从实测病室尘埃粒子与沉降菌谈静脉输液护理干预

Discusion of dust particle and subsided bacteria in wards

目的预防院内感染及交叉感染,为医院空气质量提供基础数据;预防输液反应,防范医疗纠纷,改善输液质量,提高输液安全性。方法在常规消毒及医院卫生标准下,用Y09-9型激光尘埃粒子计数器对不同房间的空气尘埃粒子数及沉降菌数做测定。结果尘埃粒子数走向趋向一致。为14∶00～15∶00〈9∶00～10∶00〈21∶00～22∶00〈6∶00～7∶00。结论上午及下午时间段适合做治疗、护理,晨间和晚上适合做卫生清扫工作;早晨与晚间室内空气尘埃粒子含量最高,空气污染最严重,应注意早晚开窗通风换气;所测房间中沉降菌数较高房间如儿科病房、内科呼吸病房、急诊抢救室应加强防范,注意临床护理干预。

Objective To prevent nosocomial infection and cross infection and provide basic data for the control of air quality in a hospital. And to prevent transfusion reaction, avoid medical dispute, ameliorate quality of transfusion and improve security of transfusion. Methods Under the normal disinfection and the hospital health standard, we used the Model Y09-9 laser dust particle counter to count the dust particles and the subsided bacteria in different rooms. Results It was unanimous that the numbers of the dust and particle had the following trend in the chart of four periods of time, i.e., afternoon 2 ： 00～3 ： 00〈morning 9 ： 00～10 ： 00〈night 9 ： 00～10 ： 00〈before morning 6 ： 00～7 ： 00. Conclusions The time of morning and afternoon is suitable for the treatment and nursing, and before morning and at night is suitable to do cleaning. Before morning and at night in a day, the number of dust particles of indoor air has the highest content, being most seriously polluted. So it should he taken to notice to open the window to ventilate. The number of subsided bacteria is high in the wards of pediatrics and first internal department, and the emergency medical treatment rescue room as well. So we should take some measures to prevent it and some interventions should be done in clinical nursing.