医务人员宣教呼吸道传染病知识的调查

Survey of propaganda of knowledge about respiratory tract infectious diseases among medical staff

目的了解某三级综合性医院呼吸道传染病医院感染高风险部门的医务人员向患者宣教的行为意向和实际行为,并探究医务人员宣教行为的影响因素,为呼吸道传染病医院感染的预防控制提供科学依据。方法由受过专门培训的调查员按照统一的调查问卷和方法,对医院不同科室的医务人员进行调查,调查资料采用Epidata3.1软件录入,应用SPSS13.0软件进行统计分析。结果共调查13个部门472名医务人员,对宣教呼吸道卫生/咳嗽礼仪的时机掌握较好,正确率达91.6%;行为意向和实际行为较好的均约占50.0%,并呈现相同的规律,均是接触患者时较仅仅看到患者时高,提醒患者使用口罩的较提醒患者使用纸巾和速干手消毒剂的高;医务人员的行为与职称、工作年限无关,与行为意向、工作岗位和性别有关。结论医务人员需加强患者的呼吸道卫生宣教,尤其是应落实在实际行动中。

OBJECTIVE To investigate the healthcare workers＇ intention and actual actions to propagandize the knowledge about respiratory tract infection diseases and explore the influencing factors for the medical staff＇s prop- aganda behaviors so as to provide scientific basis for prevention and control of respiratory tract infections. METHODS An anonymous and self administered questionnaire was distributed to the medical staff by urtiformly trained investigators, then the data were inputted by using Epitata3.1 software, and the statistical analysis was performed with the use of SPSS13.0 software. RESULTS A total of 472 medical staff from 13 departments have been investigated, 91.6~ of whom grasped the right opportunity of propaganda of respiratory tract hygiene or cough etiquette, 50.0~ had strong behavioral intention and good actual behavior, which shorted the same traits; both were better when touching a patient than only when seeing a patient and better to remind patients of using a medical mask than of using the tissue and alcohol-based hand rub. The medical staff＇s behavior was not associated with the job title or working life but was related to the behavioral intention, job position, and gender. CONCLUSION It is necessary for the medical staff to strengthen the propaganda of respiratory tract hygiene to the patients and, in particularly, to execute in actual practice.