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陕西省医务人员在新冠肺炎疫情期间对医院感染防控的认知现状及影响因素分析 被引量:21

Cognitive status and factors influencing hospital infection prevention and control among medical staff in Shaanxi Province during the epidemic of COVID-19
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摘要 目的了解陕西省医务人员在新冠肺炎疫情期间对医院感染防控的认知现状,并对其影响因素进行分析。方法在"问卷星"网站设计问卷,基于微信社交平台,采用自愿抽样的方法,在线邀请填写网络问卷。问卷收集时间为2020年3月13日-3月29日,共收回问卷8037份,剔除非陕西省等不符合条件及存在逻辑问题的问卷30份,最终得到有效问卷8007份。结果共调查8007名医务人员,其中三级甲等、三级乙等、二级甲等、二级乙等医院医务人员分别占39.6%、2.3%、55.3%、2.6%,调查对象平均年龄(32.1±7.2)岁,其中包括7199名护理人员,501名医疗人员。在不同医院(包括不同地区、不同级别、是否为新冠肺炎定点、是否设置"感控监督员"的医院)以及在不同医务人员(包括不同专业类别、不同职称、不同工作区域)间的培训效果差异具有统计学意义(P均<0.01)。调查对象的基本认知情况显示,陕西省大部分医务人员对脱防护用品之前是否需要进行消毒及院内环境消毒方面认知的正确率不足30%。多元线性回归分析显示,二级甲等医院医务人员的认知水平显著低于三级甲等医院(P<0.01);新冠定点医院医务人员的认知水平显著高于非定点医院(P<0.01);设置"感控监督员"医院的医务人员认知水平显著高于无"感控监督员"的医院(P<0.01);年龄为25~34岁和35~44岁人员的认知水平显著低于45岁及以上人员(P均<0.01);医技、工勤人员认知水平显著低于医疗人员(P=0.02,P<0.01);中级、副高、正高技术职称人员的认知水平均显著高于初级及以下工作人员(P均<0.01);发热门诊、急诊科、隔离病房、重症监护室、其他外科医务人员的认知水平均显著高于普通门诊医务人员(P分别为0.01、0.03、<0.01、0.02、<0.01)。结论陕西省大部分医务人员对脱防护用品之前是否需要进行消毒及院内环境消毒方面存在误区,且对医院感染防控的认知� Objective To understand the current status of medical staff’s awareness of hospital infection prevention and control during the epidemic of COVID-19 in Shaanxi Province and analyze its influencing factors. Methods The questionnaire was designed on the "Questionnaire Star" website. Based on the WeChat platform, a voluntary sampling method was used to invite online questionnaires. From March 13 to 29, we collected a total of 8037 questionnaires, 30 of which did not meet the requirements and had logical problems, and finally 8 007 valid questionnaires were obtained. Results A total of 8 007 medical staff were surveyed. Among them, Medical staff of Grade 3 A, Grade 3 B, Grade 2 A, and Grade 2 B hospital accounted for 39.6%, 2.3%, 55.3%, and 2.6%, respectively.The average age of the respondents was(32.1±7.2)years old,including 7 199 nurses and 501 doctors.The training effect was statistically significant in different regions,different hospital levels,whether it was a designated hospital and whether there were sensor control supervisors,as well as medical staff of different specialty,professional title,and work area(all P<0.01).The basic cognitive situation of the surveyed subjects showed that most medical staff in Shaanxi Province had a correct rate of less than 30%in whether they needed to disinfect before de-protection and how to disinfect the hospital environment.Multivariate linear regression analysis showed that the cognition level of medical staff in Grade A hospitals was significantly lower than that in Grade A hospitals(P<0.01).The cognition level of medical staff in designated hospitals was significantly higher than that of others(P<0.01).The cognition level of medical staff in hospitals with sensory control supervisors was significantly higher than that of others(P<0.01).The cognition level of people aged 25-34 and 35-44 was significantly lower than those aged 45 and above(all P<0.01).The cognition level of medical technicians and service personnel was significantly lower than that of doctors(P=0.02 and<0
作者 章琦 李倩 李红霞 李宝珍 平宝华 王晓艳 周锐 郑雪梅 ZHANG Qi;LI Qian;LI Hongxia;LI Baozhen;PING Baohua;WANG Xiaoyan;ZHOU Rui;ZHENG Xuemei(Infection Control Department,The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061;School of Public Policy and Management,Xi’an Jiaotong University,Xi’an 710049,China)
出处 《西安交通大学学报(医学版)》 CAS CSCD 北大核心 2021年第2期211-218,共8页 Journal of Xi’an Jiaotong University(Medical Sciences)
关键词 医务人员 医院感染防控 认知水平 影响因素 COVID-19 medical staff hospital infection prevention and control cognitive level influencing factor COVID-19
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