摘要
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2315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,2299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。
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 rifles 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 Nosoeomial infection management knowledge of medical staff in CHSIs is lack. Most members of medical staff have already recognized the importance of nosoeomial infection management, and the necessity of nosoeomial infection surveillance and report. It is necessary to train the medical staff according to their requirement for knowledge.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第1期57-60,共4页
Chinese General Practice
关键词
社区卫生服务
感染管理
认知
Community health services
Infection management
Cognition
