医院感染管理人员消毒知-信-行现状及影响因素

Status and influencing factors of healthcare-associated infection management professionals’knowledge-attitude-practice towards disinfection

目的了解医院感染管理人员消毒知识知晓情况,探讨可能的影响因素。方法利用具有良好信效度的问卷,对135名医院感染管理人员的消毒知识知晓情况进行调查。结果三级医院医院管理人员消毒知-信-行(KAP)知识维度得分(11.12±2.09)、行为维度得分(10.58±1.96)和总分(25.35±3.83)高于二级医院[分别为(10.00±1.47)、(9.34±1.64)、(23.61±2.52)],差异具有统计学意义(均P<0.05);不同级别医院在KAP态度维度得分,差异无统计学意义(P=0.359)。40~49岁医院感染管理人员KAP得分最高(26.33±3.04);学历越高者KAP得分越高;主任护师或副主任护师KAP得分(26.90±2.71)高于其他职称人群;专职医院感染管理人员KAP得分(27.61±2.52)高于兼职人员;工作年限在5~10年的医院感染管理人员消毒KAP得分(26.47±2.63)较高(均P<0.05)。结论医院感染管理人员对消毒知识知晓率有待提高,尤其是二级医院应进一步加强消毒知识的培训。有必要在不同人群中开展有针对性的干预措施。

Objective To investigate healthcare-associated infection(HAI)management professionals’awareness on disinfection knowledge,explore the possible influencing factors.Methods Questionnaire with good reliability and validity was used to investigate disinfection knowledge among 135 HAI management professionals.Results HAI management professionals’scores of knowledge dimension,behavioral dimension,and total score of knowle-dge-attitude-practice(KAP)towards disinfection in tertiary hospitals were all higher than those of secondary hospitals([11.12±2.09]vs[10.00±1.47],[10.58±1.96]vs[9.34±1.64],[25.35±3.83]vs[23.61±2.52],respectively,all P<0.05);there was no significant difference in the score of attitude dimension of KAP in different hospitals(P=0.359).KAP score of HAI management professionals in 40-49 years group was the highest(26.33±3.04);the higher the education background,the higher the KAP score;KAP score of chief nurse or associate chief nurse(26.90±2.71)was higher than that of other professional titles;KAP score of full-time HAI management professionals(27.61±2.52)was higher than that of part-time staff;disinfection KAP score of HAI management professionals with 5-10 working years(26.47±2.63)was higher(all P<0.05).Conclusion Awareness rate of disinfection knowledge among HAI management professionals needs to be improved,especially training on disinfection knowledge in secondary hospitals should be strengthened,it is necessary to carry out targeted intervention measures in different groups of population.