| 袁素娥,王红红,李映兰,蔡小芳,李好.护理人员血源性病原体职业接触知识、信念、行为调查[J].上海护理,2019,19(6): |
| 护理人员血源性病原体职业接触知识、信念、行为调查 |
| An assessment of the knowledge, attitude and practice of occupational exposure to bloodborne pathogen among registered nurses / YUAN Su-e, WANG Hong-hong, LI Ying-lan, CAI Xiao-fang, LI Hao |
| DOI： |
| 中文关键词: 关键词：血源性病原体 职业接触 个人防护用品 接触后预防 护理人员 知识-信念-行为 |
| 英文关键词:Bloodborne pathogen Occupational exposure Personal protective equipment Post-exposure prophylaxis clinical nurses Knowledge-attitude-behavior |
| 基金项目:福格迪国际中心Xiangya-UCLA HIV/AIDS护理研究项目(D43TW009579) |
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| 中文摘要: |
| 【目的 了解临床护理人员血源性病原体职业接触知识、信念和行为现状。 方法 根据卫生部发布的《血源性病原体职业接触防护导则》和《医院隔离技术规范》的内容设计调查问卷，采用整群抽样方法选取某综合医院在岗护理人员进行调查。结果 该院在岗护理人员共2452人，收回答卷2204份，参与率89.89%。全院护理人员血源性病原体职业接触知识、信念、行为总得分分别为79.41、88.47和63.53，有显著统计学差异（P < 0.01）。不同职称护士知识得分有统计学差异（P < 0.05），主管护师得分最高（81.21），护士得分最低（77.79）；不同职称护士行为得分也有显著统计学差异（P < 0.01），护士依从性最高（67.09），副主任护师依从性最低（59.27）。不同专科护士知识、信念、行为得分均有统计学差异（P < 0.05；P < 0.01；P < 0.01）。手术室护士知识、信念、行为得分均最高（81.29；95.19；76.02），妇产科护士知识得分最低（76.89），其他辅助科室护士信念得分最低（81.41），儿科护士行为得分最低（45.50）。结论 护理人员血源性病原体职业接触预防知识和行为依从性有待提升。管理者应深入了解相关影响因素，制定更科学、完善的防护体系，指导临床将防控措施落到实处。 |
| 英文摘要: |
| Objective To assess the status of knowledge, attitude and practice on occupational exposure to bloodborne pathogen among registered nurses (R.N.s) Methods A questionnaire was conducted based on the "Guideline for prevention and control for occupational exposure to bloodborne pathogen" and "Technic standard for isolation in hospital", which were published by Chinese Ministry of Health. The survey was conducted among R.N.s working for a prestigious general hospital, Hunan province using cluster sampling. Results A total of 2204 R.N.s completed this survey and the participating rate is 89.89%. The correct rates in terms of knowledge, attitude and behaviors were 79.41, 88.47, and 63.53 respectively, and expressed a significant difference. There was a significant difference in the correct rate of knowledge of occupational exposure to bloodborne pathogen among R.N.s with different rank level of professional title, the top scorer was the R.N.s with middle rank and the lowest were the primary. While in terms of adherence behavior, the primary R.N.s had the highest score and advanced were the lowest（P < 0.01）. there were also different significantly in the correct rates of knowledge, attitude and behavior among R.N.s with different discipline （P < 0.05；P < 0.01；P < 0.01, respectively）。 the top scorers were R.N.s working for operating room （81.29；95.19；76.02）, R.N.s working for obstetrics and gynecology had the lowest in the score of knowledge（76.89）, those working for assisted units had the lowest score of attitude, and the lowest scorer of behavior adherence were R.N.s in the department of pediatric. Conclusions It is necessary for R.N.s to improve the knowledge of exposure, post-exposure prophylaxis, and behavior adherence concerning occupational exposure. Administrators in health care organization should gain an insight into the factors affecting R.N.s' knowledge, attitude and behavior adherence, build a more comprehensive and implemental protection system and then put it into practices in detail. |
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