福建省中医医疗机构医务人员医院感染知识水平及影响因素分析——基于2 209名医务人员的省域横断面调查OA
Level of knowledge regarding healthcare-associated infection and associated factors among healthcare workers in traditional Chinese medicine institu-tions in Fujian Province:a province-wide cross-sectional survey of 2 209 healthcare workers
目的 了解福建省各级中医医疗机构医务人员医院感染知识掌握水平现状,并分析其影响因素.方法 采用横断面调查,于2025年依托在线问卷平台,对福建省38所中医医疗机构的2 209名医务人员开展医院感染知识专项测评.采用Kruskal-Wallis秩和检验进行单因素分析,构建以医院为随机截距的线性混合效应模型(LMM)及广义线性混合模型(GLMM)开展多因素分析,以组内相关系数(ICC)评估医疗机构层面的聚集性效应.结果 本次调查对象医院感染知识测评总体均分为(78.59±13.61)分,及格率(≥60分)为93.25％,优秀率(≥90分)为26.75％.单因素分析显示,不同医疗机构等级、地区及岗位类型调查对象的总成绩分布比较,差异具有统计学意义(均P＜0.05).多因素LMM模型显示,一级及以下中医医疗机构医务人员平均成绩较三级医疗机构低7.63分(95％CI:-10.98～-4.28,P＜0.001);"其他"岗位人员平均成绩较医生低6.08分(95％CI:-10.08～-2.09,P=0.003).及格率结局的GLMM模型中,相较于三级医疗机构,一级及以下医疗机构医务人员的及格率OR为0.25(P=0.004),"其他"岗位人员相较于医生的OR为0.37(P=0.017);总成绩模型ICC为3.51％,提示单因素分析所呈现的地区差异可能主要源于各地区内部医疗机构等级构成的差异.结论 福建省中医医疗机构医务人员医院感染知识总体处于中等偏上水平,但基层医疗机构及非临床岗位人员存在明显的知识短板.
Objective To assess the current level of knowledge regarding healthcare-associated infection(HAI)prevention and control among healthcare workers in traditional Chinese medicine(TCM)institutions at different levels in Fujian Province and to analyze associated factors.Methods A cross-sectional survey was conducted in 2025 via an online questionnaire platform among 2 209 healthcare workers from 38 TCM institutions in Fujian Province.The Kruskal-Wallis rank-sum test was used for univariate analysis.Linear mixed-effects model(LMM)and generalized linear mixed model(GLMM),with hospital as a random intercept,were constructed for multivariable analysis,and intraclass correlation coefficient(ICC)were used to assess clustering effects at the medical institution level.Results The overall mean score for HAI knowledge was 78.59±13.61 points,with a passing rate(≥60 points)of 93.25％and an excellence-performance rate(≥90 points)of 26.75％.Univariate analysis showed statis-tically significant differences in the distribution of total scores according to medical institution level,region,and job category(all P＜0.05).The multivariable LMM showed that healthcare workers in grade I and below TCM institutions scored an average of 7.63 points lower than those in grade Ⅲ institutions(95％CI:-10.98 to-4.28,P＜0.001),while personnel in"other"job categories scored an average of 6.08 points lower than physicians(95％CI:-10.08 to-2.09,P=0.003).In the GLMM for the passing rate outcome,compared with grade Ⅲ medical institutions,the OR for passing among healthcare workers in grade I and below institutions was 0.25(P=0.004),and compared with physicians,the OR for passing among personnel in"other"job categories was 0.37(P=0.017).The ICC of the total-score model was 3.51％,suggesting that the regional differences identified in the univariate analysis may have mainly resulted from differences in the composition of medical institution levels within individual regions.Conclusion The overall level of HAI knowledge among healthcare workers in TCM institutions in Fujian Province was above moderate,but obvious knowledge gaps were observed among healthcare workers in primary-level medical institutions and those in non-clinical job categories.
温丽榕;李姗姗;张巧禹;郑林文;陈建森
福建医科大学附属协和医院医院感染管理科,福建 福州 350001||福建省医院感染管理医疗质量控制中心,福建 福州 350001福建医科大学附属协和医院医院感染管理科,福建 福州 350001||福建省医院感染管理医疗质量控制中心,福建 福州 350001福建医科大学附属协和医院医院感染管理科,福建 福州 350001福建医科大学附属协和医院医院感染管理科,福建 福州 350001福建医科大学附属协和医院医院感染管理科,福建 福州 350001||福建省医院感染管理医疗质量控制中心,福建 福州 350001
医药卫生
知识水平医院感染中医医疗机构横断面调查混合效应模型影响因素
knowledge levelhealthcare-associated infectiontraditional Chinese medicine institutionscross-sectional surveymixed-effects modelassociated factors
《中国感染控制杂志》 2026 (9)
1369-1382,14
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