摘要
Abstract
Objective To evaluate the cleaning quality of da Vinci robotic surgical instruments and analyze the factors affecting its cleaning quality.Methods A cross-sectional survey method was adopted to evaluate the current status of da Vinci robotic surgical instrument cleaning in 16 tertiary hospitals in Northwest Region.Data were collected through a self-designed checklist of factors influencing cleaning quality and a questionnaire on the current cleaning status,and random sampling tests were conducted on 916 da Vinci robotic surgical instruments.Univariate and multivariate Logistic regression analysis were used to examine the factors influencing cleaning quality of surgical instruments.Results The survey showed that the disinfection supply center of each hospital was the main management agency for da Vinci robotic surgical instruments,and nurses still account for a high proportion in the cleaning operation of da Vinci robotic surgical instruments,25% of hospitals only use visual inspection to check the cleaning effect.Univariate analysis showed that equipment classification cleaning(χ²=3.396,P=0.012),correct cleaning procedures(χ²=236.148,P<0.001),cleaning methods(χ²=126.320,P=0.001),appropriate cleaning tools(χ²=1.630,P=0.036),pretreatment(χ²=8.322,P=0.003),and cleaning staff having sufficient knowledge of surgical instrument cleaning(χ²=4.211,P=0.004)were all significantly associated with cleaning quality.Multivariate Logistic regression analysis showed that the correct cleaning procedures(β=-1.596,P<0.001)and cleaning staff having sufficient knowledge of surgical instrument cleaning(β=-0.709,P<0.001),ultrasonic cleaning(β=1.469,P<0.001)and pretreatment(β=0.463,P<0.001)were significantly associated with cleaning quality.Conclusion To improve the cleaning quality of da Vinci robotic surgical instruments,it is necessary to standardize the cleaning process,personalize the cleaning method,strengthen pretreatment,improve the professional quality of cleaning staff,so as to improve the cleaning quality of surgical instruments.关键词
达芬奇机器人手术系统/清洗质量/消毒供应中心/改进对策Key words
da Vinci robotic surgical system/cleaning quality/disinfection supply center/improvement measures分类
医药卫生
