非感染科抗疫支援护士医院感染防控知信行的调查分析

Investigation and analysis on knowledge and practice of nosocomial infection prevention and control of supporting nurses in non-infectious department

目的 调查新型冠状病毒肺炎隔离病区非感染科抗疫支援护士医院感染防控知信行水平的现状和相关影响因素,为护理管理人员在突发公共卫生事件背景下有针对性地制定提高非感染科抗疫支援护士医院感染防控知信行整体水平的干预策略提供理论依据。方法 于2021年7月间使用自行设计的《非感染科抗疫支援护士传染病医院感染防控知信行调查问卷》对新型冠状病毒肺炎流行期间,在南京市公共卫生医疗中心隔离病房抗疫的18家三级综合医院医疗队非感染科护士进行调查。结果 本次问卷调查共发放问卷438份,回收有效问卷435份,有效应答率为99.32%。435名非感染科抗疫支援护士医院感染防控知识、态度、行为和知信行得分率分别为72.82%、97.39%、97.36%、95.15%。多因素分析结果显示,性别是医院感染防控知识水平的影响因素;年龄、领导重视程度是医院感染防控态度水平的影响因素;领导重视程度是医院感染防控行为水平的影响因素;性别、年龄、领导重视程度是医院感染防控知信行水平的影响因素(P<0.05)。结论 非感染科抗疫支援护士医院感染防控知识、态度、行为和知信行整体水平较高,但知识维度部分仍有不足。护理管理人员可以尝试从影响医院感染防控知信行水平的因素着手,对支援护士采取针对性的干预策略,确保医院感染防控措施落实到位。

Objective Investigate the current situation and related influences of factors of knowledge,belief and practice of nosocomial infection prevention and control among nurses in non-infectious departments in the isolation ward of novel coronavirus pneumonia.In the context of public health emergencies,nursing managers can formulate and improve the knowledge and information of nosocomial infection prevention and control for non-infectious department anti-epidemic support nurses.It provides a theoretical basis for the intervention strategy at the overall level.Method The self-designed Questionnaire on Knowledge,Confidence and Practice of Nosocomial Infection Prevention and Control of Supporting Nurses in Non-infectious Department was used to investigate the non-infectious department nurses of medical teams in 18 tertiary general hospitals from July 2021,who fought against COVID-19 in the isolation ward of Nanjing Public Health Medical Center.Result 438 questionnaires were sent out and 435 valid questionnaires were recovered,with an effective response rate of 99.32%.The score rates of knowledge,attitude,behavior and knowledge of nosocomial infection prevention and control among 435 anti-epidemic support nurses in non-infection department were 72.82%,97.39%,97.36% and 95.15%,respectively.The result of multivariate analysis showed that gender was the influencing factor of knowledge level of nosocomial infection prevention and control,age and the degree of attention of leaders were the influencing factors of attitude level of nosocomial infection prevention and control,and the degree of leadership attention was the influencing factor of behavior level of nosocomial infection prevention and control.Gender,age and leadership attention were the influencing factors of knowledge,belief and practice in nosocomial infection prevention and control (P<0.05).Conclusion The overall level of knowledge,attitude,behavior,knowledge,belief and practice of nosocomial infection prevention and control of anti-epidemic support nurses in non-infection department is high,but the knowledge dimension is still insufficient.Nursing managers can try to start with the factors that affect the level of knowledge,belief and practice of nosocomial infection prevention and control,and take targeted intervention strategies for supporting nurses to ensure that measures for nosocomial infection prevention and control are in place.