CAJ | 학술논문

目的了解社区卫生服务机构医务人员对医院感染管理的认知情况,查找问题并分析原因,为提高社区卫生服务机构医疗质量提供依据.方法对北京市朝阳区社区卫生服务机构2 315名医务人员进行问卷调查,比较不同特征医务人员对医院感染管理基本知识的掌握情况,对医院感染管理的认识及知识需求.结果医院感染管理基本知识题满分为24分,2 299名医务人员平均得分为(15.4±2.9)分.不同性别、年龄、职业类别、职称和从业年限的医务人员得分间差别有统计学意义(P＜0.05).89.06%的医务人员认为控制医院感染对保障医疗安全非常重要,不同性别、学历的医务人员对医院感染管理重要性认识间差异有统计学意义(P＜0.05).有99.52%的医务人员认为有必要进行医院感染的监测,不同从业年限的医务人员对进行医院感染监测和报告的必要性认识间差异有统计学意义(P＜0.05).医务人员对职业安全与防护知识、医院感染诊断知识和消毒隔离知识的需求率分别为69.99%、66.07%和61.64%,占前三位.结论社区卫生服务机构医务人员医院感染管理知识缺乏;多数医务人员已认识到医院感染管理的重要性和医院感染监测与报告的必要性;应根据医务人员的知识需求进行培训.
목적 료해사구위생복무궤구의무인원대의원감염관리적인지정황,사조문제병분석원인,위제고사구위생복무궤구의료질량제공의거.방법 대북경시조양구사구위생복무궤구2 315명의무인원진행문권조사,비교불동특정의무인원대의원감염관리기본지식적장악정황,대의원감염관리적인식급지식수구.결과 의원감염관리기본지식제만분위24분,2 299명의무인원평균득분위(15.4±2.9)분.불동성별、년령、직업유별、직칭화종업년한적의무인원득분간차별유통계학의의(P＜0.05).89.06%적의무인원인위공제의원감염대보장의료안전비상중요,불동성별、학력적의무인원대의원감염관리중요성인식간차이유통계학의의(P＜0.05).유99.52%적의무인원인위유필요진행의원감염적감측,불동종업년한적의무인원대진행의원감염감측화보고적필요성인식간차이유통계학의의(P＜0.05).의무인원대직업안전여방호지식、의원감염진단지식화소독격리지식적수구솔분별위69.99%、66.07%화61.64%,점전삼위.결론 사구위생복무궤구의무인원의원감염관리지식결핍;다수의무인원이인식도의원감염관리적중요성화의원감염감측여보고적필요성;응근거의무인원적지식수구진행배훈.
Objective To investigate the cognition situation of medical staffs in community health service institutions (CHSIs) about nosocomial infection management,to fine out the problems and analyze their causes so as to provide a basis for raising the medical quality of CHSIs.Methods The questionnaire survey was conducted among 2 315 medical workers of CHSIs in Chaoyang district of Beijing.The conditions of awareness on basic knowledge,recognition of nosocomial infection management,and demands for knowledge of medical workers with different characters were compared.Results The average score of medical staff on nosocomial infection management basic knowledge was (15.4±2.9) in a total of 24 scores.The differences in score among the medical staff with different sexes,ages,professionals,profession titles and working years were statistically significant (P<0.05).Some 89.06% of medical staff believed that nosocomial infection control is very important to safeguard medical service.The differences in attitude to the importance of nosocomial infection management among the medical staff with different sexes and education levels were statistically significant(P<0.05).Some 99.52% of medical staff believed that nosocomial infection surveillance is necessary.The difference in attitude to the necessity about nosocomial infection surveillance among the medical staff with different working years was statistically significant(P<0.05).The ratios of medical staff's demands for knowledge on occupational safety and protection,nosocomial infection management,and disinfection and isolation were 69.99%,66.07% and 61.64% respectively,ranging the first three.Conclusion Nosocomial infection management knowledge of medical staff in CHSIs is lack.Most members of medical staff have already recognized the importance of nosocomial infection management,and the necessity of nosocomial infection surveillance and report.It is necessary to train the medical staff' according to their requirement for knowledge.