医护人员预防控制甲型H1N1流感医院感染的认知调查

Awareness of controlling nosocomial infections with influenza A (H1N1) among medical personnel

目的了解广州市医疗机构医护人员预防控制甲型H1N1流感医院感染的认知现状及影响因素。方法采用容量比例抽样方法确定调查对象,采用集中自填统一调查问卷,运用F或t检验,比较不同人群预防控制知识得分;描述性分析采用构成比或百分率指标。结果共成功收回27所医疗机构问卷1518份,医护人员预防控制甲型H1N1流感医院感染平均得分10.91分(满分17分),医疗机构级别、年龄组、性别、职称、工作部门、工作年限等不同人群得分差异有统计学意义(P<0.05);在预防控制甲型H1N1流感医院感染知识的调查中,仅5.8%医护人员能正确回答转运甲型H1N1流感患者时医护人员的防护方法,仅22.1%能正确回答甲型H1N1流感诊疗场所空气消毒的常规措施;在对医疗机构应加强的工作调查中,93.2%的医护人员认为应该做好预检分诊工作,76.5%认为应加强医护人员预防控制甲型H1N1流感医院感染知识培训,75.8%认为应储备更多的防护装备。结论大流行下医疗机构应增大对人力、物力和财力的投入,加强医护人员预防控制甲型H1N1流感医院感染知识、技能的宣传、培训力度,提高医护人员流感疫苗接种率。

OBJECTIVE To know about knowledge, attitude, practice and influence of medical workers in controlling hospital infection with Influenza A（H1N1）. METHODS The capacity ratio sampling method was used to determine the object. The questionnaire was investigated including knowledge, attitude, practice, information needs and evaluation on investment of medical workers in controlling Hospital Infection with Influenza A（ H1N1 ）. The knowledge of different groups was compared by F-tests or T-tests; take descriptive analysis by component ratio or rate. RESULTS A total of 1518 questionnaires of 27 hospitals were collected, the average score of medical workers in controlling Hospital Infection with Influenza A（H1N1） was 10. 91, which had shown a statistical significance（P〈0.05） in groups of different hospital, age, gender, job title, department and working life. 23 of medical works considered that medical workers and patients were more likely to be attacked by H1N1, 20.4~/oo considered pandemic was horrible, 33.5% considered the side effects of H1N1 vaccine was not clear and leaved it. Medical workers suggested that manpower, material resources and financial resources were not enough in controlling hospital infection with influenza A（H1N1）. CONCLUSION To control hospital infection with Influenza A（H1N1）, the medical institutions should train the health staff, improve influenza vaccination and increase manpower, material and financial inputs.