标题：荧光标记法结合综合管理对医院环境清洁效果的影响

      作者：王惠芳，来瑞平，黄跃辉，谢多双    (十堰市太和医院 湖北医药学院附属医院，湖北 十堰 442000)

      卷次： 2017年28卷20期

      【摘要】 目的 评价荧光标记法结合综合管理对医院环境清洁效果的影响。方法 于2016年1~6月在十堰市太和医院神经内科、呼吸内科、神经外科、心胸外科和重症医学科5个科室各随机抽取5间病房，采用荧光标记法结合ATP荧光检测法监测医院临床科室高频接触频率的物体表面清洁质量，针对存在问题制定综合管理措施，并进行管理前后效果评价。结果 采取综合管理措施后，该医院环境物体表面清洁质量荧光标记清除率和ATP生物荧光法检测合格率分别由干预前的41.11%和38.89%提高至干预后的90.42%和83.33%；持续干预6个月物体表面的清洁质量荧光标记清除率，内科病房由26.04%持续提高至87.50%，外科病房由22.23%持续提高至86.25%，重症医学科由63.46%持续提高至97.50%，差异均有显著统计学意义(P<0.01)。结论 荧光标记法结合综合管理能够改善医院环境物体表面的清洁效果，降低医院感染的风险。
      【关键词】 环境；清洁效果；荧光标记法；综合管理；医院感染
      【中图分类号】 R47 【文献标识码】 A 【文章编号】 1003—6350（2017）20—3435—03

Influence of fluorescent labeling combined with comprehensive management on environmental cleanliness inhospital.
WANG Hui-fang, LAI Rui-ping, HUANG Yue-hui, XIE Duo-shuang. Shiyan Taihe Hospital (Affiliated Hospitalof Hubei University of Medicine), Shiyan 442000, Hubei, CHINA
【Abstract】 Objective To evaluate the effects of fluorescent labeling combined with comprehensive manage-ment on the environmental cleanliness in hospital. Methods Five wards were randomly selected from five depart-ments of Neurology, Respiratory medicine, Neurosurgery, Cardiothoracic Surgery and Intensive Care Unit each in Shi-yan Taihe Hospital from January 2016 to June 2016. In these wards, we adopted fluorescence labeling and ATP fluores-cence detection to monitor the cleaning quality of articles surface which were frequently touched, then we developed andapplied comprehensive management measures for existing problems. Finally, the cleaning quality were compared beforeand after the intervention. Results After taking the comprehensive management measures, the clearance rate of fluores-cence labeling and the compliance rate of ATP bioluminescence in this hospital respectively enhanced from 41.11% and38.89% to 90.42% and 83.33% before and after the intervention. After 6 months of continuous intervention, the clear-ance rate of fluorescence labeling increased from 26.04% to 87.50% in the medical ward, from 22.23% to 86.25% in thesurgical ward, and from 63.46% to 97.50% the intensive care unit, respectively. The differences were all statistically sig-nificant (P<0.01). Conclusion Fluorescent labeling combined with comprehensive management can improve the clean-ing effect of articles surface and environment of hospital, and reduce the risk of hospital infection.
      【Key words】 Environment; Cleaning effect; Fluorescence labeling; Comprehensive management; Hospital infection·护 理·doi:10.3969/j.issn.1003-6350.2017.20.059基金项目：2015-2016年度湖北省卫生计生护理专项(编号：WJ20015HB042)