Wu Wenwen, Wang Wenru, Yuan Yufeng, Lin Likai, Tan Yibin, Yang Jinru, Dai Li, Wang Ying
School of Public Health and Management, Hubei University of Medicine, Shiyan, Hubei, China.
Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
BMJ Open. 2021 Jan 5;11(1):e042333. doi: 10.1136/bmjopen-2020-042333.
To assess the knowledge, attitude and practice (KAP) concerning healthcare-associated infections (HAIs) among healthcare givers and to identify the factors influencing KAP.
This was a hospital-based, cross-sectional study.
Two public hospitals in Wuhan, central China.
Participants were recruited among healthcare workers (HCWs) of one general hospital and one children's hospital in Wuhan city between 1 June and 30 September 2019.
The outcomes were KAPs concerning HAIs.
Data from 455 HCWs were included in the final data analysis. The mean scores of KAP and total KAP were 15.67±3.32, 25.00±2.75, 43.44±5.15 and 84.76±6.72, respectively. The following factors were significantly associated with the total KAP score concerning HAIs, explaining 61% of the variance (p<0.001): gender (β=2.36, 95% CI 1.11 to 4.40), age (β=6.65, 95% CI 5.07 to 7.74), position (β=7.02, 95% CI 3.88 to 8.45), type of employment (β=-1.08, 95% CI -2.08 to -0.07), with HAI education within last year (β=-2.98, 95% CI -4.23 to -1.72), with invasive operation authority (β=-4.22, 95% CI -5.46 to -2.99), antibacterial drug training (β=-4.38, 95% CI -5.45 to -3.31) and with antibacterial drug training and clinical consultation (β=-4.35, 95% CI -5.38 to -3.32).
The controllable factors identified in this study can be used by hospital managers to implement measures that improve KAP among HCWs. Moreover, these measures should be customised, based on uncontrollable factors to suit the specific characteristics of medical staff and to improve KAP. Training programmes should be designed for medical workers to increase their awareness of HAIs and to foster positive attitudes and practices.
评估医护人员对医疗相关感染（HAIs）的知识、态度和行为（KAP），并确定影响KAP的因素。
这是一项基于医院的横断面研究。
中国中部武汉的两家公立医院。
2019年6月1日至9月30日期间，从武汉市一家综合医院和一家儿童医院的医护人员（HCWs）中招募参与者。
结局为关于HAIs的KAP。
455名医护人员的数据纳入最终数据分析。KAP和总KAP的平均得分分别为15.67±3.32、25.00±2.75、43.44±5.15和84.76±6.72。以下因素与关于HAIs的总KAP得分显著相关，解释了61%的方差（p<0.001）：性别（β=2.36，95%CI 1.11至4.40）、年龄（β=6.65，95%CI 5.07至7.74）、职位（β=7.02，95%CI 3.88至8.45）、就业类型（β=-1.08，95%CI -2.08至-0.07）、去年接受过HAI教育（β=-2.98，95%CI -4.23至-1.72）、具有侵入性操作权限（β=-4.22，95%CI -5.46至-2.99）、接受过抗菌药物培训（β=-4.38，95%CI -5.45至-3.31）以及接受过抗菌药物培训和临床咨询（β=-4.35，95%CI -5.38至-3.32）。
本研究确定的可控因素可供医院管理人员用于实施提高医护人员KAP的措施。此外，应根据不可控因素定制这些措施，以适应医务人员的具体特点并提高KAP。应为医务人员设计培训计划，以提高他们对HAIs的认识，并培养积极的态度和行为。
