贵州省79家医院消毒供应中心对腔镜器械管理现状调查

Survey on the Current Status of Management of Laparoscopic Instruments in 79 Hospital Disinfection Supply Centres in Guizhou Province

摘要: 目的：调查贵州省79家医院消毒供应中心对腔镜器械管理现状，剖析当前管理中可能存在的问题与不足，为其规范化管理提供参考依据。方法：自行设计问卷调查2024年4月~8月贵州省79家医院消毒供应中心腔镜器械管理情况。结果：共发放问卷210份，回收202份。贵州省79所医院消毒供应中心中仅有47.0%工作人员接受过腔镜器械岗前培训；仅有50%医院消毒供应中心对腔镜器械设置专人专岗；81.2%家医院消毒供应中心对使用后的腔镜器械进行预处理；55.4%家医院消毒供应中心在腔镜器械清洗前拆卸最小单位，手工 + 机械清洗占61.4%；56.9%家医院消毒供应中心采用过氧化氢灭菌方法；采用信息化质量记录追溯占83.2%。结论：我国医院消毒供应中心管理层对人员进行腔镜器械培训意识较弱，预处理、清洗消毒及灭菌操作流程较规范，专岗人员设置和沟通意识有待提高。

Abstract: Objective: To investigate the current situation of laparoscopic instrument management in 79 hospital disinfection supply centers in Guizhou Province, analyze the possible problems and deficiencies in the current management, and provide a reference for its standardized management. Methods: A self-designed questionnaire survey was conducted to investigate the management of laparoscopic instruments in 79 hospitals in Guizhou Province from January to April 2024. Results: A total of 210 questionnaires were distributed and 202 were recovered. In Guizhou Province, only 47.0% of the staff in the 79 hospital disinfection supply centers have received pre-job training for laparoscopic instruments. Only 50% of hospital disinfection supply centers have special personnel and special posts for laparoscopic instruments; 81.2% of the hospital disinfection supply centers pretreated the used laparoscopic instruments; 55.4% of the hospital disinfection supply centers dismantled the smallest unit before cleaning the laparoscopic instruments, and manual + mechanical cleaning accounted for 61.4%; 56.9% of the hospital disinfection supply centers adopted hydrogen peroxide sterilization method; 83.2% of the information quality records were used for traceability. Conclusion: The management of hospital disinfection supply centers in China has a weak awareness of the training of laparoscopic instruments, and the operation process of pretreatment, cleaning, disinfection and sterilization is relatively standardized, and the awareness of full-time personnel and communication needs to be improved.