本文已被：浏览 425次 下载 3次
中文摘要: 目的：调查某三级综合医院全院医生与护士多重耐药菌（MDRO，multidrug-resistant organism）感染防控知识掌握现状，提高MDRO防控依从性。方法：采用方便抽样法，应用自行设计的MDRO防控评估调查问卷，将调查二维码发送至该院感控群，填写时间期限为一周，分析MDRO防控现状并收集建议，应用Logistic回归分析影响因素并利用受试者工作特征曲线（ROC，receiver operating characteristic curve）评价模型。结果：研究回收问卷954份，经过筛选后剩余933份，护士占79.74%，医生占20.26%；本次调查平均成绩为（70.51±24.63）分，≥80分者占34.94%，护士的及格率（χ2=26.337，P＜0.001）高于医生；Logistic回归分析显示，专业背景、科室和工作年限均为是否及格的影响因素（均P < 0.05），ROC曲线下面积为0.643；问卷结果显示目前获取MDRO知识以与同事交流为主要方式，占84.75%；MDRO消毒不到位以缺乏具体的操作流程图为主要原因，占73.98%。调查共收集建议267条，其中加强培训学习所占比例最高达18.35%；重新设计醒目标识比例达15.36%，尤其提到标识应能够区分不同种类MDRO细菌等。结论：需加强临床医生和低年资医护人员，尤其是医技人员及工作年限≤5年者MDRO防控知信行方面的培训及考核。通过采取将患者MDRO信息加入转接单和检查单，以便于科室之间互通信息，重新设计醒目隔离标识和MDRO防控标准流程图等防控措施，降低MDRO检出率和感染率。
Abstract:Objective：To investigate the current situation of infection prevention and control knowledge of MDRO（multidrug-resistant organism）among doctors and nurses in a certain tertiary generalhospital，and to improve compliance with prevention and control measures. Methods：The convenience sampling method and the self-designed MDRO questionnaire was used，and the questionnaire was sent to the infection control group of the hospital，fill in the time limit of one week，analyze the current situation of MDRO prevention and control and collect suggestions，apply Logistic regression to analyze the influencing factors and use the ROC（receiver operating characteristic curve）. Results：A total of 954 questionnaires were returned，and 933 questionnaires remained after screening，with nurses accounting for 79.74% and doctors accounting for 20.26%；The average score was（70.51±24.63）points，and 34.94% had a score of ≥80. The pass rate of nurses（χ2=26.337，P＜0.001）was higher than that of doctors. Logistic regression analysis showed that professional background，department and working years were the influencing factors of whether or not to pass（all P < 0.05），and the area under the ROC curve was 0.643. The results of the questionnaire showed that the main way to acquire MDRO knowledge was to communicate with colleagues，accounting for 84.75%；the lack of specific operation flow chart was the main reason for the lack of MDRO disinfection，accounting for 73.98%. A total of 267 suggestions were collected，of which the proportion of strengthening training and learning was up to 18.35%；the proportion of redesigning eye-catching logos was 15.36%，especially mentioning that the logo should be able to distinguish different types of MDRO bacteria. Conclusion：It is necessary to strengthen the training of MDRO knowledge for clinicians and junior medical staff，especially medical technicians and those with working years≤5 years. At the same time，the patient’s MDRO information should be added to the transfer order and checklist，to facilitate the exchange of information between departments.The eye-catching isolation signs and MDRO prevention flow chart should be redesigned，sothe detection rate and infection rate of MDRO can be reduced.
文章编号： 中图分类号： 文献标志码：
基金项目:江苏省现代医院管理研究中心基金资助项目（JSY-3-2019-098）；常州市卫健委青年人才科技项目（QN202019） 江苏省现代医院管理研究中心基金资助项目（JSY-3-2019-098）；常州市卫健委青年人才科技项目（QN202019）
引用文本：
江淑芳,张丽伟,狄 佳*,朱丽丽,王伟伟,冯诚怿.某三级综合医院医护人员多重耐药菌防控现状调查分析△[J].江苏卫生事业管理,2022,33(11):1480-1486.
JIANG Shufang,ZHANG Liwei,DI Jia*,ZHU Lili,WANG Weiwei,FENG Chengyi.Investigation and Analysis on the Current Situation of Multidrug-resistant Organism Prevention and Control among Medical Staff in a Tertiary General Hospital△[J].Jiangsu Health System Management,2022,33(11):1480-1486.
江淑芳,张丽伟,狄 佳*,朱丽丽,王伟伟,冯诚怿.某三级综合医院医护人员多重耐药菌防控现状调查分析△[J].江苏卫生事业管理,2022,33(11):1480-1486.
JIANG Shufang,ZHANG Liwei,DI Jia*,ZHU Lili,WANG Weiwei,FENG Chengyi.Investigation and Analysis on the Current Situation of Multidrug-resistant Organism Prevention and Control among Medical Staff in a Tertiary General Hospital△[J].Jiangsu Health System Management,2022,33(11):1480-1486.
