一对一实操培训与考评对提高床单位消毒效果的研究

Effect of one-to-one practical training and assessment on improving the disinfection efficacy of bed units

目的探讨对保洁员一对一实操培训与多维度评价对床单位消毒效果的影响。方法采用前瞻性研究方法对5个病区10名保洁员开展2轮一对一实操培训,分别于培训前、第1次培训后、第2次培训后共三轮采用多项指标评价床单位消毒的操作过程与消毒效果。结果一对一实操培训后与培训前比较,自然菌平均杀灭率由51.95%提高至91.85%(P<0.05),ATP检测值下降百分率由45.00%提升至82.50%(P<0.05),荧光标记清除率由55.00%提高至85.00%(P<0.05),消毒操作规范执行率由62.00%提高至92.00%(P<0.05)。结论对保洁员开展一对一实操培训与考评,能明显提高床单位消毒效果,降低医院感染发生风险;病房保洁员上岗前应至少进行一次一对一实操培训,以保证消毒效果。

Objective To explore the effect of one-to-one practical training and multi-dimensional assessment for cleaning staff on the disinfection efficacy of bed units.Methods Two rounds of one-to-one practical training were conducted on 10 cleaning staff from 5 wards with prospective research method.Multiple indicators were adopted to assess the process and efficacy of disinfection on bed units in three rounds(before training,after the first training,and after the second training).Results Compared with before practical training,natural bacteria killing rate increased from 51.95%to 91.85%(P<0.05)after one-to-one practical training.The percentage of decreased ATP detection value increased from 45.00%to 82.50%(P<0.05).The fluorescence labeling clearance rate increased from 55.00%to 85.00%(P<0.05).The implementation rate of disinfection specification increased from 62.00%to 92.00%(P<0.05).Conclusion Carrying out one-to-one practical training and assessment for cleaning staff can significantly improve the disinfection efficacy of bed units and reduce the risk of healthcare-associated infection.The ward cleaning staff should conduct at least one-to-one practical training once to ensure the disinfection efficacy before taking office.