CAJ | 학술논문

目的应用结构方程模型分析医务人员血源性职业暴露防护行为影响因素,为提高医务人员血源性职业暴露防护运作系统性能提供理论依据.方法通过探索性因子分析及结构方程模型的拟合,得出影响医务人员血源性职业暴露防护行为的各因素及其之间的关系.结果模型拟合较理想,医院决策层和科室管理层直接影响医务人员的行为意向,科室管理层对医务人员行为意向的影响较大,路径系数为0.27;医院决策层对医务人员行为意向的直接影响较小,路径系数为0.03,但其可通过科室管理层间接对行为意向产生影响;行为意向对职业暴露防护行为的影响最大,其路径系数为0.80,行为意向基本决定了医务人员血源性职业暴露防护行为.结论医院应完善各项规范制度并建立有效的沟通渠道,同时提升组织关怀能力;科室应提高规范制度执行力度,配备足够的安全设备,为医务人员提供最佳的工作环境,从而提高医务人员血源性职业暴露防护行为依从性.
목적 응용결구방정모형분석의무인원혈원성직업폭로방호행위영향인소,위제고의무인원혈원성직업폭로방호운작계통성능제공이론의거.방법 통과탐색성인자분석급결구방정모형적의합,득출영향의무인원혈원성직업폭로방호행위적각인소급기지간적관계.결과 모형의합교이상,의원결책층화과실관리층직접영향의무인원적행위의향,과실관리층대의무인원행위의향적영향교대,로경계수위0.27;의원결책층대의무인원행위의향적직접영향교소,로경계수위0.03,단기가통과과실관리층간접대행위의향산생영향;행위의향대직업폭로방호행위적영향최대,기로경계수위0.80,행위의향기본결정료의무인원혈원성직업폭로방호행위.결론 의원응완선각항규범제도병건립유효적구통거도,동시제승조직관부능력;과실응제고규범제도집행력도,배비족구적안전설비,위의무인원제공최가적공작배경,종이제고의무인원혈원성직업폭로방호행위의종성.
Objective To analyze the influence factors of medical staff blood-bome occupational exposure by structural equation modeling,in order to improve medical staff of blood-borne occupational exposure protection performance of the system to provide the theory basis for operation.Methods The influence factors of medical staff blood-borne occupational exposure and their correlation were analyzed by exploratory factor analysis and structural equation modeling fitting.Results Model fitting was ideal,hospital decision-makers and department management directly affected the behavior intention of medical staff,department management greatly influenced by the behavioral intention to the medical personnel,path coefficient was 0.27.Hospital decision-makers of behavioral intention to the medical personnel directly affect smaller,path coefficient was 0.03,but its indirect impact on behavioral intention by department management.Behavioral intention of occupational exposure protection action,the path coefficient was 0.80,behavioral intention determined the basic medical personnel blood-borne occupational exposure protection behavior.Conclusions Hospital should improve the system of standards and to establish effective communication channels,at the same time enhance the care ability.Enforcement departments should improve the standard system,equipped with adequate safety equipment,for the medical staff to provide the best working environment,so as to improve the medical staff of blood-borne occupational exposure protection behavior compliance.