重症监护室医护人员规范消毒急救仪器依从性调查及影响因素分析

Investigation and analysis on compliance and influence factors of the standard disinfection of first aid equipments among ICU medical workers

摘要:

目的：调查重症监护室（Intensive care unit，ICU）医护人员消毒急救仪器依从性及其影响因素，为医院相关部门制定预防医院感染方案和措施提供决策依据。方法：自行编制ICU医护人员规范消毒急救仪器依从性调查问卷，对新疆地区4所全国“优质护理服务示范工程”试点医院200名ICU医护人员进行问卷调查，了解调查对象规范消毒ICU常用11种急救仪器的依从性。结果：ICU医护人员消毒急救仪器的方式各式各样、参差不齐。心电监护仪规范消毒的依从性最好，达79.5%，支气管镜、冰毯机、肠内营养泵消毒依从性最差。Logistic回归分析结果发现：工作年限、ICU专科工作年限和职务是规范消毒依从性的影响因素。结论：ICU医护人员消毒急救仪器时遵循规范制度的依从性不高，医护人员相关知识缺乏、工作年限和ICU专科工作年限是影响规范消毒的重要因素。

Abstract:

Objective：To investigate the compliance and influence factors of the standard disinfection of first aid equipments among ICU medical personnel and to provide references for related departments in hospital to formulate preventing plans and measures. Methods：A self-designed questionnaire of the standard disinfection compliance for first aid equipments was conducted among 200 ICU medical workers in 4 pilot hospitals entitled national “high quality nursing service demonstration project” in Xinjiang. The compliance of the standard disinfection for eleven kinds of first aid equipments in ICU was surveyed. Results：The way of disinfecting first aid equipments among ICU medical workers was various. The compliance of the standard disinfection for electrocardiogram monitor was the best，reaching 79.5% while those for bronchoscopy，ice blanket machine,enteral nutrition pump were the worst. Logistic regression analysis showed that the years of working，the years of working in ICU and the position were the main influence factors of the standard disinfection compliance. Conclusions：The compliance of disinfecting first aid equipment by rules among ICU medical personnel is not high. Lack of related knowledge，the years of working and the years of working in ICU are the important factors for the standard disinfection.