影响临床医师报告医院感染病例的原因调查

Causes to influence clinician′s case report of nosocomial infections

目的了解影响临床医师报告医院感染病例的原因,为完善管理制度、改进监测手段和提高医院感染管理水平提供依据。方法采用2013年7月医院自行设计的调查问卷,对临床68名一线医师进行医院感染病例报告的认知与影响因素调查,采用SPSS16.0分析。结果临床一线医师对报告医院感染病例的认知能力较高,认为报告医院感染病例有必要和非常有必要的共占94.12%,但执行力欠佳,熟悉和非常熟悉报告时限和报告流程的仅占61.77%和67.65%,有14.70%和13.24%不能按时和按流程报告医院感染病例,>40.00%的调查对象认为其主要影响因素是制度缺失、培训和人力资源不足、监测和管理方法欠科学。结论为保证医院感染监测数据的科学性和有效性,必须完善监测制度、监测内容,对出院患者也要建立医院感染电话回访和追踪监测系统;同时还要建立合理的评价体系和正向激励机制来调动临床一线医师的主观能动性。

OBJECTIVE To investigate the influencing factors for the clinician＇s case report about nosocomial infections so as to perfect the management system,improve the surveillance means,and raise the level of control of nosocomial infections.METHODS In Jul 2013,the self-designed questionnaire was used to investigate the awareness of 68 frontline clinicians about the case report of nosocomial infections and the influencing factors,and the statistical analysis was performed with the use of SPSS16.0software.RESULTS The frontline clinicians were highly aware of the case report of nosocomial infections,94.12% considered that the case report of nosocomial infections was necessary or very necessary,but the execution was poor;61.77% were familiar with the report time,and 67.65% were familiar with the report process;14.70% were unable to report the nosocomial infection cases on time,and 13.24% were unable to report the nosocomial infection cases based on the process.40.00% of the respondents thought that the absence of system,insufficient training and human source,and nonscientific monitoring and management methods were the major influencing factors.CONCLUSION It is necessary to perfect the monitoring system and monitoring contents and establish the phone call follow-up and tracking monitoring system so as to ensure the scientific surveillance of nosocomial infections as well as the effectiveness of the data;meanwhile,the reasonable evaluation system and positive incentive mechanism should be set up to mobilize the initiatives of the clinical frontline clinicians.