97例住院糖尿病患者将医疗感染性废物与生活垃圾混放原因与护理对策.docVIP

97例住院糖尿病患者将医疗感染性废物与生活垃圾混放原因与护理对策 　　[摘要] 目的 保持住院环境整洁舒适，减少医院感染。方法 将住院的97例糖尿病患者随机分为干预组（56例），对照组（41例），对照组的糖尿病患者使用纸盒回收棉签，给予常规血糖监测、胰岛素皮下注射和静脉输液健康教育。干预组在常规血糖监测、胰岛素皮下注射和静脉输液健康教育的基础上增加医疗感染性废物分类投放和其危害知识的宣教，并在床边放置医疗垃圾专用盒，盒里放置黄色垃圾袋。分别于每日7：00，14：00检查患者床边医疗感染性废物投放情况，比较两组被污染棉签投放的正确率。结果 两组不同时段被污染棉签规范投放正确率比较，干预组的正确率为80.35%，对照组的正确率为14.63%，差异有统计学意义（P0.05）。结论 加强对患者医疗感染性废物分类投放健康教育，床边放置医疗感染性废物专用盒，能提高患者垃圾分类投放的正确率，提高患者的住院环境安全。 　　[关键词] 血糖监测；床边医疗感染性废物；健康教育 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1672-4062（2016）12（b）-0141-02 　　[Abstract] Objective To keep the hospitalization environment clean and comfortable and reduce the hospital infection. Methods 97 cases of patients with diabetes were randomly divided into two groups， the control group with 41 cases were given the routine blood sugar monitoring， insulin subcutaneously and venous transfusion health education， while the intervention group added the medical infection waste classification and risk knowledge education on the basis of the control group， and the medical waste bod was placed bedside the bed， and yellow disposable bag was placed in the box， and the bedside medical infection waste placement of patients was examined at 7 am and 2 pm per day， and the accurate rate of contaminated cotton swab of the two groups was compared. Results The difference in the accurate rate between the intervention group and the control group had obvious significance（80.35% vs 14.63%）（P0.05）. Conclusion Enhancing the classification placement health education of medical infectious waste of patients and placement of medical infectious waste box beside the bed can improve the accurate rate of garbage classification placement and improve the hospitalization environmental safety. 　　[Key words] Blood sugar monitoring； Medical infectious waste beside the bed； Health education 　　血糖?O测是糖尿病教育和管理方案的一部分，为医护人员及患者了解病情，观察血糖变化，调整治疗方案提供了依据[1]。输液是临床治疗的主要方法之一，但是用过的输液贴、棉签大部分未按照医院感染规定回收，据报道，99.02%输液贴被患者或陪护投放入生活垃圾桶或随手扔掉[2]。医疗垃圾是指医疗卫生机构在医疗、预防、保健以及其他相关活动中产生的具有直接或间接感染性、毒性以及其他危害性的废