张玉成, 季晓帆, 田靓, 江宁, 黄绿斓, 范俊华, 朱仁义. 2018年上海市452家养老机构消毒基础信息现况调查[J]. 上海预防医学, 2020, 32(3): 192-196. DOI: 10.19428/j.cnki.sjpm.2020.19731
引用本文: 张玉成, 季晓帆, 田靓, 江宁, 黄绿斓, 范俊华, 朱仁义. 2018年上海市452家养老机构消毒基础信息现况调查[J]. 上海预防医学, 2020, 32(3): 192-196. DOI: 10.19428/j.cnki.sjpm.2020.19731
ZHANG Yu-cheng, JI Xiao-fan, TIAN Liang, JIANG Ning, HUANG Lyu-lan, FAN Jun-hua, ZHU Ren-yi. Status quo investigation on disinfection-related basic information of 452 nursing institutions in Shanghai, 2018[J]. Shanghai Journal of Preventive Medicine, 2020, 32(3): 192-196. DOI: 10.19428/j.cnki.sjpm.2020.19731
Citation: ZHANG Yu-cheng, JI Xiao-fan, TIAN Liang, JIANG Ning, HUANG Lyu-lan, FAN Jun-hua, ZHU Ren-yi. Status quo investigation on disinfection-related basic information of 452 nursing institutions in Shanghai, 2018[J]. Shanghai Journal of Preventive Medicine, 2020, 32(3): 192-196. DOI: 10.19428/j.cnki.sjpm.2020.19731

2018年上海市452家养老机构消毒基础信息现况调查

Status quo investigation on disinfection-related basic information of 452 nursing institutions in Shanghai, 2018

  • 摘要:
    目的了解上海市养老机构消毒相关制度、人员配置及其他消毒相关情况,为制定相关政策提供依据。
    方法通过问卷调查,收集上海市452家养老机构的消毒相关基础信息,进行描述性分析。
    结果调查的养老机构中,6.4%(29/452)的养老机构无消毒隔离制度,15.7%(71/452)的养老机构无传染病报告制度。在院老年人100人以上的养老机构239家(占52.9%),平均每100名老人配备2.6名保健医生(中位数1.5名)、21.8名护理人员(中位数19.5名)、2.9名专职保洁人员(中位数1.4名)。夏季和冬季开窗通风次数≥2次/d的养老机构分别占98.2%(443/451)、93.7(423/451),但在冬季有10.0%(45/450)的养老机构每次通风时间不足30 min。手卫生方式以“流动水+肥皂”(占55.3%)和“流动水+洗手液”(占37.2%)为主,干手方式以自用毛巾(占59.7%)和餐巾纸(32.1%)为主,但仍有3.1%的养老机构存在共用毛巾现象。
    结论上海市养老机构总体上在院老人较多,但专职保洁人员较少,部分养老机构仍存在消毒相关制度不健全、开窗通风时间不足等问题,存在一定程度上发生传染病疫情的风险。

     

    Abstract:
    ObjectiveTo investigate disinfection-related regulations, staffing and other related information of nursing institutions in Shanghai, in order to provide evidence for formulating relevant policies.
    MethodsQuestionnaire based investigation was conducted to collect disinfection-related basic information of nursing facilities in Shanghai and descriptive analysis was performed.
    ResultsA total of 452 nursing institutions were investigated, of which 6.4%(29/452) had no disinfection and isolation regulations, 15.7%(71/452) had no infectious disease reporting regulations; 52.9% (239/452) had more than 100 elderly people; on average, every 100 elderly people were cared for by 2.6 physicians (median 1.5), 21.8 nurses (median 19.5) and 2.9 full-time cleaning staff (median 1.4);in summer and winter, 98.2%(443/451) and 93.7%(423/451)of the institutions opened windows for ventilation ≥2 times per day; however, in winter, 10.0%(45/450) of the institutions opened windows less than 30 minutes per time; the predominant ways of hand hygiene were "running water + soap"(55.3%)and "running water + hand sanitizer" (37.2%), predominant ways of hand drying were personal towel(59.7%) and napkins(32.1%), but still 3.1% of the institutions had phenomenon of towel sharing among the elderly.
    ConclusionOn the whole, nursing facilities in Shanghai have accepted relatively too many elderly, but are short of sufficient cleaning staff.Part of the institutions have problems of lacking in disinfection-related regulations, insufficient time for ventilation by window opening.There are risks of infectious disease epidemic existent to some extent.

     

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