职业卫生与病伤2024,Vol.39Issue(4) :264-270.DOI:10.19973/j.cnki.1006-172X.240080

2023年四川省基层医疗机构医院感染防控管理现状调查

Investigation on the current management status of prevention and control of hospital infection in primary health care institutions of Sichuan Province 2023

樊斯斯 黄小义 吴清梦
职业卫生与病伤2024,Vol.39Issue(4) :264-270.DOI:10.19973/j.cnki.1006-172X.240080

2023年四川省基层医疗机构医院感染防控管理现状调查

Investigation on the current management status of prevention and control of hospital infection in primary health care institutions of Sichuan Province 2023

樊斯斯 1黄小义 1吴清梦2
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作者信息

  • 1. 四川省疾病预防控制中心,成都 610041
  • 2. 西南医科大学附属中医医院,四川 泸州 646000
  • 折叠

摘要

目的 了解四川省基层医疗机构医院感染(简称"院感")预防与控制管理的现状,为后续精准制定院感防控政策提供科学依据.方法 于2023年7至12月对四川省88所基层医疗机构院感防控管理情况进行调查,采用问卷调查的方式进行,数据通过Excel 2013软件进行收集与整理,采用描述性分析的方法分析不同医疗机构的院感管理体系建设情况、院感管理专职人员构成及履职情况.采用SPSS 27.0软件对构成比的比较行x2检验,检验水准为α=0.05.结果 调查的88家医疗单位中,72家机构设置了院感管理委员会,58家机构独立设置了院感管理部门,74家医院临床科室设置了院感管理小组.78.41%医疗机构均配置了院感管理专职人员,专职人员以护理学专业(75.70%)、大专和本科学历(89.72%)、中级和初级及其他技术职称(85.98%)、30~49岁的中青年(57.94%)、女性(85.98%)和从事院感工作0~3年(39.25%)为主.高达96.59%医疗机构开展院感管理质量控制检查工作,其中98.82%的将结果反馈给临床科室.结论 四川省的基层医疗机构在院感控制管理方面已经取得了一定进步,但仍面临从业人员的结构不均衡、人才来源的局限性以及相关人员的经验不足等问题.未来有必要对院感管理工作进行更深入的研究与探索,并持续优化相关的制度和机制建设.

Abstract

Objective To understand the current management status of prevention and control of hospital infection in primary healthcare institutions in Sichuan Province,to provide a scientific basis for subsequent precise formulation of prevention and control policies of hospital infection.Methods A survey on the prevention and control management of hospitcal infection in 88 primary healthcare institutions in Sichuan Province was conducted by using questionnaire survey method from July to December 2023.Data were collected and organized through Excel 2013,and descriptive analysis was used to describe the construction of infection management systems,the composition of full-time personnel for infection management,and their performance in different medical institutions.The SPSS 27.0 software was used to perform chi-square tests for comparisons of constituent ratios,with the test level of α=0.05.Results A total of 88 medical units were surveyed.Seventy-two institutions established hospital infection management committees,58 institutions independently set up departments for hospital infection management,and 74 hospitals had clinical departments that established hospital infection management teams.Full-time personnel for infection management were allocated in 78.41%of medical institutions,primarily consisting of nursing professionals(75.70%),individuals with associate or bachelor's degrees(89.72%),intermediate or junior professional title(85.98%),middle-aged individuals aged 30-49(57.94%),females(85.98%),and those with 0-3 years of experience in infection management work(39.25%).Up to 96.59%medical institutions carried out quality control inspections for infection management,with 98.82%of them reported the result to clinical departments.Conclusions Primary healthcare institutions in Sichuan Province have made certain progress in hospital infection control management.However,challenges such as uneven distribution of personnel,limited sources of talent,and lack of experience among relevant personnel still exist.It is necessary to conduct further research and exploration into hospital infection management work in the future and continuously optimize related institutional and mechanism construction.

关键词

基层医疗机构/医院感染预防与控制/医院感染管理/现状调查

Key words

primary healthcare institutions/prevention and control of hospital infection/hospital infection management/current status survey

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出版年

2024
职业卫生与病伤
四川省疾病预防控制中心

职业卫生与病伤

影响因子:0.725
ISSN:1006-172X
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