【摘要】 目的探讨消毒供应室采用PDCA循环护理对降低院内感染中的临床价值。方法选取我院消毒供应中心(2016年1月至2017年1月)60份应用常规护理模式的临床资料作为对照组,选取我院消毒供应中心(2018年1月至2019年1月)60份应用PDCA循环护理的临床资料作为观察组,对比两组医疗物品、器械清洗、灭菌、包装合格率和护理质量、科室满意度以及院内感染发生率。结果观察组医疗物品、器械清洗、灭菌、包装合格率分别为57(95.00%)、58(96.67%)、59(98.33%)、57(95.00%),明显优于对照组49(81.67%)、52(86.67%)、50(83.33%)、51(83.33%),均有统计学差异(χ~2=8.6221、6.5478、13.5068、7.0484,P <0.05)。观察组包装质量、清洗和消毒质量、环境管理、医疗器械管理评分分别为(96.8±1.2)、(97.1±1.3)、(95.3±1.1)、(97.5±1.3),明显高于对照组(90.3±2.5)、(88.9±2.7)、(87.5±2.7)、(88.6±2.3),均有统计学差异(t=18.1562、21.1959、20.7234、26.0938,P <0.05)。观察组科室满意度93.33%(56/60),显著高于对照组81.67%(49/60),对比差异明显(χ~2=6.2151,P <0.05)。观察组院内感染发生率3.33%(2/60),显著低于对照组13.33(8/60),对比明显(χ~2=6.5478,P <0.05)。结论 PDCA循环护理可有效提升消毒供应室护理质量,提高医疗物品、器械合格率,降低院内感染率,科室满意度高,值得临床推广。更多还原

【Abstract】 Objective To explore the clinical value of PDCA circulation nursing in the disinfection supply room to reduce nosocomial infection. Methods The clinical data of 60 routine nursing models in our hospital disinfection supply center(January 2016-January 2017) were selected as the control group, and 60 applications were selected from the disinfection supply center of our hospital(January 2018-January 2019). The clinical data of PDCA cycle care were used as observation groups to compare the two groups of medical articles, instrument cleaning, sterilization, packaging qualification rate and quality of care, departmental satisfaction, and incidence of nosocomial infections. Results The qualified rates of medical articles, instruments cleaning, sterilization and packaging in the observation group were 57(95.00%), 58(96.67%), 59(98.33%) and 57(95.00%), respectively, which was significantly better than the control group 49(81.67%). 52(86.67%), 50(83.33%), 51(83.33%), all had statistical differences(χ~2=8.6221, 6.5478, 13.5068, 7.0484, P<0.05). The observation group’s packaging quality, cleaning and disinfection quality, environmental management, and medical device management scores were(96.8±1.2),(97.1±1.3),(95.3±1.1), and(97.5±1.3), respectively, which were significantly higher than the control groups of(90.3±2.5),(88.9±2.7), and(87.5±2.7),(88.6±2.3), all had statistical differences(t=18.1562, 21.1959, 20.7234, 26.0938, P<0.05). The satisfaction of the observation group was 93.33%(56/60), which was significantly higher than that of the control group(81.67%(49/60)). The difference was significant(χ~2=6.2151, P<0.05). The incidence of nosocomial infection in the observation group was 3.33%(2/60), which was significantly lower than that in the control group(13.33(8/60)), and the contrast was significant(χ~2=6.5478, P<0.05). Conclusion PDCA cycle nursing can effectively improve the quality of care in the disinfection supply room, improve the qualified rate of medical articles and devices, reduce the infection rate in the hospital, and the satisfaction of the department is high, which is worthy of clinical promotion.更多还原