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目的了解硬式内镜器械处理现状,分析主要影响因素,探讨提高硬式内镜器械处理质量的有效措施。方法对8家二级以上医院内镜管理护士进行硬式内镜处理方式和常见问题访问及问卷调查。结果仍有医院未设内镜专用工作台以及未配备内镜专职清洗人员,20%的清洗人员未经过相关培训,65%做到了酶清洗剂现配现用,50%使用了超声清洗机;半数医院能按规范流程清洗内镜器械;清洗检测中,基本均为目测法。结论影响硬式内镜器械处理效果的主要原因有:清洗条件不具备,清洗人员培训力度不够,清洗流程简化,主要清洗工具使用方法不当、内镜附件及器械数量比例不当、检测方法落后以及监控力度不强。针对这些原因,强化内镜管理,寻求科学有效的方法对内镜器械的清洗环节进行日常监测,提高清洗质量和灭菌成功率,确保手术患者的安全。
Objective To understand the status of rigid endoscopic instruments, analyze the main influencing factors, and discuss the effective measures to improve the quality of hard endoscopic instruments. Methods The endoscopic management nurses in 8 secondary hospitals and above were interviewed by hard endoscopy and questionnaires. As a result, there were still no special endoscope-equipped workbenches and full-time cleansing staff without endoscopes. 20% of the cleansing staff did not receive relevant training, 65% did so with enzyme cleansing agents and 50% used ultrasonic cleansing machines. Half of the hospitals can follow the standard procedures for cleaning endoscopic instruments; cleaning testing, the basic are visual method. Conclusions The main reasons that affect the effect of hard endoscopic instruments are: lack of cleaning conditions, inadequate staff training, simplified cleaning process, improper use of main cleaning tools, improper proportion of endoscope accessories and instruments, backward detection methods and monitoring intensity Not strong. For these reasons, to strengthen the management of endoscopy, to seek a scientific and effective method of cleaning endoscopic instruments routine monitoring, improve the cleaning quality and success rate of sterilization to ensure the safety of surgical patients.