隔离病区护士医院感染防控知信行状况及其影响因素分析  

Knowledge,attitude,belief and practice model of nosocomial infection prevention and control among nurses in isolation wards and the infl uencing factors

作　　者：于埼 宋艳 张可寅 YU Qi;SONG Yan;ZHANG Keyin(School of Nursing,Nanjing University of Chinese Medicine,Nanjing,210046,China)

机构地区：[1]南京中医药大学护理学院,江苏省南京市210046 [2]南京中医药大学附属南京医院

出　　处：《护理实践与研究》2022年第15期2248-2253,共6页Nursing Practice and Research

基　　金：2019年度南京市卫生科技发展专项资金资助(编号:YKK19111)。

摘　　要：目的调查新型冠状病毒肺炎(以下简称“新冠肺炎”)流行期间隔离病区护士医院感染防控的知识、信念、行为状况,并分析相关影响因素,为制订提高护士感控执行力的干预策略提供参考依据。方法采用自行设计的“新冠肺炎隔离病区护士传染病院感防控知信行调查问卷”对2021年7—8月新冠肺炎流行期间在南京市公共卫生医疗中心隔离病房抗疫的18家医院医疗队626名临床护士进行调查。采用单因素分析和多元线性回归分析影响隔离病区护士医院感染防控的知识、信念、行为的相关影响因素。结果发放问卷626份,回收有效问卷623份,有效回收率为99.52%。623名新冠肺炎隔离病区护士医院感染防控知识、态度、行为和知信行平均得分分别为8.62±1.36分、68.19±3.74分、48.78±3.44分、125.60±5.94分。多元线性回归分析结果显示,性别是医院感染防控知识得分的影响因素(P<0.05);年龄、对感控重视程度是医院感染防控态度得分的影响因素(P<0.05);对感控重视程度、知识培训次数是医院感染防控行为得分的影响因素(P<0.05);年龄、对感控重视程度、知识培训次数是知信行总得分的影响因素(P<0.05)。结论新冠肺炎隔离病区护士医院感染防控知信行水平较高,知识维度水平有待提升。性别、年龄、对感控重视程度及知识培训次数是新冠肺炎隔离病区护士医院感染防控知信行水平的影响因素。护理管理人员需要针对不同特征护士采取相应干预策略,提升医院感染防控整体能力。Objective To investigate the knowledge,attitude,belief and practice of hospital infection prevention and control among nurses in isolation wards during the epidemic of COVID-19(hereinafter referred to as"COVID-19"as follow),and to analyze the relevant infl uencing factors,so as to provide reference for the development of intervention strategies to improve the execution ability of nurses'sense control.Methods A self-designed questionnaire on nosocomial infection prevention and control among nurses in COVID-19 isolation wards was used to investigate 626 clinical nurses from medical teams in 18 hospitals who were working in isolation wards of Nanjing Public Health Medical Center during the COVID-19 epidemic period from July to August 2021.Single factor analysis and multiple linear regression were used to analyze the infl uencing factors of knowledge,attitude,belief and practice of nosocomial infection prevention and control among nurses in isolated wards.Results 626 questionnaires were sent out and 623 were effectively received with effective recovery of 99.52%.The average scores of nosocomial infection prevention and control knowledge,attitude,behavior and knowledge,attitude,belief and practice of 623 nurses in COVID-19 isolation ward were 8.62±1.36 points,68.19±3.74 points,48.78±3.44 points and 125.60±5.94 points respectively.Multiple linear regression analysis showed that gender was the infl uencing factor of nosocomial infection prevention and control knowledge score(P<0.05).Age and emphasis on infection control were the infl uencing factors of hospital infection prevention and control attitude score(P<0.05).The emphasis on infection control and the times of knowledge training were the infl uencing factors of infection prevention and control behavior score(P<0.05);Age,emphasis on infection control,times of knowledge training were the infl uencing factors of knowledge,attitude,belief and practice(P<0.05).Conclusion Nurses in COVID-19 isolation wards have a high knowledge level of nosocomial infection preventi

关 键 词：隔离病区 新型冠状病毒肺炎 隔离病区护士 医院感染防控 知信行 影响因素 

分 类 号：R47[医药卫生—护理学]