医务人员对“取消头孢菌素常规皮试”态度及其影响因素的结构方程模型构建

Analysis of Influencing Factors of Attitude Towards"Canceling the Routine Skin Test of Cephalosporins"Among Medical Staff Based on Structural Equation Model

目的调查医务人员对“取消头孢菌素常规皮试”的态度,并构建结构方程模型分析影响态度的原因。方法本研究通过调查问卷收集医务人员的一般特征和对“取消头孢菌素常规皮试”的态度及其相应影响因素信息;使用结构方程模型分析医务人员对“取消头孢菌素常规皮试”态度影响因素之间的关系。结果研究生及以上学历医务人员态度得分较其他医务人员低;感染/呼吸科医务人员态度较其他科室医务人员态度得分高;促成因素和强化因素能够改变医务人员对“取消头孢菌素常规皮试”的态度。结论高学历及非感染/呼吸科医务人员对“取消头孢菌素常规皮试”态度积极性较低,国家政策文件、上级医疗机构行为、专业学术团队推荐意见、医院支持态度等健康教育措施有助于提高医务人员对“取消头孢菌素常规皮试”态度的积极性。

Objective To investigate the attitude of medical staff towards"canceling the routine skin test of cephalosporins",and to construct a structural equation model to analyze the influencing factors.Methods In this study,the general characteristics of medical staff,their attitude towards"canceling the routine skin test of cephalosporins"and the corresponding influencing factors were collected through online questionnaires.Structural equation model was used to analyze the complex relationship between these influencing factors and attitudes of health care workers.Results The attitude score of medical staff with graduate degree or above was lower than that of other medical staff(P<0.05).The attitude score of medical staff in the infection/respiratory department was higher than that in other departments(P<0.05).Enabling and reinforcing factors could change the attitude of medical staff towards"canceling the routine skin test of cephalosporins".Conclusion Highly educated and non-infectious/respiratory medical staff have less positive attitude towards"canceling the routine skin test of cephalosporins".Health education measures,such as national policy documents,behaviors of higher-level medical institutions,recommendations of professional academic teams,and hospital support policies,are helpful to improve the positive attitude of medical staff towards"canceling the routine skin tests of cephalosporins".