2018年重庆市结核病防治系统医务人员结核病感染控制知信行调查  

Investigation on Knowledge-Attitude-Practice(KAP)of Tuberculosis Infection Control by Medical Staff in Chongqing Tuberculosis Prevention and Treatment System in 2018

作　　者：张婷 吴成果 汪清雅 刘英 孙庆云[2] 廖文平 张理翌 陈程 苏倩 李建琼 陈健 雷蓉蓉 ZHANG Ting;WU Chengguo;WANG Qingya;LIU Ying;SUN Qingyun;LIAO Wenping;ZHANG Liyi;CHEN Chen;SU Qian;LI Jianqiong;CHEN Jian;LEI Rongrong(Chongqing Institute of Tuberculosis Control and Prevention,Chongqing 400050,China;Chongqing Public Health Medical Center,Chongqing 400036,China)

机构地区：[1]重庆市结核病防治所,重庆400050 [2]重庆市公共卫生医疗救治中心,重庆400036

出　　处：《寄生虫病与感染性疾病》2021年第3期156-162,共7页Parasitoses and Infectious Diseases

基　　金：中美新发和再发传染病合作项目-结核病子项目;重庆市科卫联合医学科研项目(项目编号:2019MSXM095)。

摘　　要：目的了解重庆市结核病防治系统医务人员结核感染控制知信行情况,并提出科学建议。方法2018-09-10采用横断面调查方法,对重庆市结核病防治系统医务人员开展问卷调查,问卷内容包含结核病感染控制知识、信念和行为,知识和信念的得分采用t检验,率的比较采用卡方检验,检验水准α=0.05。结果491名受访医务人员结核感染控制知识总知晓率为69.3%,不同机构级别(市级69.9%,区县级69.0%)医务人员知晓率差异无统计学意义(P>0.05),不同工作区域知晓率差异有统计学意义(P<0.05);信念总分为30.48分,在改善本机构感染控制工作发挥作用有限的分值最低(1.48分);行为方面,佩戴医用防护口罩(93.2%)且每天更换(89.4%)执行较好,从不在病房收集痰标本(54.8%)执行较差,感染控制知识与信念、不同行为之间相关性无统计学意义(P<0.05)。结论重庆市结防系统医务人员对结核感染控制知晓水平不高,结核感染控制信念建立不够,相应行为实施有待改善,结核感染控制知识到信念及行为的转换不够,需进一步加强感染控制知识培训的人员覆盖和薄弱点的培训,通过感染控制技能操作培训,不断强化正确的感染控制信念,最终引导医务人员实施正确的感染控制行为。Objective To investigate the situation of Knowledge-Attitude-Practice(KAP)of tuberculosis infection control among medical staff in Chongqing prevention and control system,and to provide the scientific proposals.Methods The cross-sectional survey method was used during Sep.to Oct.2018.Medical staff of Chongqing tuberculosis prevention and treatment system were selected,the questionnaire surveys were conducted.The content of the questionnaires included the knowledge,attitude and practice of tuberculosis infection control,the scores of knowledge and attitude were analyzed by t-test,the rate was compared by Chi-square test,test levelα=0.05.Results The total awareness rate of knowledge of tuberculosis infection control among 491 medical staff was 69.3%.The differences was no statistically significant in the awareness rate of medical staff in different institutions(69.9%at city level,69.0%at district/county level)(P>0.05),but the difference of awareness rate between different working areas was statistically significant(P<0.05).The total score of attitude of infection control was 30.48 points,and the point of limited effect in improving the infection control work of the institution was the lowest(1.48 points);In terms of infection control behavior,wearing medical protective mask(93.2%)and replacing it daily(89.4%)performed well,and never collecting sputum samples(54.8%)from the ward executed poorly.The difference was no statistically significant between infection control knowledge and the attitude,and the correlation between different behavior was no statistically significant.Conclusion The Chongqing medical staff of tuberculosis prevention and treatment system do not have a high level of awareness of tuberculosis infection control,their attitude in tuberculosis infection control is not enough,and the implementation of corresponding behavior needs to be improved.The transfer of knowledge on Tuberculosis infection control to beliefs and behaviors was not enough.And the coverage of personnel for TB infection control know

关 键 词：结核病 感染控制 医务人员 知识 信念 行为 

分 类 号：R521[医药卫生—内科学] R193[医药卫生—临床医学]