Abstract: Objective To investigate and analyze the status of training and implementation about nosocomial infection prevention knowledge and skills of support staff in medical institutions, so as to make effective measures to reduce the incidence of nosocomial infection. Methods Totally 497 support staff in medical institutions of Guangzhou were selected by convenient sampling and were investigated with the self-designed nosocomial infection prevention knowledge and skills questionnaire from April to May 2019 to assess their trained rate, mastering rate, carrying out rate of nosocomial infection prevention knowledge and skills, and adequate supplying rate of supporting facility. Results In the total of 497 support staff, there were 76.66% (381/497) older than forty, 85.11% (423/497) were female, 87.73% (436/497) had education degree equal to or below senior middle school, 48.09% (239/497) had working experience shorter than 5 years; 73.24% (364/497) had received standardized training, 37.02% (184/497) considered that the training by nurses was better; the cumulative person-time that didn't know well about hand hygiene, cleaning disinfection, medical waste classification, and pricking wound management were 11.86% (59/497), 31.79% (158/497), 11.67% (58/497), 4.42% (22/497); the cumulative person-time that didn't do well about hand hygiene, tool hygiene, medical waste classification, and work-clothes hygiene were 6.24% (31/497), 11.47% (57/497), 10.26% (51/497), 51.11% (254/497); the rates of persons that could not get convenient wash facilities, enough hand-disinfection solution, gloves were 14.28% (71/497), 9.06% (45/497), 14.49% (72/497); 95.5% (42/44) of recommendations were about more training. Conclusion The hospital support staff personnel structure need to be optimized, more systematic and standardized training about nosocomial infection prevention knowledge and skills should be provided, more convenient hygiene facilities and enough hygiene appliances in their working also should be provided.

Key words: Medical institution, Support staff, Knowledge and skills, Nosocomial infection prevention

摘要： 目的 调查和分析工勤人员院感知识/技能培训和落实情况,为针对性干预提供参考。方法 于2019年4—5月采用自行设计的调查问卷方便抽样调查广州市属医疗机构497名工勤人员的院感知识技能接受培训率、掌握率、落实率和配套工作设施便利充足率。结果 工勤人员中女性、年龄>40岁、高中及以下文化程度、工作经验不足五年的比例分别为85.11%(423/497)、76.66%(381/497)、87.73%(436/497)、48.09%(239/497);接受过系统规范培训的人员比例为73.24%(364/497),37.02%(184/497)的人员认为护士培训效果较好;手卫生、清洁消毒、医疗废物分类、针刺伤处理相关知识技能未掌握比例分别为11.86%(59/497)、31.79%(158/497)、11.67%(58/497)、4.42%(22/497);手卫生、工具卫生、医疗废物处理、工服卫生累计落实不规范比例分别为6.24%(31/497)、11.47%(57/497)、10.26%(51/497)、51.11%(254/497);洗手设施不便利、快速手消毒液不足、手套不足比例分别为14.28%(71/497)、9.06%(45/497)、14.49%(72/497);95.5%(42/44)的建议与加强培训有关。结论 工勤人员结构需要优化,需要向该群体提供系统规范化院感知识技能培训和便利足够的院感设施和防护用品。

关键词: 医疗机构, 工勤人员, 知识技能, 医院感染防控