乌鲁木齐三级甲等医院重症监护室医护人员医院感染知识认知情况及相关因素分析

摘要

目的：探讨乌鲁木齐市三甲医院重症监护室（ICU）医护人员对医院感染的认知情况及其相关因素。方法从乌鲁木齐市16所三甲医院中分层随机抽取7所医院，抽取7所三甲医院 ICU在岗医护人员（符合纳入标准的）整群抽样共675名作为研究对象，应用自制的“医护人员医院感染知识调查问卷”进行医院感染相关知识认知情况的调查。结果 ICU医护人员医院感染知识平均得分（23．45±5．43）分；性别、年龄、工作年限各组之间医院感染知识认知得分无显著差异（P ＞0．05）。职业：医生组得分（21．95±6．74）分、护士组得分（23．90±4．89）分，文化程度：研究生组得分（21．63±6．89）分、本科组得分（23．48±5．30）分、大专组得分（24．00±4．76）分、中专组得分（25．36±3．68）分，职称：高级职称组得分（27．00±3．59）分、中级职称组得分（25．61±4．49）分、初级职称组得分（23．09±5．48）分。不同职业、文化程度、职称医护人员医院感染知识认知得分有显著差异（P ＜0．05）职业、文化程度、职称为影响医护人员医院感染知识认知得分的相关因素（P ＜0．05）其中职称对医院感染知识认知影响最大，职业次之，文化程度影响最小。结论医院等相关部门在提高不同职业、职称及文化程度的医护人员医院感染知识掌握情况的同时，使医院感染防控意识深入医护人员的内心从而影响医护人员的行为。%Objective To explore the cognition level of nosocomial infection and related factors among medi-cal staffs in ICU from the tertiary hospitals in Urumqi.Methods 7 hospitals were randomly selected from 16 tertiary hospitals in Urumqi and 675 medical staffs were selected as research subject by cluster sampling among the ICU on-the-j ob medical staffs (according to inclusion and exclusion criteria).Used the the self-made questionnaire for medical staffs to investigate the cognitive situation about nosocomial infection knowledge.Results The score of nosocomial infection knowledge was (23.45±5.43)points.The score of nosocomial infection knowledge had no significant difference between Gender,age,working years (P >0.05).Related Factors of impact on nosocomial infection knowledge score were educational level (graduate student group scored 21.63 ± 6.89 points;the undergraduate group scored 23.48 ± 5.30 points;college group scored 24.00±4.76 points;secondary group scored 25.36±3.68 points),professional title (senior ti-tle group scored 27.00±3.59 points,intermediate title group scored 25.61±4.49 points;the primary title group scored 23.09±5.48 points),occupation (doctor group scored 21.95±6.74 points;nurse group scored 23.90±4.89 points)(P <0.05).Professional title had the greatest influence on hospital infection knowl-edge cognition,and occupation was the second,while the educational level was minimal.Conclusion Hos-pitals and other relevant departments should enhance the nosocomial infection knowledge in the medical staff who had different occupations, professional titles and cultural degree to make the nosocomial infection be controled and prevention consciousness deeply comeinto the medical staff′s heart,which will affect the behavior of the medical staff.