基于结构方程模型的医务人员血源性职业暴露防护行为的影响因素分析  

Analysis on influence factors of medical staff blood-borne occupational exposure based on structural equation modeling

作　　者：周家梅[1] 江智霞[2] 袁晓丽[2] 邵星[2] 罗祎[2] 王汇平[3] 陈素贞[4] 

机构地区：[1]遵义医学院附属医院胸心外科,563000 [2]遵义医学院附属医院护理部,563000 [3]遵义医学院附属医院消化内科,563000 [4]遵义医学院护理学院

出　　处：《中国实用护理杂志》2015年第19期1422-1426,共5页Chinese Journal of Practical Nursing

基　　金：贵州省科技计划{黔科合SY字[2011]3005号};2013-2014年度国家临床重点专科（临床护理）建设项目{国卫办医函[2013]544号}

摘　　要：目的 应用结构方程模型分析医务人员血源性职业暴露防护行为影响因素,为提高医务人员血源性职业暴露防护运作系统性能提供理论依据.方法 通过探索性因子分析及结构方程模型的拟合,得出影响医务人员血源性职业暴露防护行为的各因素及其之间的关系.结果 模型拟合较理想,医院决策层和科室管理层直接影响医务人员的行为意向,科室管理层对医务人员行为意向的影响较大,路径系数为0.27;医院决策层对医务人员行为意向的直接影响较小,路径系数为0.03,但其可通过科室管理层间接对行为意向产生影响;行为意向对职业暴露防护行为的影响最大,其路径系数为0.80,行为意向基本决定了医务人员血源性职业暴露防护行为.结论 医院应完善各项规范制度并建立有效的沟通渠道,同时提升组织关怀能力;科室应提高规范制度执行力度,配备足够的安全设备,为医务人员提供最佳的工作环境,从而提高医务人员血源性职业暴露防护行为依从性.Objective To analyze the influence factors of medical staff blood-bome occupational exposure by structural equation modeling,in order to improve medical staff of blood-borne occupational exposure protection performance of the system to provide the theory basis for operation.Methods The influence factors of medical staff blood-borne occupational exposure and their correlation were analyzed by exploratory factor analysis and structural equation modeling fitting.Results Model fitting was ideal,hospital decision-makers and department management directly affected the behavior intention of medical staff,department management greatly influenced by the behavioral intention to the medical personnel,path coefficient was 0.27.Hospital decision-makers of behavioral intention to the medical personnel directly affect smaller,path coefficient was 0.03,but its indirect impact on behavioral intention by department management.Behavioral intention of occupational exposure protection action,the path coefficient was 0.80,behavioral intention determined the basic medical personnel blood-borne occupational exposure protection behavior.Conclusions Hospital should improve the system of standards and to establish effective communication channels,at the same time enhance the care ability.Enforcement departments should improve the standard system,equipped with adequate safety equipment,for the medical staff to provide the best working environment,so as to improve the medical staff of blood-borne occupational exposure protection behavior compliance.

关 键 词：医务人员 职业暴露 防护行为 结构方程模型 

分 类 号：R197.323[医药卫生—卫生事业管理]