医护人员医院感染防控知识、态度、行为调查

Knowledge,attitude and practice among health care workers on prevention and control of healthcare-associated infection

目的了解重点部门医护人员医院感染防控知识、态度、行为现状,并采取干预措施,为医疗机构医院感染防控工作提供科学依据。方法选择儿科、呼吸科、急诊科3个医院感染防控重点部门所有医护人员进行调查,比较干预前后不同职称医护人员医院感染防控知识、态度、行为变化。结果参与调查人员317名,干预前调查有效问卷275份,问卷有效率86.75%;干预后调查有效问卷311份,问卷有效率98.11%。采取干预措施后,高级、中级、初级及以下职称医护人员知识得分分别为(9.15±2.36)、(7.69±2.05)、(7.73±2.32)分,均高于干预前,分别为(6.46±2.12)、(5.30±1.55)、(6.16±1.80)分,差异均有统计学意义(均P<0.05)。干预后初级及以下职称医护人员态度、行为得分分别为(91.50±9.26)、(86.40±14.52)分,均高于干预前,分别为(85.95±13.36)、(76.01±15.25)分,差异均有统计学意义(P<0.05);而高级、中级职称医护人员态度、行为得分,差异均无统计学意义(均P>0.05)。结论与医院感染防控知识相比,医护人员医院感染防控态度、行为的改变,需投入更多的精力才能取得成效;职称级别相对低的医护人员医院感染防控态度、行为的改变更易于实现。

Objective To assess the knowledge,attitude and practice among health care workers（HCWs）in key departments on prevention and control of healthcare-associated infection（HAI）,take intervention measures,and provide scientific basis for the prevention and control of HAI in medical institutions.Methods All HCWs in depart-ments of pediatrics,respiratory diseases,and emergency were surveyed,change in knowledge,attitude and practice among HCWs with different professional titles on prevention and control of HAI before and after the intervention were compared.Results 317 HCWs participated in the survey,there were 275 （86.75% ）available questionnaires before intervention and 311（98.11% ）after intervention. After intervention,scores for HCWs with senior,interme-diate,junior and below professional titles on knowledge were （9.15±2.36）,（7.69±2.05）,and （7.73±2.32） respectively,which were all higher than（6.46±2.12）,（5.30±1.55）,（6.16±1.80）before intervention,difference was statistically significant（all P〈0.05）. After intervention,scores for HCWs of junior and below professional ti-tles on attitude and practice were （91.50±9.26）and （86.40±14.52）respectively,which were both higher than （85.95±13.36）and （76.01 ±15.25）before intervention,differences were both statistically significant（both P〈0.05）;while scores for HCWs of senior and intermediate professional titles on attitude and practice were not statis-tically significant（both P〉0.05）.Conclusion Compared with the knowledge about HAI prevention and control, more effect needs to be put for achieving change in HCWs’attitude and practice towards HAI prevention and con-trol;change in attitude and practice among HCWs of junior and below professional titles on HAI prevention andnbsp;control is easier to be implemented.