王娅丽,李作为,黄明金,陈兰兰,宋浩宇.精神卫生专科医院护士医院感染防控知信行现状及影响因素[J].四川精神卫生杂志,2021,34(5):469-474.Wang Yali,Li Zuowei,Huang Mingjin,Chen Lanlan,Song Haoyu,Knowledge, attitude, practice status and influencing factors of nosocomial infection prevention and control among nurses in mental health hospitals[J].SICHUAN MENTAL HEALTH,2021,34(5):469-474
精神卫生专科医院护士医院感染防控知信行现状及影响因素
Knowledge, attitude, practice status and influencing factors of nosocomial infection prevention and control among nurses in mental health hospitals
投稿时间:2021-03-03  
DOI:10.11886/scjsws20210303001
中文关键词:  精神卫生专科医院  知信行模式  医院感染  护士
英文关键词:Mental health hospital  Knowledge, attitude and practice model  Prevention and control of nosocomial infection  Nurses
基金项目:绵阳市科学技术局项目(项目名称:新冠肺炎“心理疫情”监测及干预体系建设,项目编号:2020YJKY005)
作者单位邮编
王娅丽 四川省精神卫生中心·绵阳市第三人民医院四川 绵阳 621000 621000
李作为 四川省精神卫生中心·绵阳市第三人民医院四川 绵阳 621000 621000
黄明金 四川省精神卫生中心·绵阳市第三人民医院四川 绵阳 621000 621000
陈兰兰 四川省精神卫生中心·绵阳市第三人民医院四川 绵阳 621000 621000
宋浩宇 四川省精神卫生中心·绵阳市第三人民医院四川 绵阳 621000 621000
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中文摘要:
      目的 调查精神卫生专科医院护士对医院感染防控相关的知识、态度、行为现状,并分析其影响因素。方法 于2020年6月-8月采用简单随机抽样法选择某市8所精神卫生专科医院的402名临床护士,使用课题组自行设计的与医院感染防控相关的知-信-行问卷进行调查,并分析护士对医院感染防控相关的知识、态度和行为的影响因素。结果 精神卫生专科医院护士医院感染防控相关的知识维度、态度维度和行为维度评分分别为(8.43±1.84)分、(76.01±5.70)分、(57.42±3.75)分。单因素分析结果显示,不同医院性质、医院等级、职称、受教育程度、医院及个人对医院感染重视程度的护士在知识维度评分差异均有统计学意义(P<0.05或0.01);不同医院性质、职务、医院等级、医院及个人对医院感染重视程度的护士在态度维度评分差异均有统计学意义(P<0.05或0.01);不同医院性质、医院等级、职称、医院及个人对医院感染重视程度、培训次数的护士在行为维度评分差异均有统计学意义(P<0.05或0.01)。多元线性回归分析结果显示,职称和个人对医院感染重视程度进入护士医院感染防控知识维度的回归模型(P<0.05或0.01);个人对医院感染重视程度、医院性质和职务进入态度维度的回归模型(P<0.05或0.01);个人对医院感染重视程度、医院性质、职称和医院对医院感染重视程度进入行为维度的回归模型(P<0.05或0.01)。结论 精神卫生专科医院护士对医院感染防控相关的态度相对较积极,但知识水平有待提高。
英文摘要:
      Objective To investigate the current status of knowledge, attitude and practice of nurses in mental health hospitals on the prevention and control of nosocomial infections, and to analyze the influencing factors.Methods From June to August 2020, 402 clinical nurses from 8 mental health hospitals in a city were enrolled using simple random sampling method, and were assessed using a self-compiled knowledge-attitude-practice questionnaire related to the nosocomial infection prevention and control, thereafter, the influencing factors were screened.Results The scores of knowledge, attitude and practice dimensions in relation to the nosocomial infection prevention and control among the nurses were (8.43±1.84), (76.01±5.70) and (57.42±3.75), respectively. Univariate analysis showed that the knowledge dimension score demonstrated significant difference among nurses of different types of hospital, grades of hospital, professional titles, education levels, and emphasis degrees of hospital and individual on nosocomial infection (P<0.05 or 0.01). The attitude dimension scores yielded significant difference among nurses of different types of hospital, position, grades of hospital, and emphasis degrees of hospital and individual on nosocomial infection (P<0.05 or 0.01). The practice dimension scores manifested significant difference among nurses of different types of hospital, grades of hospital, professional titles, emphasis degrees of hospital and individual on nosocomial infection, and training frequency (P<0.05 or 0.01). Multiple linear regression analysis showed that professional titles and individual emphasis on nosocomial infection entered the regression model of nurses' knowledge dimension of nosocomial infection prevention and control (P<0.05 or 0.01). Individual emphasis on nosocomial infection, hospital types and position entered the regression model of attitude dimension (P<0.05 or 0.01). Individual emphasis on nosocomial infection, hospital types, professional titles, and hospital emphasis on nosocomial infection entered the regression model of practice dimension (P<0.05 or 0.01).Conclusion Nurses in mental health hospital have a positive attitude towards nosocomial infection prevention and control, but their knowledge base needs to be strengthened.
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