综合医院呼吸道传染病医院感染防控能力量化评估体系的构建  

Construction of quantitative assessment system of the nosocomial infection prevention and control ability of respiratory infectious diseases in general hospitals

作　　者：王允琮 赵霞[1] 马文晖[1] 赵会杰[1] 韩叙[1] 王薇[1] 赵中晶 杨洋[1] WANG Yuncong;ZHAO Xia;MA Wenhui;ZHAO Huijie;HAN Xu;WANG Wei;ZHAO Zhongjing;YANG Yang(Hospital Infection Management Division,Xuanwu Hospital Capital Medical University,Beijing 100053,P.R.China)

机构地区：[1]首都医科大学宣武医院医院感染管理处,北京100053

出　　处：《华西医学》2025年第3期418-424,共7页West China Medical Journal

基　　金：北京市医院管理中心“青苗”人才培养计划(QML20230816)。

摘　　要：目的为科学评估综合医院呼吸道传染病的医院感染防控能力,特构建了一套用于综合医院呼吸道传染病医院感染防控能力的量化评估指标体系。方法利用文献检索和经验归纳收集2010年1月1日—2023年12月31日发表的呼吸道传染病医院感染相关的研究规范、标准、论文和指南进行总结形成评估指标库,再利用专家咨询法筛选评估指标并计算权重系数,最后由多学科专家对每项评估指标的量化评估内容形成共识,确定量化评估要点,最终构建出完整的评估体系。结果共纳入27篇文献。构建出的呼吸道传染病医院感染防控能力评估体系共包含“基础管理能力”“基础防控条件”“医院感染管理能力”“应急处置能力”4大类17项评估指标,每项评估指标含3项量化评估要点。专家问卷咨询中2个评价纬度的内部一致性信度Cronbachα系数分别为0.914和0.883,总内容效度指数为0.932,条目内容效度范围为0.823~1。结论该研究构建的量化评估体系可对综合医院进行呼吸道传染病医院感染防控能力进行量化评估和防控质量自查,有助于医院感染防控质量的持续提升。Objective To scientifically evaluate the nosocomial infection prevention and control ability of respiratory infectious diseases in general hospitals,and to construct a set of quantitative assessment system for the prevention and control ability of respiratory infectious diseases in general hospitals.Methods Papers,standards and guidelines online related to respiratory hospital infections published between January 1,2010 and December 31,2023 were selected,and infection control experience was summarized to build a pool of evaluation pionts.Then,this study used experts consultation to select the evaluation pionts,to calculate the weight coefficient and reached a consensus on the quantitative evaluation methods of each evaluation point.Results A total of 27 articles were included.The evaluation system included 17 evaluation points in 4 categories:“Basic management capacity”“Basic conditions of facilities and equipments”“The prevention and control capacity of nosocomial infection”and“The emergency response capacity”.Each evaluation point contained 3 quantitative evaluation indicators.The Cronbach’s α coefficients of the expert questionnaire consultation were 0.914 and 0.883,respectively.The scale-level content validity index was 0.932,and the item-level content validity index ranged from 0.823 to 1.Conclusions The evaluation system constructed in this study can be used for quantitative evaluation and quality self-examination of the prevention and control ability of respiratory infectious diseases in general hospitals.It also contributes to the continuous improvement of the quality of nosocomial infection prevention and control.

关 键 词：呼吸道传染病 医院感染防控 量化评估 综合医院 

分 类 号：R47[医药卫生—护理学]