儿科医护人员对基本医院感染控制风险的知识、态度和实践：中国南京的一项横断面研究
Knowledge, attitudes and practices toward risk of basic nosocomial infection control among pediatric healthcare workers: a cross-sectional study in Nanjing, China.
作者信息
Yang Ruizhe, Yan Wu, Wang Xu, Li Wei, Xue Shengfan, Wang Tingting, Xiang Xiaorong, Li Qian
机构信息
Department of Public Health, Children's Hospital of Nanjing Medical University, Nanjing, China.
Clinical Medical Research Center, Children's Hospital of Nanjing Medical University, Nanjing, China.
出版信息
Front Public Health. 2025 Jul 23;13:1599686. doi: 10.3389/fpubh.2025.1599686. eCollection 2025.
BACKGROUND
This study was conducted to systematically evaluate the knowledge, attitudes, and practices (KAP) of pediatric healthcare workers (HCWs) concerning risk assessment in basic nosocomial infection control, with a specific focus on identifying key demographic and professional variables that may influence these outcomes.
METHODS
A cross-sectional survey was conducted among 126 pediatric HCWs in Nanjing, China. A structured questionnaire on nosocomial infection control was developed using the Delphi method. Expert consensus was assessed using content validity indices (CVI) and Kendall's W. One-way ANOVA identified significant differences in responses to sub-questions. Factor analysis was based on severity and importance ratings. Linear regression examined associations between demographic variables and risk assessment performance. Statistical significance was defined as < 0.05.
RESULTS
One-way ANOVA demonstrated statistically significant variations in responses to 17 sub-questions ( < 0.05), reflecting differing perceptions of severity and importance across departments. Factor analysis extracted two distinct factors related to severity (44.055, 29.767%) and one overarching factor associated with importance (51.505%). However, no statistically significant correlations were observed between age, gender, or professional title and knowledge levels regarding infection control, indicating minimal influence of these demographic characteristics on attitudes toward infection control practices.
CONCLUSION
These findings provide key insights into current knowledge, attitudes, and practices regarding nosocomial infection control among pediatric HCWs in Nanjing, China. The observed differences between departments highlight the need for tailored interventions. Future research should focus on developing and evaluating such targeted strategies to improve infection control, patient safety, and care quality.
背景
本研究旨在系统评估儿科医护人员在基本医院感染控制风险评估方面的知识、态度和实践（KAP），特别关注识别可能影响这些结果的关键人口统计学和专业变量。
方法
在中国南京对126名儿科医护人员进行了横断面调查。采用德尔菲法编制了一份关于医院感染控制的结构化问卷。使用内容效度指数（CVI）和肯德尔W系数评估专家共识。单因素方差分析确定了对子问题回答的显著差异。因子分析基于严重性和重要性评级。线性回归检验了人口统计学变量与风险评估表现之间的关联。统计学显著性定义为P<0.05。
结果
单因素方差分析显示，对17个问题的回答存在统计学上的显著差异（P<0.05），反映出各部门对严重性和重要性的认知不同。因子分析提取了两个与严重性相关的不同因子（44.055，29.767%）和一个与重要性相关的总体因子（51.505%）。然而，年龄、性别或职称与感染控制知识水平之间未观察到统计学上的显著相关性，表明这些人口统计学特征对感染控制实践态度的影响最小。
结论
这些发现为中国南京儿科医护人员目前在医院感染控制方面的知识、态度和实践提供了关键见解。各部门之间观察到的差异凸显了针对性干预措施的必要性。未来的研究应侧重于制定和评估此类针对性策略，以改善感染控制、患者安全和护理质量。
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