目的 通过调查某医院输液大厅患者对输液后废弃棉球或输液贴的处置现状及相关认知,了解目前某医院在医疗废物处理方面存在的问题。方法 选择2015-11至2016-03在我院输液大厅820例患者,针对相关医用废料的处理方法、是否接受过医疗废物处置相关教育、能否接受新型医用敷料针后贴等方面进行问卷调查。结果 82.3％的患者对感染性医疗废弃棉球及输液胶贴的废弃处置不当,仅有9.72％知道医疗废物分类标准,4.15%知道医疗废物包装容器标识,2.07%知道医疗废物集中处理方式,仅有26.1%知道医疗废物流失泄露等造成的危害,73.9%未接受到医护人员对正确处置方式的信息告知及宣教,有73.6%患者愿意接受针后贴。结论 需重视对输液治疗患者医疗废物处置知识的宣教,进行处置行为指导。同时提高医护人员防控医源性污染管理的意识;进一步完善医疗废物处理设施标识;从材料上选择避免环境污染和院内交叉感染的新型医用敷料。

Objective By investigating a hospital transfusion of waste cotton ball after infusion in patients with post treatment conditions and related cognitive, understand the hospital infection management in the problems of medical waste treatment, in order to regulate the behavior of medical waste disposalbetterly, choose the wound dressingwho can reduce pollution. Methods We choose 820 cases of patients in November 2015 to March 2016 in a hospital transfusion infusion and complete the survey, on medical dressings processing method and accept medical waste related knowledge,whether could accept new medical dressings questionnaire.Results 82.3% patients with infectious medical waste cotton ball and infusion glue stick disposal of misconduct, only 9.72% of the patients know medical waste classification standard, 4.15% of patients know medical waste packaging container identification, 2.07% of patients know way of centralized medical wastes treatment, only 26.1% patients know the damage such as loss of medical waste leak, 73.9% did not receive the information of medical personnel disposal right way inform and evangelism, 73.6% of patients willing to accept the new type of medical dressings after needle stick.Conclusions We need to attach importance to knowledge of medical waste disposal in mission in patients with transfusion treatment, disposal of behavior guidance, at the same time improve the medical staff of iatrogenic pollution prevention and control of management consciousness; We will further improve the medical waste disposal facilities; From material selection to avoid pollution of the environment and new medical dressings nosocomial cross infection.