[1]李 丽,余 惠,何 亮,等.焦点管理循环模式在消化内镜清洗消毒中的应用效果及对感染防控的作用[J].医学信息,2024,37(24):163-166.[doi:10.3969/j.issn.1006-1959.2024.24.044]
　LI Li,YU Hui,HE Liang,et al.Application Effect of Focus Management Cycle Mode in Cleaning and Disinfection of Digestive Endoscopy and its Effect on Infection Prevention and Control[J].Journal of Medical Information,2024,37(24):163-166.[doi:10.3969/j.issn.1006-1959.2024.24.044]
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焦点管理循环模式在消化内镜清洗消毒中的应用效果及对感染防控的作用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年24期
页码:
163-166
栏目:
护理研究
出版日期:
2024-12-15

文章信息/Info

Title:
Application Effect of Focus Management Cycle Mode in Cleaning and Disinfection of Digestive Endoscopy and its Effect on Infection Prevention and Control
文章编号:
1006-1959（2024）24-0163-04
作者:
李 丽1; 余 惠1; 何 亮2; 王淑芳1
南昌大学第二附属医院内腔镜室1，急诊科2，江西 南昌 330006
Author(s):
LI Li1; YU Hui1; HE Liang2; WANG Shufang1
Endoscopy Room1,Department of Emergency2,the Second Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi,China
关键词:
焦点管理循环模式; 消化内镜; 清洗消毒; 感染防控
Keywords:
Focus management cycle mode; Digestive endoscopy; Cleaning and disinfection; Infection prevention and control
分类号:
R197
DOI:
10.3969/j.issn.1006-1959.2024.24.044
摘要:
目的 探讨焦点管理循环[包括发现问题（F）、组织（O）、澄清（C）、理解（U）、选择（S）、计划（P）、实施（D）、检查（C）、执行（A）, FOCUS-PDCA]模式在消化内镜清洗消毒中的应用效果及对感染防控的作用。方法 选取2023年1月-12月南昌大学第二附属医院消化内镜中心器械90套以及40名清洗消毒人员作为研究对象，按照随机数字表法将其分为对照组与研究组，每组均有45套器械以及20名清洗消毒人员。对照组接受常规消化内镜清洗消毒操作，研究组接受FOCUS-PDCA模式管理。比较两组手工清洗合格率、预处理执行合格率以及消化内镜水气管道堵管率、清洗消毒人员相关知识掌握程度（实操、理论知识）、医院感染事件发生率（呼吸道感染、皮肤感染、消化道感染），以及清洗消毒人员满意度。结果 研究组消化内镜手工清洗合格率、预处理执行合格率均高于对照组，消化内镜水气管道堵管率低于对照组（P＜0.05）。研究组清洗消毒人员对内镜相关知识掌握程度评分高于对照组（P＜0.05）。研究组医院感染事件发生率低于对照组（P＜0.05）。研究组满意度高于对照组（P＜0.05）。结论 FOCUS-PDCA模式在消化内镜清洗消毒中的应用效果确切，能够提高消化内镜清洗消毒质量、清洗消毒人员相关知识掌握程度以及满意度，减少医院感染事件发生率，值得临床应用。
Abstract:
Objective To explore the application effect of focus management cycle [including problem finding (F), organization (O), clarification (C), understanding (U), selection (S), plan (P), implementation (D), examination (C), implementation (A), FOCUS-PDCA] mode in cleaning and disinfection of digestive endoscopy and its effect on infection prevention and control.Methods From January to December 2023, 90 sets of instruments and 40 cleaning and disinfection personnel in the Digestive Endoscopy Center of the Second Affiliated Hospital of Nanchang University were selected as the research objects. According to the random number table method, they were divided into control group and study group, with 45 sets of instruments and 20 cleaning and disinfection personnel in each group. The control group received routine cleaning and disinfection of digestive endoscopy, and the study group received FOCUS-PDCA mode management. The qualified rate of manual cleaning, the qualified rate of pretreatment execution, the plugging rate of water and gas pipeline of digestive endoscopy, the mastery degree of relevant knowledge of cleaning and disinfection personnel (practical operation, theoretical knowledge), the incidence of hospital infection events (respiratory tract infection, skin infection, digestive tract infection) and the satisfaction of cleaning and disinfection personnel were compared between the two groups.Results The qualified rate of manual cleaning and pretreatment execution of digestive endoscopy in the study group were higher than those in the control group, and the plugging rate of water and gas pipeline of digestive endoscopy was lower than that in the control group (P<0.05). The score of endoscopic knowledge of cleaning and disinfection personnel in the study group was higher than that in the control group (P<0.05). The incidence of nosocomial infection in the study group was lower than that in the control group (P<0.05). The satisfaction of the study group was higher than that of the control group (P<0.05).Conclusion The application of FOCUS-PDCA mode in the cleaning and disinfection of digestive endoscopy is effective, which can improve the quality of cleaning and disinfection of digestive endoscopy, the mastery of relevant knowledge and satisfaction of cleaning and disinfection personnel, and reduce the incidence of hospital infection events. It is worthy of clinical application.

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更新日期/Last Update: 1900-01-01