某三甲医院病区保洁员床单元清洁消毒知信行调查  

A survey on the knowledge,attitude and behavior of bed units cleaning and disinfection among ward cleaning staff in a tertiary hospital

作　　者：夏国琴[1] 赵志芳[1] 黄春美 罗曼 陆璟璇 孔圆峰 XIA Guo-qin;ZHAO Zhi-fang;HUANG Chun-mei;LUO Man;LU Jing-xuan;KONG Yuan-feng(Tongde Hospital of Zhejiang Province,Hangzhou Zhejiang 310012,China)

机构地区：[1]浙江省立同德医院,浙江杭州310012

出　　处：《中国消毒学杂志》2024年第5期356-359,363,共5页Chinese Journal of Disinfection

摘　　要：目的了解某三级甲等医院病区保洁员床单元清洁消毒工作的知识、态度和行为水平,根据存在的问题探讨改善对策。方法本研究以知信行理论为基础,自行设计问卷,采用面对面方式,于2023年1—3月对医院45个病区的69位在岗保洁员开展问卷调查。结果某院病区保洁员床单元清洁消毒知信行整体得分率85.6%,其中知识得分<行为得分<态度得分。本次调查显示该院病区男性保洁员床单元清洁消毒知信行总得分优于女性保洁员(P<0.05);从事保洁工作未满一年的保洁员知信行整体得分最低;高风险科室保洁员态度得分优于中风险科室保洁员(P<0.05)。结论该院病区保洁员在清洁消毒知识方面存在部分概念(如高频接触面)模糊、清洁消毒原则和日常消毒频次不明确等问题,需进一步改进培训和监督方式,重视对双人保洁岗位中女性保洁员的管理,加强工作1年以内的保洁人员的培训和督导。Objective To investigate the knowledge,attitude,and behavior of bed units cleaning and disinfection among ward cleaning staff in a tertiary hospital,and to explore improvement strategies based on existing problems.Methods Based on the theory of knowledge,attitude,and behavior,this study designed a questionnaire and conducted a face-toface survey on 69 on-duty cleaning staff from 45 wards of the hospital from January to March 2023.Results The overall score rate of knowledge,attitude,and behavior in cleaning and disinfection of bed units among ward cleaning staff was 85.6%,with knowledge score<behavior score<attitude score.This survey showed that the male cleaning staff in the ward of the hospital had higher scores in knowledgem attitude and behavior about bed unit cleaning and disinfection than female cleaning staff(P<0.05).Cleaning staff who had been engaged in cleaning work for less than one year had lowest overall score of knowledge,attitude and behavior.The attitude score of cleaning staff in high-risk wards were higher than those of cleaning staff in medium-risk wards(P<0.05).Conclusion There are some problems in the cleaning and disinfection knowledge of the wards in the hospital,such as vague concepts(such as high-frequency contact surfaces),unclear cleaning and disinfection principles and daily disinfection frequency.So it is necessary to further improve training and supervision methods,pay attention to the management of female cleaning staff in double cleaning positions,and strengthen the training and supervision of cleaning staff who have worked within one year.

关 键 词：床单元 清洁消毒 保洁员 知信行 对策 

分 类 号：R184[医药卫生—流行病学]