新型冠状病毒院内感染调研与分析工具的开发与验证  

Development and preliminary validation of questionnaire for 2019 novel coronavirus releated nosocomial infection

作　　者：王云云 邓通 李柄辉 陈智敏[3] 梅斌 任学群[2] 谭力铭[4,5] 程真顺 袁玉峰[7,8] 蔡林[7,9] 潘振宇[10] 王婷[11,12] 马琳璐[1] 赵明娟[1] 訾豪 王永博 刘郝弦 王莹 阎婧 黄桥 黄笛[1,12] 罗丽莎[1] 方程 郭毅 李绪辉 曹越 翁鸿 杨简 裴斌 黄兴 韩勇[12,17] 杨家钰 张银高 李志强 王虎[19] 袁帅 王宇 曾宪涛[1,12,20] 李阳[1] 桂裕亮[1] 杨智华 靳英辉 王行环 武汉大学中南医院新型冠状病毒感染的肺炎防治课题组[21] Yun-Yun WANG;Tong DENG;Bing-Hui LI;Zhi-Min CHEN;Bin MEI;Xue-Qun REN;Li-Ming TAN;Zhen-Shun CHENG;Lin Cai;Yu-Feng YUAN;Zhen-Yu PAN;Ting WANG;Lin-Lu MA;Ming-Juan ZHAO;Hao ZI;Yong-Bo WANG;Hao-Xian Liu;Ying WANG;Jing YAN;Qiao HUANG;Di HUANG;Li-Sha LUO;Cheng FANG;Yi GUO;Xu-Hui LI;Yue CAO;Hong WENG;Jian YANG;Bin PEI;Xing HUANG;Yong HAN;Jia-Yu YANG;Yin-Gao ZHANG;Zhi-Qiang LI;Hu WANG;Shuai YUAN;Yu WANG;Xian-Tao ZENG;Yang LI;Yu-Liang GUI;Zhi-Hua YANG;Ying-Hui JIN*;Xing-Huan WANG;Zhongnan Hospital of Wuhan University Novel Coronavirus Management and Research Team(Center for Evidence-Based and Translational Medicine,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Institute of Evidence-Based Medicine and Knowledge Translation,Henan University,Kaifeng 475000,China;Division of Social and Medical Development,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Second People's Hospital of Huaihua City,Huaihua 418000;Center for Evidence of Based Medicine and Clinical Research,Key Laboratory of Huaihua City,Huaihua 418000;Department of Respiratory Medicine,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Institute of Hospital Management,Wuhan University,Wuhan 430071,China;Department of Hepato-Biliary-Pancreatic Surgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Orthopedic,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Division of Medical Affairs,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Department of Urology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Leishenshan Hospital in Wuhan,Wuhan 430200,China;Office of Nosocomial Infection Control,Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Institute of Evidence-Based and Translational Medicine,China Three Gorges University,Yichang 443002,China;Yichang NO.1 Hospital,Renmin Hospital of China Three Gorges University,Yichang 443000,China;Center for Evidence-Based Medicine,Xiangyang No.1 People’s Hospital,Hubei University of Medicine,Xiangyang 441000,China;Administrative Office of Hospital Direc

机构地区：[1]武汉大学中南医院循证与转化医学中心,武汉430071 [2]河南大学循证医学与临床转化研究院,河南开封475000 [3]武汉大学中南医院社会医疗发展部,武汉430071 [4]怀化市第二人民医院,湖南怀化418000 [5]怀化市重点实验室——循证医学与临床研究中心,湖南怀化418000 [6]武汉大学中南医院呼吸与危重症医学科,武汉430071 [7]武汉大学医院管理研究所,武汉430071 [8]武汉大学中南医院肝胆胰外科,武汉430071 [9]武汉大学中南医院骨科,武汉430071 [10]武汉大学中南医院医务处,武汉430071 [11]武汉大学中南医院泌尿外科,武汉430071 [12]武汉雷神山医院,武汉430200 [13]武汉大学中南医院感染科,武汉430071 [14]三峡大学循证与转化医学研究所,湖北宜昌443002 [15]三峡大学人民医院·宜昌市第一人民医院,湖北宜昌443000 [16]湖北医药学院附属襄阳市第一人民医院循证医学中心,湖北襄阳441000 [17]武汉大学中南医院院长办公室,武汉430071 [18]武汉大学中南医院神经外科,武汉430071 [19]武汉大学中南医院学科与平台建设办公室,武汉430071 [20]武汉大学中南医院人事处,武汉430071 [21]不详

出　　处：《医学新知》2020年第3期184-205,共22页New Medicine

基　　金：国家重点研发计划“公共安全风险防控与应急技术装备”重点专项(2020YCF0845500);湖北省新型肺炎应急科技攻关项目(2020FCA008);中央高校基本科研业务费专项资金(2042020kf1001);湖北省第二届医学领军人才工程第一层次基金;湖北省第二届医学领军人才工程第三层次基金。

摘　　要：目的制定2019-nCoV院内感染调研与分析工具,并行初步验证。方法研究小组基于前期循证制定的"新型冠状病毒医护感染过程及防控调研问卷",主要通过细化问卷调研目的、建立问卷条目池、评估问卷的效度三个步骤进行改编。结果形成了新型冠状病毒院内感染调研与分析工具,包括行政后勤感染组、医护对照组、行政后勤对照组3个问卷。问卷内容与研究目标具有较高的一致性。行政后勤感染组问卷包括"确诊前"、"确诊后"2个领域的调查,其中,"确诊前"涉及感染原因分析、确诊前防控方案、确诊前防控知识、确诊前心理上对疫情的应对状态4个部分,共计16个条目;"确诊后"包括确诊后症状、确诊后治疗、感染后对周围环境和人造成的影响、确诊后心理、感染后防护认识5个方面,共计21个条目。医护对照组问卷涉及与是否感染有关的工作或生活行为、防控相关行为、防控相关知识、心理上对疫情的应对状态4个方面,共计29个条目。行政后勤对照组问卷涉及的领域与医护对照组问卷相同,共计20个条目。结论本研究完成了2019-nCoV院内感染调研与分析工具的制定,共涉及2019-nCoV感染医院非医护工作人员感染过程及防控调研——行政、后勤人员专用,2019-nCoV感染医护感染对照组调研问卷——医护对照组,2019-nCoV感染医护感染对照组调研问卷——行政后勤对照组3个问卷,问卷的信度和效度均可靠、可行性良好。Objective To formulate the 2019 novel coronavirus(2019-nCoV)nosocomial infection research and analysis tools.Methods Based on the questionnaire for infection process and prevention of 2019-nCoV infection in medical staffs,we developed the new questionnaire by means of three procedures including refining the purpose of the questionnaire,establishing the item pool,and evaluating the content validity of the questionnaire.Results We formulated three questionnaires for 2019-nCoV releated nosocomial infection including questionnaires for staff in administrative and logistics departments,the non-infected health care staff,and non-infected staff in administrative and logistics departments.The content of the questionnaires were consistent with the research objectives.The questionnaire for COVID-19 among staff in administrative and logistics departments included two aspects of investigation before and after diagnosis,"before diagnosis"involved infection cause,plan of prevention and control,knowledge of prevention and control,and psychological symptoms,there were 16 items in total;"after diagnosis"included 5 parts,including symptoms after diagnosis,treatment after diagnosis,impact on the surrounding environment and people after infection,psychology symptoms,awareness of protection,there were 21 items in total.The questionnaire for COVID-19 among non-infected health care staff included analysis of causes of infection in work and life,relevant prevention and control behaviors,infection prevention and control knowledge and psychological response to the epidemic,there were 29 items in total;the questionnaire for COVID-19 among non-infected staff in administrative and logistics departments included same aspects as questionnaire for COVID-19 among non-infected health care staff,and also 20 items.Conclusions We developed questionnaires for 2019-nCoV releated nosocomial infection including a study on infection processes and prevention measures for COVID-19 among staff in administrative and logistics departments,a study on infection

关 键 词：新型冠状病毒 新型冠状病毒肺炎 院内感染 问卷 信度 效度 调查分析 

分 类 号：R197.323[医药卫生—卫生事业管理]