甘肃省医院感染管理人员手卫生认知情况调查
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摘要
目的了解甘肃省医院感染管理人员手卫生认知现状及其影响因素,为提升医院感染管理人员专项能力提供参考。方法根据地理位置、自然和人文特点,抽取甘肃省不同地区69所医院的医院感染管理人员进行基本情况及手卫生认知情况问卷及实地调查,分析其手卫生认知现状及其影响因素。结果参与调查的69所医院中二级医院占82.61%,三级医院占17.39%;被调查的125名医院感染管理人员中,专职人员占82.40%,兼职人员占17.60%。医院感染管理人员对手卫生的认知完全掌握和未完全掌握分别占33.60%和66.40%;对手卫生重要性、手消毒剂的使用、手卫生设施的设置、洗手方法、干手方法、手卫生指征、手卫生合格判断标准认知的掌握程度,三级医院均高于二级医院(均P<0.05)。多因素logistic回归分析显示,从事医院感染管理工作年限≥5年且<10年(OR=3.067)、本科学历(OR=3.331)、岗位性质为专职(OR=10.309)是手卫生认知的独立保护因素。结论医院感染管理人员对手卫生认知掌握程度偏低,尤其是从事医院感染管理年限<5年、学历为中专及以下以及兼职人员,应结合实际情况加强医院感染管理人员专业能力培训。
Objective To understand the cognition and influencing factors of hand hygiene(HH)among healthcare-associated infection(HAI)management staff in Gansu Province,and provide reference for enhancing the special competency of HAI management staff.Methods According to geographical area,natural and human characteristics,HAI management staff in 69 hospitals in different areas of Gansu Province were selected to conduct a questionnaire and field survey on their basic condition and knowledge of HH,current situation,and influencing factors for HH knowledge were analyzed.Results Among 69 surveyed hospitals,82.61% were secondary hospitals,17.39% were tertiary hospitals;among 125 surveyed HAI management staff,82.40% were full-time staff and 17.60% were parttime staff.33.60% and 66.40% of HAI management staff had complete and incomplete knowledge of HH respectively;the knowledge about importance of HH,use of hand disinfectant,installation of HH facilities,hand washing methods,hand drying methods,HH indications,and standard for judging qualified HH in tertiary hospitals were all higher than those in secondary hospitals(all P<0.05).Multivariate logistic regression analysis showed that independent protective factors for HH cognition were working for≥5 years and<10 years in HH management(OR=3.067),bachelor's degree(OR=3.331),and full-time job(OR=10.309).Conclusion HAI management staff's cognition on HH among is low,especially those who have been engaged in HH management for less than 5 years,whose educational background is secondary school or lower,and part-time personnel.It is necessary to combine with actual condition to strengthen professional competence training for HH management staff.
Objective To understand the cognition and influencing factors of hand hygiene(HH)among healthcare-associated infection(HAI)management staff in Gansu Province,and provide reference for enhancing the special competency of HAI management staff.Methods According to geographical area,natural and human characteristics,HAI management staff in 69 hospitals in different areas of Gansu Province were selected to conduct a questionnaire and field survey on their basic condition and knowledge of HH,current situation,and influencing factors for HH knowledge were analyzed.Results Among 69 surveyed hospitals,82.61% were secondary hospitals,17.39% were tertiary hospitals;among 125 surveyed HAI management staff,82.40% were full-time staff and 17.60% were parttime staff.33.60% and 66.40% of HAI management staff had complete and incomplete knowledge of HH respectively;the knowledge about importance of HH,use of hand disinfectant,installation of HH facilities,hand washing methods,hand drying methods,HH indications,and standard for judging qualified HH in tertiary hospitals were all higher than those in secondary hospitals(all P<0.05).Multivariate logistic regression analysis showed that independent protective factors for HH cognition were working for≥5 years and<10 years in HH management(OR=3.067),bachelor's degree(OR=3.331),and full-time job(OR=10.309).Conclusion HAI management staff's cognition on HH among is low,especially those who have been engaged in HH management for less than 5 years,whose educational background is secondary school or lower,and part-time personnel.It is necessary to combine with actual condition to strengthen professional competence training for HH management staff.
引文
[1]中华人民共和国卫生部.医务人员手卫生规范:WS/T313-2009[S].北京,2009.
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[12]Hall L,Halton K,Macbeth D,et al.Roles,responsibilities and scope of practice:descring the ‘state of play’ for infection control professionals in Australia and New Zealand[J].Healthcare Infect,2015,20:29-35.
[13]陈翠敏,赵先柱,府伟灵.医院感染管理队伍专业构成的思考与体会[J].中华医院感染学杂志,2010,20(11):1574-1575.
[14]许同梅,陈金国,宋劲松,等.某市基层医院感染管理现状调查及改进对策[J].中华全科医学,2015,13(12):2004-2006.
[15]杨亚红,黄勋,张浩军,等.全国省级医院感染培训机构培训现状调查报告[J].中国感染控制杂志,2016,15(9):659-664.
[16]钟巧,侯庆中,李晖,等.医院感染专业培训在医院感染管理中的应用研究[J].中华医院感染学杂志,2010,20(6):831-833.
[17]Gase KA,Leone C,Khoury R,et al.Advancing the competency of infection preventionists[J].Am J Infect Control,2015,43(4):370-379.
[2]张浩军,胡兰文,蔡玲,等.甘肃省医院医务人员手卫生状况调查分析[J].中华医院感染学杂志,2016,26(11):2634-2636.
[3]马春玲.医院感染管理专职人员在防控医院感染中的作用[J].吉林医学,2011,32(28):6076.
[4]徐少波,叶志弘.护士核心能力概念和构成要素的研究进展[J].中华护理杂志,2010,45(8):764-766.
[5]中华人民共和国卫生部.医院感染管理办法[S].北京,2006.
[6]靳桂明,吴明,魏华.医院感染管理队伍职业化建设的思考[J].中华医院感染学杂志,2007,17(11):1411-1413.
[7]Alderson P.The importance of theories in health care[J].BMJ,1998,317:1007-1010.
[8]段婷婷,杜燕平.知信行模式对病区护士手卫生依从性的影响[J].护理实践与研究,2015,12(8):127-128.
[9]李卫光,朱其凤,李红军,等.山东省医院感染管理专职人员现状调查[J].中华医院感染学杂志,2011,21(20):4270-4272.
[10]姚宏武,索继江,邢玉斌,等.我国的医院感染管理与防控现状调研及分析[J].中华医院感染学杂志,2018,28(10):1563-1568.
[11]康立忠,王立志.专职人员在医院感染管理中的职能作用[J].中国消毒杂志,2008,25(1):76.
[12]Hall L,Halton K,Macbeth D,et al.Roles,responsibilities and scope of practice:descring the ‘state of play’ for infection control professionals in Australia and New Zealand[J].Healthcare Infect,2015,20:29-35.
[13]陈翠敏,赵先柱,府伟灵.医院感染管理队伍专业构成的思考与体会[J].中华医院感染学杂志,2010,20(11):1574-1575.
[14]许同梅,陈金国,宋劲松,等.某市基层医院感染管理现状调查及改进对策[J].中华全科医学,2015,13(12):2004-2006.
[15]杨亚红,黄勋,张浩军,等.全国省级医院感染培训机构培训现状调查报告[J].中国感染控制杂志,2016,15(9):659-664.
[16]钟巧,侯庆中,李晖,等.医院感染专业培训在医院感染管理中的应用研究[J].中华医院感染学杂志,2010,20(6):831-833.
[17]Gase KA,Leone C,Khoury R,et al.Advancing the competency of infection preventionists[J].Am J Infect Control,2015,43(4):370-379.