南京市医务人员医院感染防控知识水平调研

Investigation of knowledge level of healthcare associated infection among healthcare workers in Nanjing

目的:通过网路知识竞赛了解全市各级医疗机构医务人员的院感防控知识水平。方法:本研究通过网路信息平台向全市各级医疗机构发布院感知识竞赛试卷。试卷类型分为两种:(1)护理组向所有护士开放;(2)非护理组向医生、技师、药师和行政管理者开放。共13套试卷,不同试卷测试不同的院感主题。最终将统计参赛者的人数、职业类型、医院级别,并比较不同类型医务人员的平均分、不同级别医院的平均分以及不同主题试卷的平均分。结果:本次知识竞赛共计7158位医务人员参加,其中医生2033(28.40%)、护士4087(57.10%)、医技558(7.80%)、药师281(3.93%)、行政管理人员123(1.72%)、院感专职人员76(1.06%)。除院感专职人员外,其他医务人员的平均分在66.31-69.48。各级医疗机构的平均分在63.73-69.33。平均分超过70分的试卷包括:院感三基训练(75.46±15.29)、抗菌药物的临床应用(74.17±18.69)、医疗废物的正确处置(73.61±12.23)、手卫生(72.52±16.24)、职业安全防护、隔离技术和环境表面消毒(71.01±16.07)、多重耐药菌的感染预防(70.52±17.96)。结论:目前医务人员对院感的基本概念有所了解,但对预防和控制院感发生的各项措施知之甚少。有效提高医务人员的院感防控意识,帮助其掌握预防院感的措施是医院感染管理迫在眉睫的工作。

Objective:In this study,the knowledge level of HAI of HCWs at all levels of medical institutions in the city will be investigated through the online HAI knowledge competition.Methods:This study released HAI contest papers to all levels of medical institutions in the city through the network information platform.There are two types of papers:1)the nursing group is open to all nurses;2)the non-nursing group is open to doctors,technicians,pharmacists and administrative managers.There are 13 sets of papers,and different papers test different themes ofHAI.Finally,the number of participants,occupational type and hospital level will be counted,and the average scores of different types of HCWs,hospitals at different levels,and the average scores of different subject papers will be compared.Results:A total of 7158 HCWs participated in the knowledge contest,including 2033 doctors(28.40%),4087 nurses(57.10%),558 medical technicians(7.80%),281 pharmacists(3.93%),123 administrators(1.72%)and 76 infection prevention professionals(IPPs)(1.06%).The range of average scores of other HCWs was 66.31-69.48,except for IPPs.The range of average scores of medical institutions was 63.73-69.33.The papers with an average score of more than 70 included:three basic training of HAI(75.46±15.29),clinical application of antibiotics(74.17±18.69),proper disposal of medical waste(73.61±12.23),hand hygiene(72.52±16.24),occupational safety protection,isolation technology and environmental surface disinfection(71.01±16.07),and the prevention of multi-drug-resistant bacteria infection(70.52±17.96).Conclusion:At present,the basic concept of HAI is well understood by HCWs,but little is known about the measures to prevent and control HAI.It is an urgent task for HAI controldepartment to effectively improve the awareness of HAI prevention of HCWs and help them grasp the strategies of HAI control and prevention.