通过网络答题对华北地区医疗机构手卫生知识知晓现状调查  

The awareness of hand hygiene knowledge of medical institutions in northern China: an online questionnaire survey

作　　者：杨晶[1,2,3] 龙莉 高立芳[1,2] 杨亚敏[1,2] 刘洁 周俊卿[1,2] 张富玉[3] 田洁[3] YANG Jing;LONG Li;GAO Li-fang;YANG Ya-min;LIU Jie;ZHOU Jun-qing;ZHANG Fu-yu;TIAN Jie(Third Central Hospital of Tianjin,Tianjin,Tianjin 300170,China)

机构地区：[1]天津市第三中心医院感染疾病科卫生部人工细胞工程技术研究中心,天津300170 [2]天津市人工细胞重点实验室天津市肝胆疾病研究所,天津300170 [3]天津市第三中心医院感染管理科,天津300170

出　　处：《现代预防医学》2020年第1期97-101,共5页Modern Preventive Medicine

基　　金：科委基础研究青年基金资助项目(15JCQNJC1150)

摘　　要：目的了解和分析我国华北地区医疗机构工作人员手卫生知识的知晓程度,为进一步有针对性地推进手卫生提供科学依据。方法通过自行设计的"手卫生知识试题",利用网络链接或微信扫码于2018年4~6月收回来自华北地区医疗机构工作人员的合格答卷15425份,对所有答卷进行评阅。采用SPSS 17.0进行数据分析,计数资料以例数(%)表示,组间比较采用x^2检验,分析答题正确率。评估该地区不同省市、不同级别医疗机构、不同专业组、不同临床医疗体系对手卫生知识的知晓率。结果对于手卫生知识,掌握较好的省市为天津、山西、北京。天津第2、4、5题正确率分别为94.64%、95.26%、94.19%,高于其他省市(P<0.05);山西第1题正确率为100%,高于其他省市(P<0.05);北京第4题正确率为94.70%,和天津比较无差异(P>0.05),高于其他省市(P<0.05)。掌握较好的医疗机构为三级医疗机构。第2、4、5题正确率分别为94.52%、93.00%、93.50%,高于二级医疗机构(P<0.05);第3题正确率为98.48%,高于一级医疗机构(P<0.05)。掌握较好的专业组为医技组、医生组。第1题医技组正确率为95.01%,高于除后勤组外的其他专业组(P<0.05);第2题医技组和医生组的正确率分别为95.18%、94.90%,高于后勤组(P<0.05);第4题医技组和医生组的正确率分别为94.77%、93.59%,高于护士组(P<0.05)。掌握一般的临床医疗体系为内科体系,第1题答题正确率为90.59%,低于儿科、妇科体系(P<0.05);第2题答题正确率为93.06%,低于除妇科外的其他医疗体系(P<0.05)。结论对于手卫生知识的知晓,华北地区不同省市存在一定差异,应重点加强二级医疗机构、后勤人员、内科体系医务人员的手卫生知识宣教。Objective To understand and analyze the knowledge of hand hygiene of medical institutions in north China,so as to provide a scientific basis for further targeted promotion of hand hygiene.Methods Through the network link or scanning WeChat code to the self-designed"hand hygiene knowledge questions",total qualified 15425 questionnaires of medical institutions were recycled from north China from April to June in 2018.SPSS 17.0 software was used for data analysis,and the counting data were expressed as cases(%).Comparison among groups was conducted by chi-square test.To evaluate the awareness rate of hand hygiene knowledge in different provinces and cities,different levels of medical institutions,different health professional groups and different clinical medical systems.Results For the hand hygiene knowledge,the provinces and cities with better mastery were Tianjin City,Shanxi Province and Beijing City.The accuracy of the questions 2,4 and 5 of Tianjin City were 94.64%,95.26%and 94.19%respectively,which were higher than other provinces and cities(P<0.05).The accuracy of question 1 of Shanxi Province was 100%,higher than other provinces and cities(P<0.05).The accuracy of question 4 of Beijing was 94.70%,and there was no difference with Tianjin(P>0.05),but it was higher than in other provinces and cities(P<0.05).The medical institutions with better mastery were the tertiary medical institutions.The accuracy of questions 2,4 and 5 were 94.52%,93.00%and 93.50%respectively,higher than the secondary medical institutions(P<0.05).The accuracy of question 3 was 98.48%,higher than the primary medical institutions(P<0.05).The professional groups with better mastery were the medical group and the doctor group.The accuracy of question 1 was 95.01%in the medical technology group,higher than other professional groups except for the logistics group(P<0.05).The accuracies of question 2 were 95.18%and 94.90%in the medical technology group and the doctor group respectively,higher than the logistics group(P<0.05).The accuracy of quest

关 键 词：华北 手卫生 网络 知晓率 

分 类 号：R195[医药卫生—卫生统计学]