某三级综合医院医务人员结核感染控制知信行调查分析  

Investigation on knowledge,attitude and practice(KAP)of tuberculosis infection control among medical staff in tertiary general hospital

作　　者：史兰萍 朱家璧 周萍 陈建云 余景红 Shi Lanping;Zhu Jiabi;Zhou Ping;Chen Jianyun;Yu Jinghong(Nanjing Gaochun people's Hospital,Nanjing 211300,China)

机构地区：[1]江苏省南京市高淳人民医院感染管理科,211300

出　　处：《现代养生》2023年第16期1259-1263,共5页Health Protection and Promotion

摘　　要：目的 了解某三级综合医院的医务人员对结核病感染控制的知识、态度和行为(KAP)情况,探讨医院结核病感染控制的有效措施。方法 2022年5月,采用电子问卷的形式对医院内172名医务人员就结核感染控制知识、态度、行为等内容进行横断面调查。结果 总体看医务人员对结核病的知晓程度良好,被调查者对结核感染控制的认知合格率为86.05%。90%以上的医务人员对结核感染控制措施和培训、宣教及单位筛查情况持有肯定态度,并对所在医疗机构的感染控制措施表示支持。医务人员在对结核或疑似结核患者进行检查治疗时,有40%以上的医务人员一直佩戴医用防护口罩,其中59.35%的医务人员4~6h内更换一次防护口罩,90.12%的医务人员会在每次佩戴防护口罩前进行气密性检验,31.21%的医务人员会让新确诊的结核患者做人类免疫缺陷病毒(HIV)监测。医务人员在结核病感染防控“日常操作风险”的评价中,医生与护理人员评价不同,差异有统计学意义(P<0.05)。在“感染防控措施”和“最有效的措施”的评价中,大多数医护人员认为做好预检分诊,控制传染源是最有效的方法。医生与护理人员评价差异无统计学意义(P>0.05)。在“防控的难度”的评价中,医生与护理人员评价差异有统计学意义(P<0.05)。结论 医疗机构应采取多种形式的结核病感染防控宣传与培训,提高患者治疗的依从性。提高其他专科医生结核病诊治能力,规范诊疗行为。Objective To investigate the knowledge,attitude,and behavior(KAP)of medical staff on tuberculosis infection control in a tertiary general hospital,and to explore the effective measures for tuberculosis infection control in the hospital.Methods In May 2022,a cross-sectional survey was conducted among 172 medical staff in hospitals using an electronic questionnaire on knowledge,attitudes,and behaviors related to tuberculosis infection control.Results In general,the medical staff had a good understanding of tuberculosis,and the qualified rate of the respondents'awareness of tuberculosis infection control was 86.05%.More than 90%of medical staff hold a positive attitude towards tuberculosis infection control measures,training,education,and unit screening,and express support for the infection control measures of their medical institutions.During the examination and treatment of tuberculosis or suspected tuberculosis patients,more than 40%of medical staff always wear medical protective masks.Among them,59.35%of medical staff change protective masks within 4-6 hours,90.12%of medical staff conduct air tightness tests before wearing protective masks each time,and 31.21%of medical staff will have newly diagnosed tuberculosis patients undergo human immunodeficiency virus(HIV)monitoring.In the evaluation of"daily operational risk"of tuberculosis infection prevention and control by medical staff,the evaluation of doctors and nurses was different,and the difference was statistically significant(P<0.05).In the evaluation of"infection prevention and control measures"and"the most effective measures",most medical staff believe that pre examination and triage are the most effective methods to control the source of infection.There was no statistically significant diference in the evaluation between doctors and nursing staff(P>0.05).In the evaluation of the dificulty of prevention and control,there was a statistically significant difference in the evaluation between doctors and nursing staff(P<0.05).Conclusion Medical institutions sh

关 键 词：结核病 预防控制 认知 

分 类 号：R135[医药卫生—劳动卫生]