湖北省二级及以下医院产房布局及人员管理现状调查

Survey on Layout and Personnel Management of Maternity at or Below Second-Level Hospitals in Hubei Province

目的:调查湖北省二级及以下医院产房布局及人员管理现状,了解医院感染管理情况。方法:对湖北省74所医院的产房布局和人员管理现状进行调查。结果:湖北省二级及以下产房三区分区严格并且标识明显的医院占81.08%。二级医院正常待产室、分娩室的设置率明显高于一级医院,差异具有统计学意义(P=0.022,P=0.029)。二级医院隔离待产室、分娩室配备率高于一级医院,差异具有统计学意义(P=0.003,P<0.001)。不同级别医院的隔离分娩室床位数间差异明显(P=0.011)。二级医院工作区换工作服、换鞋和产妇进行传染病四项筛查的执行率高于一级医院,差异具有统计学意义(P=0.029,P=0.010)。二级医院限制非工作人员随意进入产房和家属探视的执行率高于一级医院。结论:湖北省二级及以下医院产房环境洁污分区及待产室、分娩室硬件设置未达到规范要求,产房人员管理情况欠佳,有待进一步整改,预防医院感染的发生。

Objective： To investigate the architectural layout and personnel management of maternity wards in hospitals at second level and below in Hubei Province, and to understand the current situation of hospital infection management. Methods： From May to June 2016, the questionnaire method was used to investigate the layout of labor room and the management of personnel from 74 hospitals in Hubei Province. Results： The ratio of hospitals which had three districts divided strictly and marked obviously was 81.08%. The setting rate of the normal waiting rooms and delivery room in secondary hospital was significantly higher than that in primary hospital, and the difference was statistically significant （ P=0.022,P =0. 029）. The setting rate in secondary hospitals of isolation waiting room and delivery room was higher than primary hospitals, and the difference was statistically significant （ P=0.003, P 〈0.001）. The number of beds in the isolation delivery room of different hospitals was significantly different （ P =0.011）. The compliant rate of the four screenings of the second grade hospital in the working area of the work area and the change of the shoes and the pregnant woman was higher than that of primary hospital, and the difference was statistically significant （ P=0.029, P =0.010）. In the secondary hospital, the execution rate of non-staff members entering the delivery room and family visits were higher than that of primary hospital. Conclusion： In Hubei Province, the construction environment of maternity wards at and below the second level has not completely met the standard requirements, and the management of labor room personnel is poor, which needs to be further reformed and strengthened to prevent the occurrence of nosocomial infection.