消毒供应室护理管理中PDCA循环模式对预防手术器械感染率的效果研讨
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殷美芳，林延
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苏州工业园区星海医院，江苏苏州，215000
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摘要：目的 研讨PDCA 循环模式应用于消毒供应室护理管理中对手术器械感染预防中的效果。方法我院于2022 年1 月~2023 年12 月时间段开展消毒供应室护理管理研究，2022 年1 月~12 月应用普通消毒供应室护理管理（普通组）与2023 年1 月~12 月在普通组基础上应用PDCA 循环模式（循环组），均由同一护理管理团队负责（共计11 名护理人员）。随机抽选2000 件手术器械进行护理管理研究（2022年1 月~12 月1000 件与2023 年1 月~12 月1000 件），并随机抽选200 例患者观察手术器械感染情况（2022 年1 月~12 月100 例与2023 年1 月~12 月100 例），比对两组应用效果。结果 循环组护理管理质量、械消毒灭菌合格率、满意评分高于普通组，手术器械感染率低于普通组P＜0.05。结论 循环组器预防手术器械感染中应用PDCA 循环模式，可以显著提高消毒供应室护理管理质量，提高器械消毒灭菌合格率，降低手术器械感染率，让护理管理人员更加满意护理工作。
关健词：护理管理人员；器械消毒灭菌合格率；手术器械感染率；护理管理质量
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Exploring the Effect of the PDCA Cycle Model in Central Sterile Supply Department Nursing Management on Reducing the Rate of Surgical Instrument-Related Infections
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Meifang Yin,Yan Lin
Xinghai Hospital Suzhou Industrial Park, Suzhou, Jiangsu, 215000, China
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Abstract：Objective To investigate the effectiveness of applying the PDCA cycle model in the nursing management of the Central Sterile Supply Department (CSSD) on preventing operative instrument infections. Methods This study on CSSD nursing management was conducted in our hospital from January 2022 to December 2023. Routine CSSD nursing management was applied from January to December 2022 (Routine Group), while the PDCA cycle model was applied on the basis of the routine group from January to December 2023 (PDCA Group). Both periods were managed by the same nursing management team (comprising 11 nursing staff in total). A random selection of 2000 operative instruments was included for the nursing management study (1000 instruments from January to December 2022 and 1000 from January to December 2023). Additionally, 200 patients were randomly selected to observe the incidence of operative instrument infections (100 patients from January to December 2022 and 100 from January to December 2023). The application effects of the two groups were compared. Results The PDCA Group showed higher nursing management quality, higher qualification rates for instrument disinfection and sterilization, and higher satisfaction scores compared to the Routine Group. The incidence of operative instrument infections was lower in the PDCA Group than in the Routine Group (P < 0.05). Conclusion The application of the PDCA cycle model in preventing operative instrument infections can significantly improve the quality of nursing management in the CSSD, increase the qualification rate of instrument disinfection and sterilization, reduce the incidence of operative instrument infections, and enhance job satisfaction among nursing management staff.
Keywords : nursing management personnel; qualified rate of instrument disinfection and sterilization; surgical instrument infection rate; nursing management quality
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