知信行模式在ICU医护人员多重耐药菌感染防控中的应用  

Application of knowledge-attitude-practice intervention model on multidrug-resistant organism infection prevention and control in ICU medical staff

作　　者：荆婵 李黎明[2] 曹永革[1] Jing Chan;Li Liming;Cao Yongge(Department of Infection ICU,He'nan Provincial People's Hospital,Zhengzhou 450000,China;Nursing Department,He'nan Provincial People's Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院感染ICU,郑州450000 [2]河南省人民医院护理部,郑州450000

出　　处：《中华现代护理杂志》2019年第22期2842-2846,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨知信行模式对ICU医护人员多重耐药菌(multidrug-resistant organism,MDRO)感染防控认知和行为的影响.方法采用便利抽样法,选取2017年8月-2018年3月河南省人民医院在职在岗的80名ICU医护人员为研究对象,基于知信行模式对其MDRO感染防控认知和行为进行干预.比较干预前后80名ICU医护人员MDRO感染防控知信行问卷得分、MDRO感染相关知识知晓情况、MDRO感染相关态度持有情况、MDRO感染防控行为依从性得分及患者MDRO感染发生率.结果干预后,ICU医护人员MDRO感染防控知信行问卷得分、MDRO感染相关知识知晓率,MDRO感染相关态度持有率较干预前均有所提高,差异具有统计学意义(P<0.05);干预后,MDRO感染防控行为依从性得分较干预前有所提高,差异有统计学意义(P<0.05);干预后,ICU患者MDRO发生率为5.08%,低于干预前MDRO发生率12.20%,差异有统计学意义(P<0.05).结论知信行干预模式能有效提高ICU医护人员MDRO感染防控的认知水平,提高对MDRO感染相关态度的积极性,以及MDRO感染防控行为依从性,从整体上提升防控效果.Objective To explore the effects of knowledge-attitude-practice(KAP)intervention model on the cognition and behavior of prevention and control of multidrug-resistant organism(MDRO)infection of medical staff in intensive care unit(ICU).Methods By convenience sampling,80 ICU medical staff working in He'nan People's Hospital from August 2017 to March 2018 were selected as the participants in this study,and their knowledge and behavior of MDRO infection prevention and control were intervened based on the KAP model.The scores of KAP Questionnaire on MDRO infection prevention and control,relevant knowledge,attitude,compliance of MDRO infection prevention and control among the 80 ICU medical staff and the incidence of patients'MDRO infection before and after intervention were compared.Results After intervention,the ICU medical staff's score in KAP questionnaire,relevant knowledge awareness rate,and attitude holding rate about MDRO infection prevention and control all improved compared with those before intervention(P<0.05).After intervention,the compliance score of MDRO infection prevention and control behavior was higher than before,and the difference was statistically significant(P<0.05).After intervention,the incidence of MDRO in ICU patients was 5.08%,lower than 12.20%that before intervention with statistical difference(P<0.05).Conclusions KAP intervention model can effectively improve the cognition level of prevention and control of MDRO infection in ICU medical staff,promote the enthusiasm for MDRO infection-related attitudes,and improve the behavior compliance of MDRO infection prevention and control,thus improving the prevention and control effects as a whole.

关 键 词：重症监护病房 知信行干预模式 多重耐药菌感染 防控 

分 类 号：R47[医药卫生—护理学]