消化内镜室层级管理结合精细化管理对消毒合格率和护理管理质量的影响

Impact of Hierarchical Management Combined with Fine Management on the Qualified Rate of Disinfection and Nursing Management Quality of Di⁃gestive Endoscopy Room

目的分析层级管理+精细化管理对消化内镜室消毒合格率、护理管理质量的影响。方法选取2022年1月—2023年12月乌兰察布市中心医院内镜中心的11名护士作为研究对象,根据不同的管理方法分为两组,2022年1—12月采取常规护理管理模式并随机抽取30件胃镜与30件肠镜,设定为常规组;2023年1—12月采取层级管理结合精细化管理的模式并随机抽取30件胃镜与30件肠镜,设定为管理组。两组为同一批护士。比较两组消毒合格率及护理管理质量。结果管理组胃镜内腔与肠镜内腔消毒的总合格率为98.33%(59/60),高于常规组的81.67%(49/60),差异有统计学意义(χ^(2)=6.676,P<0.05)。管理组的护理管理质量各项目评分均高于常规组,差异有统计学意义(P均<0.05)。结论消化内镜室采取层级管理结合精细化管理模式,可提升各类消化内镜的消毒合格率与护理管理质量。

Objective To analyze the influence of hierarchical management+fine management on the qualified rate of disinfection and nursing management quality of digestive endoscopy room.Methods From January 2022 to December 2023,11 nurses in the Endoscopy Center of Ulanqab Central Hospital were selected as the research objects and di⁃vided into two groups according to different management methods.From January to December 2022,11 nurses ad⁃opted the routine nursing management mode and randomly selected 30 gastroscopes and 30 colonoscopies,and set the group as the routine group.From January to December 2023,11 nurses adopted the model of hierarchical management combined with refined management and randomly selected 30 gastroscopes and 30 colonoscopies,and set the group as the management group.The two groups were the same group of nurses.The qualified rate of disinfection and the qual⁃ity of nursing management were compared between the two groups.Results The total qualified rate of disinfection of gastroscope cavity and enteroscope cavity in the management group was 98.33%(59/60),which was higher than 81.67%(49/60)in the routine group,and the difference was statistically significant(χ^(2)=6.976,P<0.05).The scores of nursing management quality items in the management group were higher than those in the routine group,and the dif⁃ferences were statistically significant(all P<0.05).Conclusion The hierarchical management combined with fine man⁃agement mode in the digestive endoscopy room can improve the disinfection qualified rate and nursing management quality of all kinds of digestive endoscopy.