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中央消毒供应室与消化内科的优化护理管理:一项回顾性对照研究。

Optimized nursing management in the Central Sterile Supply Department and Gastroenterology Department: a retrospective controlled study.

作者信息

Wang Dali, Xu Chuan, Wang Yan, Zhou Qin, Chen Xiuli, Li Jing, Gong Tiejun

机构信息

Disinfection and Supply Department, General Hospital of Central Theater Command Wuhan 430070, Hubei, China.

Endoscopy Center of Gastroenterology Department, General Hospital of Central Theater Command Wuhan 430070, Hubei, China.

出版信息

Am J Transl Res. 2024 Dec 15;16(12):7480-7490. doi: 10.62347/YHLF1410. eCollection 2024.

Abstract

OBJECTIVE

To evaluate the impact of optimized nursing management involving the Central Sterile Supply Department (CSSD) and Gastroenterology Department on sterilization processes, nurse well-being, and patient satisfaction.

METHODS

This retrospective study analyzed data from 40 CSSD nurses and sterilization metrics for 1,017 gastroenterology instruments before and after implementing optimized management. The study included a control group (CG) prior to the intervention and an experimental group (EG) after. Additionally, 216 gastroenterology patients were included in the CG, while 220 were in the EG. Data were collected between January 2021 and December 2022 at the General Hospital of Central Theater Command. Indicators such as instrument sterilization performance, CSSD nurses' work stress and burnout, and patient satisfaction with cleaning, disinfection, and sterilization processes were assessed. Nurses' job satisfaction was also evaluated.

RESULTS

After implementing optimized management, significant improvements were observed in the qualified rate of instrument cleaning, reduced instrument damage, improved packaging quality, and decreased incidence of hospital-acquired infections (all P<0.05). CSSD nurses experienced lower work pressure and burnout, while both patient satisfaction with sterilization processes and nurses' job satisfaction increased significantly (all P<0.05).

CONCLUSION

Optimizing nursing management in the CSSD and Gastroenterology Department effectively enhances sterilization outcomes, reduces CSSD nurses' work stress and burnout, and improves both patient and nurse satisfaction with medical device cleaning, disinfection, and sterilization processes.

摘要

目的

评估中央消毒供应室(CSSD)与消化内科优化护理管理对消毒流程、护士幸福感及患者满意度的影响。

方法

本回顾性研究分析了实施优化管理前后40名CSSD护士的数据以及1017件消化内科器械的消毒指标。研究包括干预前的对照组(CG)和干预后的实验组(EG)。此外,CG组纳入216名消化内科患者,EG组纳入220名。数据于2021年1月至2022年12月在中部战区总医院收集。评估了器械消毒性能、CSSD护士的工作压力和倦怠、患者对清洗、消毒和灭菌流程的满意度等指标。还评估了护士的工作满意度。

结果

实施优化管理后,器械清洗合格率显著提高,器械损坏减少,包装质量改善,医院感染发生率降低(均P<0.05)。CSSD护士的工作压力和倦怠降低,患者对消毒流程的满意度和护士的工作满意度均显著提高(均P<0.05)。

结论

优化CSSD与消化内科的护理管理可有效提高消毒效果,减轻CSSD护士的工作压力和倦怠,提高患者和护士对医疗器械清洗、消毒和灭菌流程的满意度。

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