荧光标记法评价医院环境卫生清洁效果
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徐春芬

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R197.323.4

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Fluorescence labeling method for evaluating the efficacy of hospital environment cleaning
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    摘要:

    目的采用荧光标记法评价医院环境卫生清洁效果。方法2015年1—2月选择7所医院312间病房高频接触面进行荧光标记,保洁员清洁后,计算荧光标记清除率(作为基线调查资料),对保洁员进行培训和现场指导(干预措施),比较干预前后的清除效果。结果共对110间病房进行基线调查,2 856个接触清洁面的清除率仅为50.81%,量化评估值为45.70;干预后,202间病房3 992个接触清洁面的清除率提高至79.23%,量化评估值为76.30;干预前后清除率比较,差异有统计学意义(χ2=612.14,P<0.05)。医疗器械表面、病床和卫生间接触面基线调查清除率分别为46.07%、37.80%、25.20%,干预后分别为80.59%、75.90%、51.70%。干预前后呼叫器、坐便器盖、卫生间电器开关和椅子四类高频接触面的清除率较低,基线调查清除率均<30%,干预后清除率为47.03%~68.32%;干预后其余高频接触面清除率均>75%。结论荧光标记法可直观反映保洁员操作的质量,又可改善病房环境清洁水平,是一种国际流行的简捷、低廉、客观的医院环境清洁水平评估方法。

    Abstract:

    ObjectiveTo evaluate the effectiveness of hospital environmental cleaning practice by fluorescence labeling method.MethodsFrom January to February 2015, 312 ward rooms in 7 hospitals were chosen, high touch object surface were labeled with fluorescence, after object surface being cleaned by cleaners, clearance rates of fluorescence labeling were calculated (as baseline survey data), training and onsite guidance for cleaners were performed(intervention measures), fluorescence labeling clearance effect before and after intervention was compared.ResultsA total of 110 ward rooms were performed baseline survey, the fluorescence labeling clearance rate of 2 856 touched clean surface was only 50.81%, the quantitative evaluation value was 45.70; after intervention, 202 rooms were surveyed, fluorescence labeling clearance rate of 3 992 touched clean surface enhanced to 79.23%, the quantitative evaluation value was 76.30;there was significant difference in fluorescence labeling clearance rate between before and after intervention (χ2=612.14,P<0.05). In the baseline survey, the clearance rates of fluorescence labeling on touched surface of medical instruments, hospital beds, and toilets were 46.07%, 37.80%, and 25.20% respectively; after intervention , the clearance rates were 80.59%, 75.90%, and 51.70%,respectively. After intervention, fluorescence labeling clearance rates of beepers, toilet seat covers, toilet electrical switches, and chairs were low, the clearance rates of these touched surface in baseline survey were<30%,after intervention were 47.03%-68.32%;the clearance rates of other high touch surface were all>75%. ConclusionFluorescence labeling method can directly reflect the operation quality of cleaners, and improve the cleanliness of ward environment, it is a simple, inexpensive and objective globally popular method for evaluating hospital environment cleanliness.

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卞雪莲,郁世芳, 徐春芬,等.荧光标记法评价医院环境卫生清洁效果[J]. 中国感染控制杂志,2017,16(1):84-86. DOI:10.3969/j. issn.1671-9638.2017.01.020.
BIAN Xuelian, YU Shifang, XU Chunfen, et al. Fluorescence labeling method for evaluating the efficacy of hospital environment cleaning[J]. Chin J Infect Control, 2017,16(1):84-86. DOI:10.3969/j. issn.1671-9638.2017.01.020.

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  • 收稿日期:2016-05-16
  • 最后修改日期:2016-08-12
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  • 在线发布日期: 2017-01-22
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