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目的评估医院医务人员对抗菌药物合理使用相关知识的掌握情况,为提高医院抗菌药物规范化管理水平、保障患者用药安全提供依据和参考。方法设计调查问卷,对医生、护士、药师进行认知调查,就结果进行统计、分析。结果共发放问卷305份,回收问卷297份,其中无效问卷7份,有效回收率为95.08%。药师对抗菌药物合理使用相关知识认知率最高,其次是医生和护士;具体专业知识的认知情况差异大,有65.63%的医师、40.37%的护士和85.71%的药师明确抗菌药物的概念;对我院抗菌药物分级管理知晓的医生仅为61.25%,护士为50.46%,药师为100.00%;对Ⅰ类切口手术预防用药的给药时间知晓的医生为60.63%,护士为44.04%,药师为90.48%;86.90%的医务人员对抗菌药物知识的需求途径主要是专题讲座。结论医院医务人员对抗菌药物的合理使用认知度较低。建议组成抗菌药物管理小组,加强对医务人员抗菌药物相关知识的培训,提高其抗菌药物的认知程度和警惕性,减少耐药菌及其不良反应的发生,进而提高医院抗菌药物合理使用水平。
Objective To evaluate the mastery of hospital doctors on the rational use of antimicrobial agents and to provide basis and references for improving the standardized management of antimicrobial agents in hospitals and ensuring the safety of patients. Methods Design questionnaires, doctors, nurses, pharmacists cognitive survey, the results of statistical analysis. Results A total of 305 questionnaires were sent out and 297 questionnaires were returned, of which 7 were invalid and the effective rate was 95.08%. Pharmacists had the highest cognitive rate of the rational use of antimicrobial drugs, followed by doctors and nurses. The cognitive status of specific professional knowledge varied greatly. The concept of antibacterials was defined by 65.63% of physicians, 40.37% of nurses and 85.71% of pharmacists. Only 61.25% doctors, 50.46% of nurses and 100.00% of pharmacists were known about the grading management of antimicrobial agents in our hospital. The doctors who knew the administration time of type Ⅰ incision surgery preventive medicine were 60.63% and nurses were 44.04% 90.48%; 86.90% of the medical staff’s demand for antibacterial drug knowledge is mainly thematic lectures. Conclusion Hospital staff have a low awareness of the rational use of antimicrobial agents. It is suggested that an antimicrobial drug management team should be formed to strengthen the training of medical staff on the knowledge of antimicrobial drugs, increase their awareness and vigilance of antimicrobial agents, reduce the occurrence of drug resistant bacteria and their adverse reactions, and then enhance the rational use of antimicrobial drugs in hospitals.