病案管理员对医院感染的认知和改善措施分析

Analysis of the cognition and improvement measures of medical record administrators to hospital infection

目的分析病案管理员对医院感染的认知程度,为医院感染控制提供科学依据。方法分别于培训前后采取问卷调查方法调查病案管理员对医院感染的认知情况,对比分析两次调查结果。结果完成调查问卷的有88人病案管理员,培训前调查问卷评分47人合格,平均(77.54±15.32)分,合格率为53.41%;培训后调查问卷评分79人合格,平均(89.21±15.32)分,合格率为89.77%。培训后调查问卷评分及合格率均明显高于培训前,差异均有统计学意义(P<0.05)。结论经半年强化培训,病案管理员对医院感染认知程度明显改善,但合格率仍没有达到100.00%。因此应继续在日常工作中加强病案医院感染管理,强化手卫生的观念,提高病案管理员自身防护意识,纠正在工作中不良的行为和操作习惯。

Objective To analyze the cognition degree of medical record administrators to hospital infection, and to provide scientific basis for nosocomial infection control. Methods Questionnaire survey was used to investigate the cognition of medical record administrators to hospital infection before and after training. The results of the two surveys were compared and analyzed. Results 88 medical record adminis- trators completed the survey. Before the training, with 47 cases of qualified questionnaire score, average （77.54±15.32）, the qualified rate was 53.41%. After the training, 79 cases with qualified questionnaire score, average （89.21±15.32）, the qualified rate was 89.77%. The score and qualified rate of the question- naire after training were significantly higher than that before training, the differences were statistically significant （P〈0.05）. Conclusion After six months of intensive training, the degree of awareness of medical record administrators to hospital infection has been improved obviously, but the qualification rate still has not reached 100.00%. Therefore, hospital infection management should be added in daily work, to strengthen the concept of hand hygiene, improve the self protection consciousness of the medical record administrator, and correct the bad behavior and operation habit.