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目的:了解妇产科医护人员标准预防依从性情况,探讨改进对策。方法:采用自行设计调查问卷,对10家二级以上综合性医院331名妇产科医护人员标准预防相关知识的知晓度、防护措施执行情况和影响因素、职业暴露情况等进行调查分析。结果:30.2%医护人员掌握标准预防相关知识,依从性较强;55.3%基本掌握标准预防相关知识,依从性不足;14.5%标准预防相关知识缺乏,依从性差。二级医院与三级医院、医师与助产士在标准预防依从性方面存在差别有统计学意义(P<0.05)。影响因素主要为防护设备不足、医院重视不够、自身防护意识薄弱。职业暴露主要为锐器损伤和皮肤黏膜接触孕产妇血液、羊水、阴道分泌物。结论:妇产科医护人员标准预防依从性亟待加强,医院应强化标准预防相关知识培训,改善医院感染管理监督机制,提高医护人员标准预防依从性。
Objective: To understand the standards of obstetrics and gynecology staff to comply with prevention, to explore ways to improve. Methods: By using self-designed questionnaire, the awareness of standard preventive knowledge, implementation and influencing factors of occupational protection, occupational exposure and so on of 331 obstetrics and gynecologists in 10 general hospitals above the second class were investigated and analyzed. Results: 30.2% of the medical staff had the knowledge of standard precaution, and had strong compliance. 55.3% basically got the standard precautionary knowledge and lack of compliance, and 14.5% of the standard precautionary knowledge lacked and the compliance was poor. There was a statistically significant difference in standard preventive compliance between secondary and tertiary hospitals, physicians and midwives (P <0.05). The main factors for the lack of protective equipment, the hospital paid insufficient attention to their own weak awareness of protection. Occupational exposure mainly to sharp injuries and skin and mucous membranes contact with maternal blood, amniotic fluid, vaginal secretions. Conclusion: Obstetrics and Gynecology standards of prevention and obey need to be strengthened urgently, the hospital should strengthen the training of knowledge about standard precautions, improve the supervision mechanism of nosocomial infection and improve the standards of prevention and compliance of medical staff.