洁净手术室保洁员职业防护调查与管理

Investigation of occupation protection of cleaner in clean operation rooms

目的了解洁净手术室保洁员医院感染相关知识、职业暴露危害认知率、职业防护合格率,以便针对性的采取干预措施,减少保洁员职业暴露的发生。方法 2012年12月-2013年2月采用自行设计的调查表,以问卷与访谈相结合的方法,对16名洁净手术室保洁员进行医院感染相关知识、职业暴露危害的认知、保洁人员职业防护的调查。结果 16名保洁员对保洁工具分区使用和终末处置、消毒剂正确配置和使用、医疗废物收集及保存要求的认知率较高,分别为93.75%、87.50%、81.25%;手术室保洁员对锐器刺伤可导致血源性传染病、医疗废物具有危险性的认知率较高,分别为56.25%、43.75%,对锐器刺伤后伤口正确处理方法的认知率为0;对职业防护的重要性认识不足,职业防护合格率低。结论手术室管理者有必要对保洁员采取培训、教育、监督、指导等干预对策,提高保洁员医院感染知识及职业防护认知水平。

OBJECTIVE To understand hospital infection of cleaner in clean operation rooms,awareness of occupation exposure and qualified occupation protection so as to provide specific intervention to avoid occupation exposure of cleaners.METHODS From Dec.2012 to Feb.2013,16 cleaners in clean operation rooms were investigated for knowledge related to hospital infection,harm of occupation exposure and knowledge on occupation protection by means of self-designed questionnaire and interview.RESULTS All cleaner investigated had good knowledge on partition using of cleaning tools,correct preparation and use of disinfectant and requirements of medical waste collection and storage,and the cognition rate was 93.75%,87.50%and 81.25%respectively.The cleaners had good knowledge on that needlestick injuries could cause blood borne infectious disease and the medical waste was dangerous,and the cognition rate was 56.25% and 43.75%.However,the cognition rate of correct treatment of wounds after injured by needlestick was 0.They were also lack of knowledge on occupation protection,and the pass rate of occupation protection was low.CONCLUSION It is necessary for operation manager to take some intervention strategies such as train,educate,supervise and instruct cleaners so as to improve the cognitive level of hospital infection and occupation protection.