331名妇产科医护人员标准预防依从性调查分析

Obstetrical and gynecological staff's compliance on standard precautions

目的:了解妇产科医护人员标准预防依从性情况,探讨改进对策。方法:采用自行设计调查问卷,对10家二级以上综合性医院331名妇产科医护人员标准预防相关知识的知晓度、防护措施执行情况和影响因素、职业暴露情况等进行调查分析。结果:30.2%医护人员掌握标准预防相关知识,依从性较强;55.3%基本掌握标准预防相关知识,依从性不足;14.5%标准预防相关知识缺乏,依从性差。二级医院与三级医院、医师与助产士在标准预防依从性方面存在差别有统计学意义(P<0.05)。影响因素主要为防护设备不足、医院重视不够、自身防护意识薄弱。职业暴露主要为锐器损伤和皮肤黏膜接触孕产妇血液、羊水、阴道分泌物。结论:妇产科医护人员标准预防依从性亟待加强,医院应强化标准预防相关知识培训,改善医院感染管理监督机制,提高医护人员标准预防依从性。

Objective： To investigate the situation of Obstetrical and gynecological staff＇s compliance on standard precautions and explore the coping strategy. Methods： A self-designed questionnaire was used to investigate the level of standard precautions related knowledge and interventions, their influence factors and occupational exposure of 331 obstetrical and gynecological staff from 10 general hospitals. Results： The level of knowledge and compliance were good, fair and bad in 30.2%, 55.3 % and 14.5% of them, respectively. The compliance level was also different between physicians and midwives. Medical staff in different levels of hospital had different compliance. Lack of prevention facility, lower awareness of medical staff and inadequate management of hospital were the major influence factors. Occupational exposures included sharp injury and contamination of blood, amniotic fluid and vaginal secretion. Conclusion： Obstetrical and gynecological staffs compliance on standard precautions need improve. We should intensify standard precautions related knowledge training, strengthen the infection management system of hospital and increase the compliance of medical staff.