河南省某市医院感染管理专职人员压力来源调查

目的 了解河南省某市医院感染管理专职人员基本情况及压力来源。方法 采用分层随机抽样法，按照医院级别分为二级医院和三级医院，均为公立医院，对二级医院和三级医院分别编号，随机抽取调查目标医院，对调查医院的医院感染管理专职人员一般情况、专业、院感专职人员配比、继续从业意愿以及压力来源进行调查。结果 共调查17所二级和三级综合医院，44名医院感染管理专职人员。专职人员以大专学历为主，占43.18%；职称以中级职称为主，占63.64%；专业以护理为主，占81.82%；从事医院感染管理工作年限为5~10年最多，占47.73%；年龄40~50岁占比最高，占34.09%。专职人员配比符合要求的仅4所，占23.53%。有转岗意愿的医院感染管理专职人员共30名，占68.18%，其中40~50岁人员中最多，占86.67%，其次为30~39岁，占78.57%。不同级别医院专职人员主要压力来源调查中，位于前5位的依次为：工作压力大（95.45%）、管理涉及面广（81.82%）、医院领导不够重视（72.73%）、专职人员少（61.36%）、职称晋升难（50.00%）。结论 该市医院感染管理专职人员结构不合理，工作压力大、管理涉及面广及领导重视不够是医院感染管理专职人员压力的主要来源。

Sources of pressure of full-time staff in healthcare-associated infection management in a city of Henan Province

Objective To understand the basic situation and sources of pressure of full-time staff in healthcare-associated infection(HAI) management in a city of Henan Province. Methods A stratified random sampling method was used to classify hospitals into secondary and tertiary hospitals according to the level of hospitals, all were public hospitals, secondary and tertiary hospitals were numbered, target hospitals were investigated by random sampling, the general situation, profession, full-time HAI management personnels matching, willing to continue to work in HAI management and sources of pressure of full-time staff in HAI management were investigated. Results A total of 44 full-time staff in HAI management in 17 secondary and tertiary general hospitals were investigated. Full-time personnels mainly received college education(43.18%); professional titles were mainly intermediate titles(63.64%); profession was mainly nursing(81.82%); service years in HAI management were 5 to 10 years(47.73%); the highest proportion of age was 40-50 years old (34.09%). Only 4 full-time personnels matching met the requirements(23.53%). Thirty full-time staff (68.18%) were willing to change their jobs, 40-50 years old were the most(86.67%), followed by 30-39 years old (78.57%). Among the main sources of pressure of full-time staff in hospitals of different levels, the top five were:high work pressure (95.45%), extensive management (81.82%), insufficient attention of hospital leaders (72.73%), few full-time staff (61.36%) and difficult promotion of professional titles (50.00%). Conclusion The irrational structure of the full-time staff in HAI management, high work pressure, extensive management and insufficient leadership attention are the main sources of pressure of full-time staff in HAI management in this city.