【摘要】：目的了解影響臨床醫(yī)師報告醫(yī)院感染病例的原因,為完善管理制度、改進(jìn)監(jiān)測手段和提高醫(yī)院感染管理水平提供依據(jù)。方法采用2013年7月醫(yī)院自行設(shè)計的調(diào)查問卷,對臨床68名一線醫(yī)師進(jìn)行醫(yī)院感染病例報告的認(rèn)知與影響因素調(diào)查,采用SPSS16.0分析。結(jié)果臨床一線醫(yī)師對報告醫(yī)院感染病例的認(rèn)知能力較高,認(rèn)為報告醫(yī)院感染病例有必要和非常有必要的共占94.12%,但執(zhí)行力欠佳,熟悉和非常熟悉報告時限和報告流程的僅占61.77%和67.65%,有14.70%和13.24%不能按時和按流程報告醫(yī)院感染病例,40.00%的調(diào)查對象認(rèn)為其主要影響因素是制度缺失、培訓(xùn)和人力資源不足、監(jiān)測和管理方法欠科學(xué)。結(jié)論為保證醫(yī)院感染監(jiān)測數(shù)據(jù)的科學(xué)性和有效性,必須完善監(jiān)測制度、監(jiān)測內(nèi)容,對出院患者也要建立醫(yī)院感染電話回訪和追蹤監(jiān)測系統(tǒng);同時還要建立合理的評價體系和正向激勵機制來調(diào)動臨床一線醫(yī)師的主觀能動性。
[Abstract]:Objective to understand the causes of hospital infection reported by clinicians, and to provide evidence for perfecting management system, improving surveillance means and improving hospital infection management level. Methods A questionnaire designed by hospital in July 2013 was used to investigate the cognition and influencing factors of 68 first-line doctors in clinic. SPSS16.0 analysis was used to analyze the cognitive and influencing factors of hospital infection cases. Results the first-line clinicians had a high cognitive ability to report the cases of hospital infection. It was considered that it was necessary and very necessary to report the cases of hospital infection, accounting for 94.12%, but the execution ability was not good. Only 61.77 per cent and 67.65 per cent were familiar with and very familiar with the reporting time frame and reporting process, and 14.70 per cent and 13.24 per cent were unable to report hospital infections on time and in accordance with the process, 40.00% of the respondents thought that the main influencing factors were the lack of system, the lack of training and human resources, and the lack of scientific monitoring and management methods. Conclusion in order to ensure the scientific and effective monitoring data of hospital infection, it is necessary to perfect the monitoring system and monitoring content, and to establish the telephone return visit and follow-up monitoring system for discharged patients. At the same time, it is necessary to establish a reasonable evaluation system and positive incentive mechanism to mobilize the subjective initiative of clinicians.
【作者單位】： 長江大學(xué)附屬第一醫(yī)院感染管理辦公室;長江大學(xué)醫(yī)學(xué)院護理系;湖北中醫(yī)藥大學(xué)護理學(xué)院;
【基金】：湖北省教育廳教學(xué)科學(xué)“十二五”規(guī)劃基金資助項目(2012B083)
【分類號】：R197.323

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