医用卫生湿巾应用于ICU物体表面消毒的效果及使用依从性

摘要

Objective To evaluate the effect of medical hygiene wipes on disinfecting object surface and compliance to use in an intensive care unit (ICU).Methods 30 beds in the ICU at a hospital were randomly selected and divided into three groups:A,B and C,each group had 10 beds.Group A were only provided hygiene wipes,group B used towel soaked in chlorine-containing disinfectant (disinfected towel),group C were provided both medical hygiene wipes and disinfected towel for selected use.Compliance to different disinfection methods,and disinfectant efficacy on object surface were compared.Results The rate of compliance to disinfection in group A was higher than group B (78.78% vs 42.12%,χ2 =68.56,P <0.05);except medical disposal trolley and ventilator,compliance to disinfection of the other object surface in group A were all higher than group B (all P <0.05).Except ventilator, adenosis triphosphate (ATP)values before and after disinfection of object surface in group A and B were both significantly different (both P <0.05 ),disinfectant efficacy of group A was superior to group B.Group C used medical hygiene wipes more than disinfected towel ([836 times,91 .57%]vs [77 times,8.43%]).Nurses spent (20.15+ 3.00 )minutes on preparing disinfectant every day,and (15.02 ± 2.00 )minutes on washing used disinfected towel,while hygiene wipes could be used immediately,discarded after use,and was timesaving. Conclusion Use of medical hygiene wipes is convenient,rapid,and without irritating odor,it also improves disinfection effect on object surface and ICU health care workers’compliance to disinfection.%目的：探讨医用卫生湿巾对重症监护病房（ICU）物体表面的消毒效果及使用依从性。方法随机抽取某院 ICU 30张床位分为 A、B、C 3组，每组10张床位，A 组采用医用卫生湿巾消毒，B 组采用含氯消毒剂浸泡的毛巾（以下简称消毒毛巾），C 组同时提供医用卫生湿巾及消毒毛巾供使用人员选择使用，比较不同消毒方法消毒的依从性以及物体表面消毒效果。结果A、B 组的物体表面消毒依从率分别为78．78％、42．12％，A 组高于 B 组（χ2＝68．56，P ＜0．05）；除处置车和呼吸机外，其余物体表面 A 组消毒的依从率均高于 B 组（均 P ＜0．05）。除呼吸机外，A、B 两组物体表面消毒前后 ATP 差值比较，差异均有统计学意义（均 P ＜0．05），A 组消毒前后差值较大，消毒效果优于 B 组。C 组使用卫生湿巾次数（836次，占91．57％）多于使用消毒毛巾次数（77次，占8．43％）。护士每天配制消毒剂需花费的时间为（20．15±3．00）min，清洗使用过的消毒毛巾每天需要（15．02±2．00）min，而卫生湿巾可以立即使用，用后丢弃，不花费任何时间。结论使用医用卫生湿巾方便快捷，且无刺激性气味，节省人力，提高了 ICU 物体表面消毒的效果和医护人员消毒的依从性。