中华护理杂志 ›› 2020, Vol. 55 ›› Issue (3): 368-372.DOI: 10.3761/j.issn.0254-1769.2020.03.010

• 新冠肺炎护理专题 • 上一篇    下一篇

新型冠状病毒流行期医院手术室净化空调系统的现状调查

贺吉群,陈秀文(),肖映平,彭罗方,闫晓晨,成鹏飞   

  1. 410008 长沙市 中南大学湘雅医院手术室(贺吉群, 陈秀文, 肖映平, 彭罗方, 闫晓晨);湖南科技大学商学院(成鹏飞)
  • 收稿日期:2020-02-04 出版日期:2020-03-15 发布日期:2020-03-20
  • 通讯作者:
  • 作者简介:贺吉群:女,硕士,副主任护师,护士长,E-mail:cshejiqun@126.com
  • 基金资助:
    湖南省自然科学基金面上项目(2019JJ40479);湖南省自然科学基金面上项目(2019JJ40088)

Investigation on the current situation of purification air conditioning system in operating rooms during epidemic of coronavirus disease 2019

HE Jiqun,CHEN Xiuwen(),XIAO Yingping,PENG Luofang,YAN Xiaochen,CHENG Pengfei   

  • Received:2020-02-04 Online:2020-03-15 Published:2020-03-20

摘要:

目的 了解湖南省各级医院手术室净化空调系统的设置和管理现状,为做好新型冠状病毒感染患者手术的防护工作提供依据。方法 采用方便抽样法,从湖南省162所医院中各选取1名手术室护士长使用自行设计的手术室净化空调系统设置和管理现状调查问卷进行调查。结果 在所纳入的158所医院中,62所(39.24%)医院有专职工程师负责维护与管理净化空调系统,125所(79.11%)医院设有洁净手术室,75所(47.47%)医院设有负压手术室。不同医院级别之间专职工程师、洁净手术室和负压手术间的设置比较,差异均有统计学意义(P<0.05)。其中,75所设有负压手术室的医院中,13所(17.33%)未设独立的净化空调系统,31所(41.33%)未设独立的通道;58所(77.33%)回风口的过滤器未采用高效过滤器,55所(73.33%)排风口的过滤器非高效过滤器;41所(54.27%)未制订负压手术间管理流程。结论 洁净手术室净化空调系统运行管理是防控医院交叉感染的重要措施,护理管理者需了解手术室净化空调系统的设置及参数要求、加强负压手术间的使用前培训,医院管理部门需加强对负压手术室设计的监管,确保新型冠状病毒流行期间手术人员的安全。

关键词: 新型冠状病毒, 手术室, 空气调节, 负压手术间, 护理管理研究

Abstract:

Objective To investigate the setting and management status of purification air conditioning system in operating rooms of hospitals in Hunan Province,so as to provide a basis for effective guidance in the prevention of coronavirus disease 2019 infection during surgeries. Methods 162 head nurses were selected from 162 hospitals in Hunan Province by convenient sampling method,using a questionnaire survey. The self-designed questionnaire included the general information of study subjects and the current situation of setting and management of purification air conditioning system in operating rooms. Results Among the 158 enrolled hospitals,62(39.24%) had professional engineers responsible for maintaining and managing the purification air conditioning system;125(79.11%) had clean operating rooms;75(47.47%) had negative-pressure operating rooms. There were statistically significant differences in the settings of professional engineers,clean operating rooms and negative-pressure operating rooms among different hospital levels(P<0.05). Among the 75 hospitals with negative-pressure operating rooms,13(17.33%) and 31(41.33%) hospitals did not have independent purification air conditioning systems and channels;the air return port in 17(22.67%) hospitals and the air outlet filters in 20(26.67%) hospitals were high-efficient filters. 41(54.27%) hospitals did not develop the management process of negative-pressure operating room. Conclusion Purification air conditioning system on operating room is crucial to prevent and control hospital cross infection. Nursing managers should understand the setting and parameter requirements of purification air conditioning system,and strengthen training of the negative-pressure operating room. Hospitals need to develop prevention and control strategies of coronavirus disease 2019 infection in operating rooms,and improve the quality of management to ensure the operation safety.

Key words: Coronavirus Disease 2019, Operating Room, Air Conditioning, Negative-pressure Operating Room, Nursing Administration Research