徐辉?黄金洋?宋静?鲁丹?杨琦

[摘要]目的 探究护理安全干预对消毒供应中心消毒供应物品质量及临床满意度的影响。方法 选取2016年4月～2016年6月底消毒供应中心的189231包物品作为对照组，并选取2016年7～9月底已经实施护理安全干预的消毒供应中心的189453包物品作为观察组。各选取148名使用该两实验组消毒物品的医护人员进行满意度调查。实施程序化管理、分层次培训、标识管理、色标管理、留言板应用和建立风险防范机制。 结果 两组消毒物品不合格件数差异有统计学意义（P<0.05）；两組消毒物品发生风险件数差异有统计学意义（P<0.05）；两组消毒物品发生风险率差异有统计学意义（P<0.05）；观察组和对照组医护质量评分和供应消毒物品质量评分差异有统计学意义（P<0.05）。 结论 在消毒供应中心管理中应用护理干预措施可提高消毒物品的供应质量，并且可以提高临床满意度，降低风险发生率。

[关键词] 护理安全干预；消毒供应中心；消毒供应物品；满意度

[中图分类号] R47 [文献标识码] B [文章编号] 2095-0616（2017）16-195-03

Influence of nursing safety intervention on quality of disinfection supply and clinical satisfaction in disinfection supply center

XU Hui1 HUANG Jinyang1 SONG Jing2 LU Dan1 YANG Qi3

1. Central Sterile Supply Department， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 2. Dialysis Room， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 3. Department of Endocrine， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China

[Abstract] Objective To explore the influence of nursing safety intervention on quality of disinfection supply and clinical satisfaction in disinfection supply center. Methods 189231 packs of items from the sterile supply center from April 2016 to June 2016 were selected as control group， and 189453 packs of items for implementation of nursing safety intervention from the sterile supply center from July 2016 to September 2016 were selected as observation group. 148 medical staff in each of the two groups who used the disinfect articles in the two group were selected to investigate their satisfaction. Program management， layered training， logo management， color management， message board application and the establishment of risk prevention mechanism were carried on. Results There were significant differences in the number of unqualified items between the two groups （P<0.05）. There were significant differences in the number of risk items between the two groups （P<0.05）. The risk rate of two groups of disinfection items was statistically significant （P<0.05）. The score of quality of medical care and quality score of disinfection items in observation group and control group were statistically significant （P<0.05）. Conclusion The application of nursing intervention in the management of sterile supply center can improve the quality of disinfection supplies， improve the clinical satisfaction， and reduce the risk rate.

[Key words] Nursing safety intervention； Disinfection supply center； Sterilized articles； Satisfaction degreeendprint

消毒供应中心是医院中负责复用型诊疗器械和一般物品的消毒、灭菌以及提供无菌物品的部门，该部门的工作质量会直接影响到医院的医疗安全和医护质量[1-3]。卫生部颁布的《医院消毒供应中心管理规范》中明确了消毒供应中心的重要性，近来关于消毒供应中心的管理工作受到了越来越多的重视。建立护理安全机制对医院消毒供应中

心实施有效的护理安全管理已成为医院护理管理的研究重点[4-5]。

1 资料与方法

1.1 一般资料

本研究选取位于总部医院的消毒供应中心，消毒供应中心的工作人员全部参与研究，其中包括11名医护人员和8名工人。消毒研究中心日均处理消毒物品2100包左右，为总部医院70多个科室提供消毒物品保障。为研究护理安全干预对消毒供应中心中消毒供应物品质量及临床满意度的影响，选取2016年4～6月底消毒供应中心的189231包物品作为对照组，并选取2016年7～9月底已经实施护理安全干预的消毒供应中心的189453包物品作为观察组。……