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目的了解常德市民营医疗机构卫生质量水平。方法采用完全随机抽样的方法对市直管18家民营医疗机构的消毒质量和灭菌效果进行调查和检测。结果 2011年民营医院消毒样品总合格率与2010年的总合格率差异无统计学意义(χ2=3.56,P=0.059),但是2011年消毒物品合格率较2010年高(χ2=5.535,P=0.019);院内不同区域比较得到不同区域消毒质量不全相同(χ2=10.743,P=0.013)。其中普通手术室高于产房(χ2=6.785,P=0.009),病房高于产房(χ2=9.327,P=0.002)。结论常德市民营医疗机构消毒质量与卫生质量管理水平均有待提高;在民营医疗机构内,应加强产房的卫生质量管理。
Objective To understand the health quality of private medical institutions in Changde City. Methods The method of random sampling was used to investigate and test the disinfection quality and sterilization effect of 18 privately managed medical institutions directly under the city. Results In 2011, the total qualified rate of disinfection samples in private hospitals was not significantly different from the total qualified rate in 2010 (χ2 = 3.56, P = 0.059), but the passing rate of sterilized products in 2011 was higher than that in 2010 (χ2 = 5.535, P = 0.019). The quality of disinfectant in different areas was different in different areas (χ2 = 10.743, P = 0.013). The common operating room was higher than the delivery room (χ2 = 6.785, P = 0.009), ward higher than the delivery room (χ2 = 9.327, P = 0.002). Conclusion The quality of disinfection and quality management of private medical institutions in Changde City need to be improved. In private medical institutions, health quality management of delivery rooms should be strengthened.