摘要
目的分析我国医疗机构医务人员对头孢菌素类药物皮试的知信行现状及其影响因素,为规范皮试相关医疗行为提供参考。方法采用自行设计的头孢菌素类药物皮试知信行问卷对我国医务人员进行调查。通过微信向全国医疗机构发放问卷二维码,被调查者采用匿名方式自愿参加。统计不同文化程度,工作岗位、职称医务人员的知识、态度、行为得分,应用Wilcoxon秩和检验、多元线性回归分析等方法分析其影响因素。结果30个省份205家医疗机构的873名医务人员参与调查。对头孢菌素类药物皮试知识(总分16分)、态度(总分20分)、行为(总分20分)得分分别为10(8,12)分,13(12,15)分和12(9,15)分。多元线性回归结果显示,文化程度、工作岗位和职称与知识、态度得分相关(P<0.05)。研究生比专科医务人员知识掌握情况好、态度积极;药师比医生、护士知识掌握情况好、态度积极;中级、高级比初级及以下职称医务人员知识掌握情况好、态度积极。知识水平与态度正相关(P<0.05)。性别、工作岗位和职称与行为得分相关(P<0.05)。女性比男性医务人员行为消极,护士比药师行为积极;高级比初级及以下职称医务人员行为积极。知识水平、态度与行为正相关(P<0.05),态度在知识对行为影响中的中介效应差异无统计学意义(P=0.085)。结论我国医疗机构医务人员头孢菌素类药物皮试知信行有待加强,应结合不同岗位、职称等方面的知信行差异,对医务人员开展培训,以提升知识水平、树立积极态度、规范皮试相关医疗行为。
Objective To analyze the current situation and influencing factors of knowledge,attitude and practice among medical personnel in medical institutions in China regarding skin testing of cephalosporins,to provide reference for standardizing medical behavior related to skin test.Methods A self-designed questionnaire on knowledge,attitude and practice of cephalosporins skin test was used to survey medical staff in China.The questionnaire QR code was distributed to medical institutions nationwide through WeChat,and participants participated voluntarily and anonymously.Knowledge,attitude,and practice scores of medical staff with different educational level,job positions,professional titles were calculated,and influencing factors were analyzed using Wilcoxon rank sum test,multiple linear regression analysis,and other statistical methods.Results 873 medical staff from 205 medical institutions in 30 provinces participated in this survey.The scores of knowledge(total score 16),attitude(total score 20)and practice(total score 20)in the cephalosporins skin test were 10(8,12),13(12,15)and 12(9,15),respectively.The results of multiple linear regression showed that educational level,job position and professional title were correlated with knowledge and attitude scores(P<0.05).Graduate medical personnel had better knowledge and positive attitudes than specialized medical personnel.Pharmacists had better knowledge and a positive attitude than doctors and nurses.Medical personnel with intermediate and senior professional titles had better knowledge mastery and a positive attitude than those with junior and lower professional titles.Knowledge level is positively correlated with attitude(P<0.05).Gender,job position and professional title were correlated with practice scores(P<0.05).Female medical staff exhibited less positive practice than the male medical staff.Nurses exhibited more positive practices than pharmacists.Medical personnel with senior professional titles exhibited more positive practice than those with junior and lower
作者
刘佳明
褚燕琦
张兰
LIU Jiaming;CHU Yanqi;ZHANG Lan(Department of Pharmacy,Xuanwu Hospital Capital Medical University,Beijing 100053,China;National Clinical Research Center for Geriatric Diseases,Beijing 100053,China)
出处
《药物流行病学杂志》
CAS
2024年第6期621-631,共11页
Chinese Journal of Pharmacoepidemiology
基金
北京市医院管理中心“登峰”计划专项(DFL20190803)。
关键词
医务人员
头孢菌素
皮肤过敏试验
知信行
影响因素
Medical staff
Cephalosporins
Skin test
Knowledge,Attitude and practice
Influencing factors
