General Ward Nurse Hospital Infection Control Work Cognition
江苏省医院协会医院管理创新研究项目（JSYGY-3-2020-187）；南通市卫生和计划生育委员会科研项目（QA2020066）
目的：对某三甲医院普通病区护士进行医院感控工作认知调查分析，制定针对性干预措施。方法：随机对某三甲医院普通病区90名护士进行问卷调查并作统计学分析。问卷共分为基本信息、 对医院感控工作重要性的认知态度、医院感控知识题目三个部分。结果：不同学历护士对医院感控工作重要性的认知态度存在一定差异（F值=10.47，P＜0.05），本科及以上学历较专科学历护士在认知态度上相对积极（P＜0.05），专科学历的护士以持中态度为主（3.23±0.83）。不同职称护士对医院感控工作重要性的认知态度存在统计学差异（F值=33.443，P＜0.05），初级与中、高级职称两两比较存在统计学差异（P＜0.05），初级职称的护士表示持中（3.04 ±0.56）。不同片区的护士对医院感控工作重要性的态度无显著差异（F值=0.205，P＞0.05）。普通病区护士感控知识答题总体正确率为86.4%，不同类别的题目正确率存在统计学差异（χ2=46.652，P＜0.05），其中多重耐药菌管理相关试题正确率最低（78.22%），医疗废物处置试题正确率最高（92.44%）。结论：普通病区护士对医院感控工作重视度及感控知识掌握较好。不同学历、职称的护士对医院感控工作重视度不同，对不同类别的感控知识掌握程度不同。 医院管理部门应采取培训、考核、督查等干预措施，不断提高普通病区护士对医院感控工作的重视度，促进感控措施的有效落实。
Objective：We conducted an investigation and analysis on the awareness of hospital infection control work among nurses in the general ward of a certain grade Atertiary hospital，and formulated targeted intervention measures. Methods：A random questionnaire survey was conducted among 90 nurses in the general ward of acertain grade A tertiary hospital and a statistical analysis was carried out. The content of the questionnaire was divided into three parts：basic information，attitude towards the importance of hospital infection control work，and hospital infection control knowledge. Results：Nurses with different educational backgrounds had certain differences in their cognition and attitude towards the importance of hospital infection control work（F=10.47，P＜0.05）. Nurses with a bachelor’s degree or above had a relatively positive cognition attitude than those with a junior college degree（P＜0.05）. Nurses with a junior college degree were mainly in a moderate attitude（3.23±0.83）. There were statistical differences in the cognitive attitudes of nurses with different professional titles to the importance of hospital infection control work（F=33.443，P < 0.05）. There was also a statistical difference between junior and intermediate and senior professional titles（P < 0.05），and nurses with junior professional titles indicated that they were in the middle（3.04±0.56）. The attitudes of nurses in different areas to the importance of hospital infection control work were similar（F=0.205，P＞0.05）. The overall correct rate of the nurses’ infection control knowledge in general wards was 86.4%，and there were statistical differences in the correct rates of different categories of questions（χ2=46.652，P＜0.05）. Among them，the correct rate of multidrug-resistant bacteria management related questions was the lowest（78.22%），and the correct rate of medical waste disposal questions was the highest（92.44%）. Conclusions：Nurses in general wards had a good grasp of the importance of hospital infection control work and the knowledge of infection control. Nurses with different educational backgrounds and professional titles attach different importance to hospital infection control work，and have different degrees of mastery of different types of infection control knowledge.The hospital management department should take intervention measures such as training，assessment，and supervision to continuously increase the attention paid to the hospital’s infection control work by nurses in general wards，and promote the effective implementation of infection control measures.