社区医护人员甲型H1N1流感院内感染防控知信行调查

Study on the knowledge,attitude and practice of prevention and control for H1N1 influenza in medical staff of community hospitals

目的了解社区医疗机构医护人员防控甲型H1N1流感院内感染的知信行现状及影响因素。方法通过多阶段抽样方法确定调查对象,采用集中自填统一调查问卷,调查其防控甲型H1N1流感医院感染知识态度和行为,运用F值或t值及χt2rend进行检验,采用二项分类logistic回归分析影响接种流感疫苗的因素。结果共调查247名医护人员,不同工作年限的医护人员知识得分差异有统计学意义(P<0.01),随着知识得分下降,所占人数增加,且差异有统计学意义(P<0.05);25.1%的医护人员认为自己有可能在医院感染甲型H1N1流感;43.32%医护人员懂得对佩戴医用防护口罩进行密合性检查;21.05%医护人员接种过季节性流感疫苗;Logistic回归分析表明,单位负责接种季节性流感疫苗费用是提高疫苗接种率的有力促进因素(OR=4.56,P<0.01)。结论社区医疗机构防控甲型H1N1流感医院感染,宜加强相关知识培训,完善软硬件建设和资金投入,提高流感疫苗接种率。

Objective To investigate the knowledge,attitude and practice of prevention and control for H1N1 influenza in medical staff of community hospitals.Methods Two hundred and forty-seven paticipants were selected by multistage sampling from medical staff in local community hospitals,Guangzhou city.Designed questionnaire was used to collect their knowledge,attitude and practice in preventing occupational risk of influenza A（H1N1）.A logistic regression analysis was also used to identify factors that influenced flu vaccination.Results The years of medical service were significantly associated with the knowledge of the H1N1 prevention（P0.01）.A low proportion of participants had full knowledge,correct attitude and practice for the H1N1 prevention and control.25.1% of medical staff had concerns of occupational risk of H1N1 influenza infection;43.32% of the participants knew to wear the mask properly and 21.05% of the participants received seasonal flu shot.Logistic regression analyses indicated that vaccination rate would be significantly improved if the cost of seasonal flu shot could be covered by employers（OR=4.56,P0.01）.Conclusion It is important to provide more training and education specifically for prevention and control of occupational risk of H1N1 influenza.Additional grants are required for coverage of vaccination cost and project managing.