점,응특별가강대사회의료단위의무인원수부소독공작적락실.
Objective: To know the medical staff hand disinfection effect at al levels of medical and health units in Huizhou City for the past few years, provide a scientific basis for the scientific guidance of medical staff disinfection,units(city ,county (district), township and individual) had the disinfection effect monitoring during 2010 and 2011. Result: :We got 2528 samples of medical staff hand sanitizing effect form above units in this two years. Medical and health units of Huizhou, county (district), township and individual in 2010 of pass rates were 91.77﹪, 92.25﹪, 91.53﹪, 82.29﹪. In 2011, the percentage were 93.75﹪、96.33﹪、94.20﹪、83.27﹪,which the year similar contrast, the pass rates al had risen, and there was no significant difference between these two years(P<0.005);In the same year, the difference was not significant between the city, county (district) and township(P<0.005),but the individual did(P>0.005). Conclusion: Medical and health units of Huizhou city, county (district), township had high pass percentage in medical staff hand sanitizing effect, also have the stable and matching level disinfection. But individual medical and health units’ effect were not optimistic and there were a gap with others. This wil be the focal point of the disinfection monitoring in the future, in particular to strengthen the implementation of individual health units medical staff hand disinfection work.