【摘要】：目的了解影響臨床醫(yī)師報(bào)告醫(yī)院感染病例的原因,為完善管理制度、改進(jìn)監(jiān)測(cè)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(jì)的調(diào)查問(wèn)卷,對(duì)臨床68名一線醫(yī)師進(jìn)行醫(yī)院感染病例報(bào)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(duì)報(bào)告醫(yī)院感染病例的認(rèn)知能力較高,認(rèn)為報(bào)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(bào)告時(shí)限和報(bào)告流程的僅占61.77%和67.65%,有14.70%和13.24%不能按時(shí)和按流程報(bào)告醫(yī)院感染病例,40.00%的調(diào)查對(duì)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(cè)和管理方法欠科學(xué)。結(jié)論為保證醫(yī)院感染監(jiān)測(cè)數(shù)據(jù)的科學(xué)性和有效性,必須完善監(jiān)測(cè)制度、監(jiān)測(cè)內(nèi)容,對(duì)出院患者也要建立醫(yī)院感染電話(huà)回訪和追蹤監(jiān)測(cè)系統(tǒng);同時(shí)還要建立合理的評(píng)價(jià)體系和正向激勵(lì)機(jī)制來(lái)調(diào)動(dòng)臨床一線醫(yī)師的主觀能動(dòng)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(zhǎng)江大學(xué)附屬第一醫(yī)院感染管理辦公室;長(zhǎng)江大學(xué)醫(yī)學(xué)院護(hù)理系;湖北中醫(yī)藥大學(xué)護(hù)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(xiàng)目(2012B083)
【分類(lèi)號(hào)】：R197.323

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張繼川;強(qiáng)化醫(yī)院感染病例報(bào)告的管理體會(huì)[J];中華醫(yī)院感染學(xué)雜志;1997年03期

2 任玲,周宏,葉和清;醫(yī)院感染病例的計(jì)算機(jī)管理系統(tǒng)[J];中華醫(yī)院感染學(xué)雜志;2000年01期

3 莫風(fēng)敏;呂芳;王春燕;趙娜;崔永生;;影響醫(yī)院感染病例填報(bào)質(zhì)量的原因分析與對(duì)策[J];中國(guó)現(xiàn)代醫(yī)生;2010年30期

4 張麗波,童穎,劉連海,李維;醫(yī)院感染病例經(jīng)濟(jì)損失分析[J];中國(guó)衛(wèi)生經(jīng)濟(jì);1998年03期

5 李穎;;醫(yī)院感染病例漏報(bào)原因分析及對(duì)策[J];基層醫(yī)學(xué)論壇;2007年05期

6 王大連;醫(yī)院感染病例錯(cuò)報(bào)原因分析及對(duì)策[J];中華醫(yī)院感染學(xué)雜志;2002年10期

7 常艷群,李欣,李川;醫(yī)院感染病例填報(bào)中存在的問(wèn)題與對(duì)策[J];中華醫(yī)院感染學(xué)雜志;2004年08期

8 張欣文,安毅;醫(yī)院感染病例經(jīng)濟(jì)損失的調(diào)查分析[J];上海鐵道大學(xué)學(xué)報(bào)(醫(yī)科版);1997年04期

9 ;手部衛(wèi)生:旨在降低醫(yī)院感染的策略(四)——手部衛(wèi)生創(chuàng)議 接受度試驗(yàn)報(bào)告[J];中國(guó)醫(yī)院;2005年04期

10 趙海燕,趙耀;586例醫(yī)院感染病例統(tǒng)計(jì)分析[J];預(yù)防醫(yī)學(xué)情報(bào)雜志;2000年02期

相關(guān)會(huì)議論文 前2條

1 殷惠娟;;手術(shù)室的抗感染管理進(jìn)展[A];全國(guó)手術(shù)室護(hù)理學(xué)術(shù)交流暨專(zhuān)題講座會(huì)議論文匯編[C];2003年

2 施偉;;骨科病房院內(nèi)感染的調(diào)查和對(duì)策[A];全國(guó)醫(yī)院感染護(hù)理學(xué)術(shù)交流暨專(zhuān)題講座會(huì)議論文匯編[C];2002年

，

本文編號(hào)：2490890