陕西省咸阳市医院感染管理专职人员现状分析

目的了解咸阳市医院感染管理专职人员的现状,探讨影响医院感染管理队伍不稳定的原因。方法采用分层随机抽样法,按照医院级别分为二级和三级医院,对不同级别医院分别编号,随机抽取调查医院,抽取咸阳市29所二级及二级以上医院52名医院感染管理专职人员一般情况、专业情况以及医院感染管理队伍不稳定的原因等进行调查。结果医院感染管理专职人员以女性为主,占89.13%;年龄30~50岁最多,占54.35%;学历以本科及以上为主,占47.83%;职称以中级为主,占41.30%;专业以护理为主,占65.22%;从事医院感染工作年限9年比率最高,占91.30%;二级医院和三级医院在年龄、文化程度方面存在统计学差异(均P0.05)。从事医院感染工作前岗位以护理为主,占63.04%;从事医院感染工作主要原因为领导安排(占63.04%)。医院感染管理专职人员队伍不稳定居前3位的原因依次为工作压力大(91.30%)、领导不够重视(78.26%)和待遇低(63.04%)。结论咸阳市医院感染管理专职人员结构不合理,医院感染管理队伍不稳定,工作压力大、领导重视不足以及待遇低是影响医院感染管理队伍不稳定的主要原因。

Current situation of full time healthcare associated infection management staff in Xianyang City of Shaanxi Province

ObjectiveTo understand current situation of full time healthcare associated infection(HAI) management staff in hospitals in Xianyang, explore the causes of instability of HAI management team. MethodsStratified random sampling method was adopted, hospitals were divided into secondary and tertiary levels, then numbered according to different levels, surveyed hospitals were selected randomly, general condition, professionals, and causes of instability of 52 selected full time HAI management staff members in 29 secondary and above hospitals in Xianyang were surveyed. ResultsFull time HAI management staff were mainly women, accounting for 89.13%; 54.35% of staff were aged 30-50 years; 47.83% had bachelor degree and above; 41.30% had intermediate professional titles; 65.22% were nurses；91.30% engaged in HAI management for <9 years; HAI management staff were statistically different in age and education level（both P<0.05）. 63.04% of full time HAI management staff engaged in nursing before engaging in HAI management work; 63.04% engaged in HAI management work according to administrative arrangement, the top three causes for instability of HAI management team were heavy workload（91.30%）, lacking enough attention of leaders（78.26%）, and low pay（63.04%）. ConclusionStructure of HAI management full time staff in hospitals in Xianyang is irrational, the main causes for unstable management team is heavy workload, insufficient attention paid by leaders, and low pay.