临床医务人员呼吸治疗相关感染防控知识与行为调查分析

Investigation and Analysis of Knowledge and Behavior of Respiratory Treatment-related Infection Prevention and Control among Clinical Medical Staff

【目的】探讨临床医务人员对呼吸治疗相关的感染防控知识与行为现状并分析其影响因素。【方法】2020年5月15日至30日,选取全国学术委员会、学组等专业微信群内的249例医务人员作为调查对象,采用呼吸治疗相关感染防控知识与行为问卷对临床医务人员进行调查。【结果】249例问卷总评分为(53.84±6.02)分。参加呼吸治疗感控知识培训的医务人员知识评分高于未参加者,专职从事呼吸治疗工作医务人员知识评分高于非专职医务人员,差异有统计学意义(P<0.05)。呼吸治疗相关感染防控行为中,个人防护措施规范使用率100%,呼吸治疗专业设备材料使用率中最低的3项分别为无创通气使用具有封闭式自动续水功能或自制的半自动湿化罐、无创通气采用密闭面罩+细菌过滤器+呼气阀的连接方式、专用雾化装置采用率。【结论】临床一线医务人员对呼吸治疗相关的感染防控知识总体掌握情况较好,但感染防控行为的实施率有待提高。

【Objective】To investigate the knowledge and behavior of respiratory therapy related infection prevention and control among clinical staff and analyze the influencing factors.【Methods】From May 15 to 30,2020,249 medical personnel from professional wechat groups such as the National Academic Committee and academic groups were selected as the investigation objects,and the knowledge and behavior of respiratory treaty-related infection prevention and control questionnaire was used to investigate the clinical medical personnel.【Results】The total score of 249 people was(53.84±6.02)scores.The knowledge score of the medical staff who participated in respiratory therapy was higher than that of the non-participants,and the knowledge score of the medical staff who engaged in respiratory therapy was higher than that of the non-full-time medical staff,with statistical significance(P<0.05).Among the prevention and control behaviors of respiratory treatment-related infections,the standardized use rate of personal protective measures was 100%,and the three lowest use rates of respiratory treatment professional equipment and materials were:Non-invasive ventilation uses semi-automatic humidification tank with closed automatic water refill function or self-made,non-invasive ventilation uses closed mask+bacterial filter+exhalation valve connection mode,and dedicated atomizing device adoption rate.【Conclusion】The knowledge of infection prevention and control related to respiratory therapy is generally well mastered by clinical front-line medical staff,but the implementation rate of infection prevention and control behavior needs to be improved.