基层医疗机构医务人员医院感染防控知识和行为调查

Knowledge and practice of nosocomial infection control among medical professionals in grassroots healthcare institutions

目的了解基层医疗机构医务人员医院感染防控知识和行为现状,为提高基层医疗机构感染防控水平提供依据。方法选择南京市浦口区基层医疗机构全部医务人员为调查对象,自行设计问卷收集调查对象基本信息、医院感染防控知识知晓和行为持有情况,并进行描述性分析。结果调查402人。其中男性116人,占28.86%;女性286人,占71.14%。年龄以≥41岁为主,187人占46.52%。学历以本科及以上为主,200人占49.75%。中级及以上职称168人,占41.79%。工龄>10年236人,占58.71%。基层医疗机构医务人员医院感染防控知识知晓率为56.22%;其中“新型冠状病毒肺炎疫情防控”知晓率最高,为89.55%;“医院感染防控重点环节”知晓率最低,为39.55%。医院感染防控行为持有率为84.08%;其中“良好执行多重耐药菌患者的接触传播隔离防控措施”“良好执行重点科室、重点环节医院感染防控措施”行为持有率较低,分别为71.14%和64.68%。结论浦口区基层医疗机构医务人员医院感染防控知识水平较低,多重耐药菌管理及医院感染防控重点环节方面的行为水平较低。

Objective To investigate the current status of knowledge and practice pertaining to nosocomial infection control among medical professionals in grassroots healthcare institutions,so as to provide the evidence of improving the level of infection control in grassroots healthcare institutions.Methods All medical professionals working in grassroots healthcare institutions in Pukou District,Nanjing City,were enrolled.The participants’demographic features and knowledge and practice of nosocomial infection control were collected using self-designed questionnaires and descriptively analyzed.Results A total of 402 participants were enrolled,included 116 men(28.86%)and 286 women(71.14%).The respondents were predominantly at ages of 41 years and older(187 subjects,46.52%),with bachelor and above as the predominant educational level(200 subjects,49.75%)and intennediate title and above as the predominant professional title(168 subjects,41.79%),and there were 236 participants(58.71%)with the length of service for more than 10 years.The awareness rate of nosocomial infection control knowledge was 56.22% among medical professionals working in grassroots healthcare institutions,with the highest awareness for COVID-19 prevention and control(89.55%)and the lowest awareness for the key aspects in nosocomial infection control(39.55%).The formation rate of implementing nosocomial infection control practices was 84.08%,with a low rate for"Implement satisfactorily the isolation interventions for patients with multidrug resistant bacteria"(71.14%)and"Implement satisfactorily the control measures for nosocomial infections in key departments and key aspects"(64.68%)Conclusions Low levels are seen in the awareness of nosocomial infection control,behaviors of multidrug resistance management and key aspects in nosocomial infection control among medical professionals in grassroots healthcare institutions in Pukou District.