医用蒸汽灭菌器监测记录单收纳盒的研制及应用效果分析

Development and application effect analysis of a storage box for monitoring record sheet of medical steam sterilizer

目的:研制有利于保存灭菌监测记录单的医用蒸汽灭菌器监测记录单收纳盒,改进物理监测参数记录质量和效果。方法:针对物理监测参数打印不规范和缺失的主要原因,采用透明双层玻璃板制作9 cm×7 cm×4 cm敞口式矩形医用蒸汽灭菌器物理监测数据记录单收纳盒。选取2018年1-6月医院消毒供应中心收集的2884次压力蒸汽灭菌循环打印记录,按照医用蒸汽灭菌器监测记录单收纳盒应用前后分为对照组(1428次)和观察组(1456次),对照组采用常规管理方法,观察组用医用蒸汽灭菌器监测记录单收纳盒进行管理,记录两组物理监测参数打印未黑染率和缺失率。结果:对照组物理监测参数打印未黑染率为68.3%,观察组为100%,两组比较差异有统计学意义(χ^(2)=46.523,P<0.05);对照组物理监测参数打印缺失率为1.19%,观察组为0.21%,两组比较差异有统计学意义(χ^(2)=8.635,P<0.05)。结论:研制的医用蒸汽灭菌器监测记录单收纳盒有利于监测记录单的保存,提高物理监测参数记录打印的完整性,保障无菌物品的灭菌质量。

Objective:To develop a storage box of monitoring data record sheet of medical steam sterilizer facilitated the maintenance of sterilization monitoring record and to improve the quality and effect of physical monitoring data record.Methods:Aiming at the main reason of nonstandard printing and missing of physical monitoring parameters,A 9cm×7cm×4cm open rectangular box was made with transparent double glass plate for medical steam sterilizer physical monitoring data record sheet storage.The printed records of 2,884 times of pressure steam sterilization cycles from January 2018 to June 2018 at the central sterile supply department of the hospital were collected and according to storage box of monitoring data record sheet of medical steam sterilizer facilitated before and after intervention,divided into control group(1,428 times)and observation group(1,456 times).The control group adopted conventional management method,and the observation group was managed by improved method.The non-black staining rate and missing rate of the two sets of physical monitoring parameters were recorded.Results:The non-black staining rate of physical monitoring parameters in the control group was 68.3%,and the observation group was 100%,the difference was statistically significant(χ^(2)=46.523,P<0.05);the missing rate of physical monitoring parameter printing in the control group was 1.19%,and that in the observation group was 0.21%,the difference was statistically significant(χ^(2)=8.635,P<0.05).Conclusion:The storage box of monitoring data record of medical steam sterilizer is conducive to the preservation of monitoring record sheets,improves the integrity of physical monitoring parameter record printing,ensures the sterilization quality of sterile articles.