乌鲁木齐地区口腔医疗资源及口腔综合治疗椅水路细菌污染状况调查与评价

发布时间：2018-04-19 14:45

本文选题：口腔医疗机构 + 综合治疗椅水路(DUWL)　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:了解乌鲁木齐地区口腔医疗机构及专业技术人员分布现状和特点,口腔医疗机构综合治疗椅水路细菌污染状况,为乌鲁木齐地区口腔医疗资源配置和口腔医疗用水污染防控提供依据。方法:采用调查表法对乌鲁木齐地区所有口腔医疗机构(不含兵团、武警、部队机构)进行调查,了解机构的数量、分类、属性、类型,及执业口腔医师、护士的数量,职称、学历构成及分布特点;采用抽样的方法,对所调查口腔医疗机构口腔综合治疗椅原水、三用枪水、高速手机水按照国家《生活饮用水标准检验方法》进行细菌总数检测,并在发放卫生部《医疗机构口腔诊疗器械消毒技术操作规范》干预10天后进行第二次检测。以国家《生活饮用水水质标准》为依据进行评价。结果:1)乌鲁木齐地区共有口腔医疗机构214家,分布在乌鲁木齐市6个区县。其中公立41个占19.16%,民营173个占80.84%;2)214家口腔医疗机构共有口腔综合治疗椅1063台,其中公立医疗机构椅位数474台占44.59%,民营机构椅位数为589台占55.41%;3)共有执业(助理)医师、护士1348人,其中执业医师990人,执业护士358人,医护比为1∶0.36,每千人口医师数为0.28人;4)口腔人力资源中,主任、副主任医师合计占比仅为14%,主任、副主任护师仅占4.75%;执业医师中博、硕士合计占比仅为21.21%;5)副高及以上职称、本科及以上学历医师主要分布在公立口腔医疗机构,分别占79.14%和71.28%;中级及以下职称、专科及以下学历医师主要分布在民营口腔医疗机构,分别占58.52%和87.62%;6)无论是口腔医疗机构数、口腔执业医师、护士还是医护人员总量,天山区都居首位,其次为新市区,头屯河区最低;7)口腔医疗机构DUWL细菌污染检测,原水两次检测超标率分别为42.86%和28.57%;三枪水两次检测超标率分别为56.10%和68.29%;高速手机水两次检测超标率分别为65.85%和60.98%。从总体上看,细菌总数超标率都表现出C组B组A组的趋势,且干预效果不明显。结论:1)乌鲁木齐地区口腔医疗机构区县分布不均衡,口腔人力资源职称、学历偏低;2)乌鲁木齐地区民营口腔医疗机构数量多,规模小,服务能力相对较弱;3)应合理配置口腔卫生资源,重视民营口腔医疗机构的发展,加强口腔医疗人才队伍建设,提升口腔医疗机构服务质量和服务水平;4)乌鲁木齐地区口腔医疗机构DUWL污染严重,应引起足够的重视;应加强口腔医疗从业人员培训,提高对DUWL污染防控重要性的认识和防控自觉性;制定必要和DUWL防控行业法规,加强对DUWL污染的管理监督。
[Abstract]:Objective: to understand the distribution and characteristics of dental medical institutions and professional technicians in Urumqi, and the bacterial contamination of chairs and waterways for comprehensive treatment in stomatology institutions.To provide the basis for the allocation of oral medical resources and the prevention and control of water pollution in Urumqi.Methods: a questionnaire was used to investigate the number, classification, attributes, types, and the number and professional titles of all oral medical institutions in Urumqi (excluding Corps, Armed Police, and Army).The composition and distribution of educational background, the sampling method, the total number of bacteria in the raw water of oral comprehensive treatment chair, the water of three guns and the water of high speed mobile phone were tested according to the National Standard Test method for drinking Water.The second test was carried out 10 days after the release of the Ministry of Health's Technical Specification for sterilizing Stomatological Instruments in Medical institutions.The evaluation is based on the National drinking Water quality Standard.Results: there were 214 oral medical institutions in Urumqi, which were distributed in 6 districts of Urumqi.Among them, 41 are public, 173 are private, 80.842214 dental treatment chairs are 1063, of which 474 are public medical institutions, and 589 are private organizations. There are 1348 doctors and 1348 nurses.Of these, 990 practising doctors, 358 practising nurses, and a medical care ratio of 1: 0.36 and 0.28 doctors per 1,000 inhabitants) of the oral human resources, the total proportion of director and deputy chief physician is only 14. Director and deputy director nurse only account for 4.75.The total proportion of master's degree is only 21.21 / 5) the professional title or above is subtropical high, and doctors with undergraduate degree or above are mainly distributed in public dental medical institutions, accounting for 79.14% and 71.28% respectively; doctors with intermediate and lower professional titles are mainly distributed in private dental medical institutions.(58.52% and 87.62% respectively) No matter the number of dental medical institutions, the total number of dental practitioners, nurses or medical personnel, Tianshan District was the first, followed by Xincheng District and Toutunhe District, the lowest number of DUWL bacteria contamination detection.The surpassing rate of the original water was 42.86% and 28.57%, that of the third gun water was 56.10% and 68.29%, and that of the high speed mobile phone water was 65.85% and 60.98% respectively.On the whole, the total bacterial count exceeded the standard rate and showed the trend of group A in group C, and the intervention effect was not obvious.Conclusion: (1) the distribution of oral medical institutions in Urumqi is not balanced, the professional title of oral human resources, the educational background is low (2) the number and scale of private oral medical institutions in Urumqi are large and small.The service capacity is relatively weak. (3) it is necessary to allocate oral health resources reasonably, attach importance to the development of private oral medical institutions, and strengthen the construction of oral medical talents.DUWL pollution in Stomatological institutions in Urumqi should be paid enough attention to, and the training of dental health practitioners should be strengthened.To improve the importance of DUWL pollution prevention and control and awareness of prevention and control, to formulate necessary and DUWL prevention and control industry laws and regulations, to strengthen the management and supervision of DUWL pollution.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.5

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