医务人员血源性职业暴露与防护措施的KAP现况研究

Knowledge, attitude and practice of occupational blood exposure and precaution among health care workers

摘要:

目的了解某院医务人员职业暴露与防护知识、态度和行为现状，并调查影响戴手套及穿隔离衣的原因。方法对2012年10月16日该院在岗的部分临床医务人员进行问卷调查。结果共调查医务人员374名，全院平均每人参加培训（1.47±1.54）次，内科医务人员参加培训次数为（2.00±2.12）次，高于其他科室 (均P＜0.001)。硕士以上学历和医生的知识水平得分分别为（88.43±11.09）分、（88.14±11.48）分，均较高。在态度、行为方面，不同组别医务人员间差异均无统计学意义(均P＞0.05)。影响医务人员戴手套和穿隔离衣的主要原因分别是影响操作和配备不足。结论该院医务人员职业暴露与防控知识水平、态度和行为均不理想；医院应采取措施，提高医务人员职业暴露防护水平。

Abstract:

ObjectiveTo investigate the current status of knowledge, attitude and practice of occupational exposure to blood and precaution among health care workers (HCWs), and to evaluate the factors affecting  wearing gloves and isolation gowns. MethodsHCWs in a hospital on October 16，2102  were investigated through  questionnaires. ResultsA total of 374 HCWs were investigated, the average training  per HCW  were（1.47±1.54）times, HCWs in internal medicine department  were  （2.00±2.12）times, which was higher than HCWs in the other departments (P＜0.001).The score of occupational blood exposure and precaution knowledge among  HCWs with Master’s degree or above and doctors was （88.43±11.09）and （88.14±11.48）respectively. There was no significant difference in attitude and practice among different HCWs (P>0.05). The main factors affecting wearing gloves and isolation gowns were inconvenient  for manipulation and inadequate facility. ConclusionThe knowledge, attitude and practice of occupational blood exposure and precaution among HCWs are not desirable. Measures should be taken to improve HCWs’occupational precaution standard.