王鑫姝 付艳

【摘要】 目的：研究与观察轮转医护人员医院感染认知程度及其影响因素。方法：选取2016年6月-2019年12月的610名轮转医护人员为研究对象。对其进行医院感染认知度的评估，并比较不同年龄、性别、职位、文化程度、轮转时间、一般自我效能感、职业压力、职业倦怠感、社会支持程度及情绪状态者的医院感染认知度，以多因素logistic回归分析轮转医护人员医院感染认知程度的影响因素。结果：610名轮转医护人员医院感染认知度较高者530名，占86.89%。不同性别及情绪状态者的医院感染认知度比较，差异均无统计学意义（P>0.05）。不同年龄、职位、文化程度、轮转时间、一般自我效能感、职业压力、职业倦怠感及社会支持程度者的医院感染认知度比较，差异均有统计学意义（P<0.05）。多因素logistic回归分析显示，年龄、职位、文化程度、轮转时间、一般自我效能感、职业压力、职业倦怠感及社会支持程度是轮转医护人员医院感染认知程度的影响因素（P<0.05）。结论：轮转医护人员医院感染认知程度仍有待进一步提升，且影响因素涉及多个方面，可作为针对性干预措施制定的参考依据。

【关键词】 轮转医护人员 医院感染 认知程度 影响因素

[Abstract] Objective： To study and observe the cognition degree of rotation medical staff for nosocomial infection and its influence factors. Method： A total of 610 cases of rotating medical staff from June 2016 to December 2019 were selected as the research objects. The awareness of nosocomial infection was evaluated， the cognition of nosocomial infection of different age， gender， position， education level， rotation time， general self-efficacy， occupational stress， job burnout， social support and emotional state were compared. The influencing factors of cognition of nosocomial infection of rotation medical staff were analyzed by multivariate logistic regression. Result： 610 cases with high nosocomial infection awareness were transferred to 530 cases， accounting for 86.89%. There were no significant differences in the awareness of nosocomial infection among different genders and emotional states （P>0.05）. Comparison of nosocomial infection awareness among different age， position， education level， rotation time， general self-efficacy， occupational stress， job burnout and social support degree， the differences were statistically significant （P<0.05）. Multivariate logistic regression analysis showed that age， position， education level， rotation time， general self-efficacy， occupational pressure， job burnout and social support were the influencing factors of cognition of hospital infection among rotation medical staff （P<0.05）. Conclusion： The cognition degree of nosocomial infection among rotating medical staff still needs to be further improved， and the influencing factors involve many aspects， which can be used as the reference for the development of targeted intervention measures.

[Key words] Rotate the medical staff Nosocomial infection Cognitive degree Influence factors

First-authors address： Benxi Central Hospital， Benxi 117000， China

doi：10.3969/j.issn.1674-4985.2021.03.042

醫院感染防控属于医疗质量安全管理的一部分，贯穿于所有诊疗、护理操作流程。据文献[1-2]报道，临床轮转期是轮转医护人员医院感染防控意识与行为习惯形成的重要阶段。轮转医护人员的医院感染认知度不仅仅关系到其自身的感染防护，也是临床工作开展及患者医院感染防控的重要基础与前提[3-5]。本研究就轮转医护人员医院感染认知程度及影响因素进行观察与研究，以为轮转医护人员医院感染认知度的提升提供参考依据，现报道如下。

1 资料与方法

1.1 一般资料 选取本院2016年6月-2019年12月的610名轮转医护人员为研究对象。纳入标准：轮转的医护人员;男女不限。排除……