医务人员医院感染防控知信行影响因素调查

Survey on the influencing factors of knowledge,attitude and practice on nosocomial infection prevention and control among medical staff

目的探讨医务人员医院感染防控的知识、态度、行为(知信行)水平,分析其影响因素及干预效果。方法以三级甲等医院584名医务人员为调查对象,采用自制的医院感染防控知信行问卷进行调查,对医务人员医院感染防控知信行水平进行评价并总结影响因素及干预效果。结果共发放问卷584份,回收有效问卷534份,回收率91.44%。多元线性回归分析显示,年龄、职称、学历是医务人员医院感染防控知识掌握的影响因素(P<0.05),年龄、性别、职称、岗位是医院感染防控态度和行为的影响因素(P<0.05)。经Pearson相关性分析,医务人员医院感染防控知识与态度(r=0.695)、知识与行为(r=0.703)、态度与行为(r=0.796)均存在正相关关系(P<0.05)。干预后医务人员医院感染防控知信行得分均显著高于干预前(P<0.05),基本知识、接触隔离、清洁消毒得分均高于干预前(P<0.05)。结论医疗机构应强化综合有效的干预措施,提高医务人员医院感染防控知信行水平。

Objective To explore the knowledge,attitude and practice(KAP)level of nosocomial infection prevention and control among medical staff,and to analyze its influencing factors and the intervention effect.Methods A total of 584 medical staff were selected as the survey objects,and the self-made KAP questionnaire for nosocomial infection prevention and control was used to investigate.The KAP level of medical staff was evaluated,and the influencing factors,KAP intervention effect was analyzed.Results A total of 584 questionnaires were distributed and 534 valid questionnaires were recovered,with an effective rate of 91.44%.Multivariate linear regression analysis showed that age,professional title and educational background were all influencing factors for medical personnel to master the knowledge of nosocomial infection prevention and control(P<0.05).age,gender,professional title and position were all influencing factors for medical personnel’s attitude and behavior of nosocomial infection prevention and control(P<0.05).Pearson correlation analysis showed that there was a positive correlation between knowledge and atti-tude(r=0.695),knowledge and behavior(r=0.703),attitude and behavior(r=0.796)of medical staff on nosocomial infection prevention and control(P<0.05).After the intervention,the score of knowledge,attitude and practice of hospital infection prevention and control among medical personnel was significantly higher than those before the intervention(P<0.05).The score of the basic knowledge of nosocomial infection prevention and control,contact isolation,and cleaning and disinfection was significantly higher than those before the intervention(P<0.05).Conclusion The comprehensive intervention should be taken and to improve the level of nosocomial infection prevention and control a-mong medical personnel.