三级综合医院门急诊护士结核病感染防控知信行现状及影响因素分析  

Knowledge,attitude,practice statusand influencing factors on tuberculosis infectionprevention and control among nurses at Outpatient and Emergency Departments in Class Ⅲ general hospitals

作　　者：潘玮[1] 李伟[1] 郝春霞[1] 商临萍[1] Pan Wei;Li Wei;Hao Chunxia;Shang Linping(Hospital Infection Management Department,the First Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学第一医院医院感染管理科,太原030001

出　　处：《中华现代护理杂志》2019年第30期3931-3935,共5页Chinese Journal of Modern Nursing

摘　　要：目的了解三级综合医院门急诊护士结核病防控的知信行现状,分析影响因素及三者之间的关系,为科学防控提供依据.方法采用整群抽样法,2019年2—3月,选择山西省4个城市的8所三级综合医院门急诊491名护士为研究对象.采用三级综合医院门急诊护士结核病防控知信行调查问卷对其进行调查.结果三级综合医院门急诊护士结核病防控知识得分(60.13±6.848)分,态度得分(86.73±7.453)分,行为得分(101.47±13.394)分.是否为医院感染监控护士及近3年内接受结核病防控知识培训次数不同的护士知识得分差异有统计学意义(P<0.05);不同性别、科室、工龄、近3年内接受结核病防控知识培训次数的护士态度得分差异有统计学意义(P<0.05);不同性别、科室、工龄、人事状况、近3年内接受结核病防控知识培训次数的护士行为得分差异有统计学意义(P<0.05).Pearson相关分析显示知识与态度、行为呈负相关(r值分别为-0.181、-0.367,P<0.01),态度与行为呈正相关(r=0.276, P<0.01).结论三级综合医院门急诊护士结核病防控知识贫乏、亟待提高,态度及行为水平均为良.医院应采取措施,提高认知,促进建立积极的态度,规范结核病防控行为.Objective To understand the knowledge,attitude and practice status of tuberculosis(TB)infection prevention and control among nurses from Outpatient and Emergency Departments of Class Ⅲ general hospitals,analyze the influencing factors and the relationship among them,andprovide a scientific basis for preventing and controlling TB scientifically.Methods Totally 491 nurses from 8 Class Ⅲ general hospitals in 4 cities of Shanxi Province were selected as the subjects by cluster sampling from February to March 2019,and a self-designed Questionnaire on Knowledge,Attitude and Practice of Tuberculosis Prevention and Control Among Nurses in Outpatient and Emergency Departments of Tertiary General Hospitals was used to conduct the survey.Results The scores of knowledge,attitude,practice dimensions of Outpatient and Emergency nurses in Class Ⅲ general hospitals were(60.13±6.848),(86.73±7.453),and(101.47±13.394)respectively.There was statistical difference between the TB prevention and control knowledge scores of nurses who were hospital infection monitor nurse or not and who had received different times of training about TB prevention and control within the recent 3 years(P<0.05);there was statistical difference between the TB prevention and control attitude scores of nurses with different genders,departments,working length,number of training received about TB prevention and control within the recent 3 years(P<0.05);there was statistical difference between the TB prevention and control practice scores of nurses with different genders,departments,working length,human resource status,number of training received about TB prevention and control within the recent 3 years(P<0.05).Pearson correlation analysis showed that there was a negative correlation between knowledge,attitude and practice(r=-0.181,-0.367,P<0.01).There was a positive correlation between attitude and behavior(r=0.276,P<0.01).Conclusions Nurses in Class Ⅲ general hospitals have poor knowledge of TB prevention and control,and need to be improved urgently

关 键 词：护士 结核病 防控 三级医院 知识 态度 行为 

分 类 号：R47[医药卫生—护理学]