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目的了解广州市基层医务人员医院感染控制认知水平。方法采用无记名自填方式对25家基层医疗卫生机构的112名医务人员进行医院感染控制相关知识技能的问卷调查,应用SPSS 16.0对数据进行描述性统计分析。结果基层医务人员的医院感染控制认知整体得分为62.86±15.03分,相关重要操作的回答正确率为78.91%,公立机构的认知水平明显高于个体诊所(χ2=13.57,P<0.001),培训对认知水平的提高有正性作用(P<0.01)。一次性针头的处置方式和普通口罩的使用限制的回答正确率分别为65.18%和50.89%,消毒剂管理的回答正确率为76.79%。结论广州市基层医务人员医院感染控制认知水平仍有待提高,尤其是要加强个体诊所医务人员的培训。在相关重要操作执行层面,要尽量细化每个环节,对医务人员进行指导干预,以保障医院感染控制的全程科学合理。
Objective To understand the cognition of nosocomial infection control among primary medical workers in Guangzhou. Methods A total of 112 medical staffs from 25 primary health care institutions were investigated by secret-filled self-enrollment questionnaire about the knowledge and skills of hospital infection control. The data were analyzed descriptively by SPSS 16.0. Results The overall score of hospital infection control cognition of primary medical staff was 62.86 ± 15.03, the correct rate of relevant important operation was 78.91%, and the public institution’s cognition level was significantly higher than that of individual clinics (χ2 = 13.57, P <0.001) Training had a positive effect on the improvement of cognitive level (P <0.01). Disposable needles and masks use the correct method to answer the correct rates were 65.18% and 50.89%, disinfectant management, the correct answer rate was 76.79%. Conclusion The cognition level of hospital infection control of primary medical staff in Guangzhou still needs to be improved, especially the training of medical personnel in individual clinics should be strengthened. At the relevant important operational implementation level, we should try our best to detail each link and provide guidance and intervention to medical personnel so as to ensure the scientific and rational control of hospital infection.