Email Alert | RSS    帮助

中国防痨杂志 ›› 2012, Vol. 34 ›› Issue (2): 69-72.

• 论著 •    下一篇

北京医护人员结核感染控制知晓情况调查

洪峰 张炜敏 贺晓新 夏耘 何广学   

  1. 100035  北京结核病控制研究所(洪峰、贺晓新、夏耘);中国疾病预防控制中心结核病预防控制中心[张炜敏(北京协和医学院公共卫生学院研究生)、何广学]
  • 收稿日期:2011-11-01 出版日期:2012-02-10 发布日期:2012-04-01
  • 通信作者: 何广学 E-mail:heguangxue@chinatb.org
  • 基金资助:

    “十一五”国家科技重大专项(2009ZX10004-714)

The awareness of tuberculosis infection control knowledge in Beijing health care workers

HONG Feng, ZHANG Wei-min, HE Xiao-xin, XIA Yun, HE Guang-xue   

  1. Beijing Research Institute for Tuberculosis Control, Beijing 100035, China
  • Received:2011-11-01 Online:2012-02-10 Published:2012-04-01
  • Contact: HE Guang-xue E-mail:heguangxue@chinatb.org

摘要: 目的  了解北京市结核病防治机构和综合医疗机构医护人员结核感染控制知晓情况。 方法  采用问卷对北京市3家结核病防治机构和4家医疗机构的1390名医护人员结核感染控制知晓情况进行横断面调查,并进行分析。 结果  医务人员关于隔离、通风方面的知晓情况较好,正确知晓的医护人员数达98.2%(1365/1390)和98.1%(1363/1390);而对于个人防护及分诊[72.0%(1001/1390)]、消毒[54.0%(751/1390)]方面知晓情况较差。医生和护士在分诊[医生正确知晓人数比例68.1%(320/470),护士74.0%(681/920),χ2=5.374, P=0.020]、消毒[医生正确知晓人数比例46.0%(216/470),护士58.2%(535/920),χ2=18.608, P<0.01]、与疑似或确诊肺结核患者接触时是否佩戴口罩[医生正确知晓人数比例78.1%(367/470),护士87.5%(805/920),χ2=20.050, P<0.01],以及与疑似或确诊肺结核患者接触时选择佩戴口罩的类型[医生正确知晓人数比例34.9%(164/470),护士41.1%(378/920),χ2=5.053, P=0.025]等4个方面的知晓差异具有统计学意义,护士的应答正确率高于医生。 结论  需要加强医护人员结核感染控制相关知识和技能的培训和学习,其重点内容为分诊、消毒和个人防护方面的口罩佩戴类型及其佩戴条件。

关键词: 结核/预防和控制, 传染病控制, 医务人员, 健康教育

Abstract: Objective  To learn the awareness status of Beijing health care workers’ (HCWs) knowledge about tuberculosis(TB) infection control in TB facilities and general hospitals. Methods   A cross-sectional study was conducted among 1390 HCWs in 3 TB facilities and 4 hospitals in Beijing. Questionnaires were used to learn about the HCWs’ knowledge of tuberculosis infection control.   Results  HCWs have a good awareness of isolation and ventilation, the rate of correct cognition are 98.2%(1365/1390) and 98.1%(1363/1390) respectively in all HCWs; but the cognitive status about the knowledge of personal protection, especially about triage(72.0%(1001/1390)), disinfection(54.0%(751/1390)), are dissatisfied. There is a significant difference between the knowledge of four aspects of TB infection control among  doctors and nurses, that is,triage, disinfection, whether we should wear masks or not when contacting with suspected or confirmed TB patients and what type of masks we should choose when contacting with these patients. As for triage, 68.1%(320/470)doctors know correctly about it compared with 74.0%(681/920)nurse(χ2=5.374, P=0.020);As for disinfection, 46.0%(216/470)doctors know correctly about it compared with 58.2%(535/920) nurses(χ2=18.608, P<0.01);As for whether we should wear masks when contacting with suspected or confirmed TB patients,78.1%(367/470)doctors know correctly about it compared with 87.5%(805/920)nurses(χ2=20.050, P<0.01);As for the right type of masks to choose, 34.9%(164/470)doctors know correctly about it compared with 41.1%(378/920)nurses(χ2=5.053, P=0.025). Nurses have a higher correct response rate than doctors.  Conclusion  We should strengthen the knowledge and skills about TB infection control among the HCWs. Importance should be attached to the knowledge of triage, disinfection, the type of masks and the wearing condition in personal protection.