综合医院护士导管相关性血流感染认知调查和相关因素分析

目的：调查综合医院各科护士对导管相关性血流感染(catheter-related bloodstream infections, CRBSI)的认知现状及相关因素的分析，以期为后续优化培训方案提供理论依据。方法：采用自行设计的预防CRBSI的认知问卷，对526名护士进行调查。结果：护士预防CRBSI知识得分（9.33±2.64）分，行为得分（72.30±6.43）分，不同科室、年龄、工作年限、职称和是否接受过知识教育对护士知识和行为得分差异有统计学意义(P<0.05)，不同学历的护士知识得分差异有统计学意义(P<0.05)。接受过教育的455人中，科室是否有教育后的跟进措施以及培训结束后科室是否有考核的护士CRBSI知识行为得分差异有统计学意义(P<0.05)。多元线性回归分析结果显示：科室和学历是影响护士知识掌握情况的主要因素，工作年限是影响护士行为的主要因素，科室是否有培训后跟进措施以及是否有培训后考核是影响护士知识和行为的主要因素。结论：护士CRBSI认知处于中低等水平，CRBSI行为处于较好水平，建议根据影响因素制定完善的培训方案，包括分层考核、学习最新指南和实施奖励等，提高护士对预防CRBSI的认知水平。

An investigation of nurses’ cognition and its related factors for catheter-related bloodstream infection in general hospital

Objective: To investigate the status of nurses’cognition and its related factors for catheter-related blood stream infection(CRBSI) in general hospital. Methods: 526 nurses were surveyed by a self-designed questionnaire about nurses’ cognition of CRBSI. Results: The average score of knowledge for CRBSI was（9.33±2.64）and the average score of practice was（72.30±6.43）.There were significant differences among the nurses in different department, different age, different working year, different professional title, different education background(P＜0.05). And Whether having training about knowledge, follow-up measures and test after education were significant differences(P＜0.05). The background of department and education were main influence factors of knowledge level, the working year was the main factor influencing practice, while the follow-up measures and test after education were major factors on both sides. Conclusion: In order to improve the cognition of CRBSI prevention, the nursing manager should develop a comprehensive training program that includes stratification assessment, learning the latest guidelines, and implementing incentives.