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结核与肺部疾病杂志 ›› 2026, Vol. 7 ›› Issue (3): 377-384.doi: 10.19983/j.issn.2096-8493.20250179

• 论著 • 上一篇    下一篇

某三级甲等综合医院临床支持人员结核感染防控认知现状的调查与分析

袁丽荣1, 弓玉红2, 商临萍3, 潘玮4, 弓巧巧1, 杨桂霞2, 李淑花1()   

  1. 1 山西医科大学第一医院呼吸与危重症医学科, 太原 030000
    2 山西医科大学第一医院住院部, 太原 030000
    3 山西医科大学第一医院护理部, 太原 030000
    4 山西医科大学第一医院感染管理科, 太原 030000
  • 收稿日期:2025-11-24 出版日期:2026-06-20 发布日期:2026-06-12
  • 通信作者: 李淑花 E-mail:lishuhua1983@163.com

A questionnaire survey and analysis on the cognition status quo of tuberculosis infection prevention and control among clinical support personnel in a tertiary grade A general hospital

Yuan Lirong1, Gong Yuhong2, Shang Linping3, Pan Wei4, Gong Qiaoqiao1, Yang Guixia2, Li Shuhua1()   

  1. 1 Department of Respiratory and Critical Care Medicine, The First Hospital of Shanxi Medical University, Taiyuan 030000, China
    2 Department of Inpatient, The First Hospital of Shanxi Medical University, Taiyuan 030000, China
    3 Department of Nursing, The First Hospital of Shanxi Medical University, Taiyuan 030000, China
    4 Department of Infection Control, The First Hospital of Shanxi Medical University, Taiyuan 030000, China
  • Received:2025-11-24 Online:2026-06-20 Published:2026-06-12
  • Contact: Li Shuhua E-mail:lishuhua1983@163.com

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摘要：

目的: 了解某三级甲等综合医院临床支持人员对结核感染防控的认知水平,为开展结核病防控培训、建立临床支持人员结核感染防控体系提供参考。方法: 采用方便抽样方法,于2025年6—7月选取某三级甲等综合医院的200名临床支持人员(包括医辅人员、保洁人员和护工人员)为研究对象,运用自行设计的三级甲等综合医院临床支持人员结核感染防控认知调查问卷进行调查。结果: 共发出问卷200份,有效问卷为154份,有效问卷回收率为77.0%。医辅人员(44名)疾病基础知识得分为(7.86±1.52)分,保洁人员(77名)得分为(6.83±1.33)分,护工人员(33名)得分为(6.45±1.54)分。在环境控制方面,仅医疗机构建筑设计认知组间差异有统计学意义(χ2=7.308,P=0.041),护工人员正确率(90.9%,30/33)低于医辅人员(93.2%,41/44)和保洁人员(98.7%,76/77);在呼吸防护方面,医辅人员、保洁人员和护工人员在呼吸防护核心原则[正确率分别为97.7%(43/44)、79.2%(61/77)和75.8%(25/33);χ2=18.964,P<0.001]、口罩选择要求[正确率分别为95.5%(42/44)、75.3%(58/77)和69.7%(23/33);χ2=16.247,P=0.001]、口罩佩戴流程[正确率分别为93.2%(41/44)、70.1%(54/77)和60.6%(20/33);χ2=15.783,P<0.001]、密合性试验[正确率分别为90.9%(40/44)、66.2%(51/77)和54.5%(18/33);χ2=17.092,P<0.001]、高风险区域规范佩戴[正确率分别为88.6%(39/44)、51.9%(40/77)和51.5%(17/33);χ2=35.628,P<0.001]、辅助防护措施[正确率分别为93.2%(41/44)、72.7%(56/77)和66.7%(22/33);χ2=12.845,P=0.002]、呼吸防护专项培训[正确率分别为86.4%(38/44)、71.4%(55/77)和57.6%(19/33);χ2=8.972,P=0.011]、防护口罩规范处置[正确率分别为100.0%(44/44)、72.7%(56/77)和87.9%(29/33);χ2=16.893,P=0.006]、口罩更换要求[正确率分别为95.4%(42/44)、74.0%(57/77)和72.7%(24/33);χ2=14.536,P<0.001]及规范摘除口罩[正确率分别为97.7%(43/44)、77.9%(60/77)和78.8%(26/33);χ2=17.241,P=0.001]各维度差异均有统计学意义。结论: 医院临床支持人员结核感染防控认知亟待提高,管理者需从多维度、多层面实施精准干预措施,构建完善的结核感染防控体系,提高临床支持人员认知水平,规范防控行为,进而有效控制结核感染。

关键词: 医院, 综合, 辅助服务, 医院, 人员, 医院, 分枝杆菌感染, 综合预防, 认知

Abstract:

Objective: To understand the level of awareness of tuberculosis infection control among clinical support staff in a tertiary grade A general hospital, and to provide a reference for conducting tuberculosis control training and establishing a tuberculosis infection control system for clinical support staff. Methods: Using a convenience sampling method, 200 clinical support staff members (including medical auxiliary staff, cleaning staff, and nursing aides) from a tertiary general hospital were selected as the research subjects from June to July 2025. A self-designed questionnaire on tuberculosis infection control awareness among clinical support staff in tertiary general hospitals was used for the survey. Results: A total of 200 questionnaires were distributed, with 154 valid responses, resulting in a valid response rate of 77.0%. The scores of basic disease knowledge were (7.86±1.52) for medical auxiliary staff, (6.83±1.33) for cleaning staff, and (6.45±1.54) for nursing aides. Regarding environmental control, only the difference in awareness of medical institution architectural design was statistically significant (χ2=7.308, P=0.041), with nursing aides having a lower correct rate (90.9%, 30/33) compared with medical auxiliary staff (93.2%, 41/44) and cleaning staff (98.7%, 76/77). In terms of respiratory protection, medical auxiliary staff, cleaning staff, and nursing aides performed differently in all dimensions, including core principles (correct rates: 97.7% (43/44), 79.2% (61/77), and 75.8% (25/33); χ2=18.964, P<0.001), mask selection requirements (correct rates: 95.5% (42/44), 75.3% (58/77), and 69.7% (23/33); χ2=16.247, P=0.001), mask wearing procedures (correct rates: 93.2% (41/44), 70.1% (54/77), and 60.6% (20/33); χ2=15.783, P<0.001), fit testing (correct rates: 90.9% (40/44), 66.2% (51/77), and 54.5% (18/33); χ2=17.092, P<0.001), standard mask wearing in high-risk areas (correct rates: 88.6% (39/44), 51.9% (40/77), and 51.5% (17/33); χ2=35.628, P<0.001), auxiliary protective measures (correct rates: 93.2% (41/44), 72.7% (56/77), and 66.7% (22/33); χ2=12.845, P=0.002), specialized respiratory protection training (correct rates: 86.4% (38/44), 71.4% (55/77), and 57.6% (19/33); χ2=8.972, P=0.011) standardized disposal of protective masks (correct rates: 100.0% (44/44), 72.7% (56/77), and 87.9% (29/33); χ2=16.893, P=0.006), mask replacement requirements (correct rates: 95.4% (42/44), 74.0% (57/77), and 72.7% (24/33); χ2=14.536, P<0.001), and standardized removal of masks (correct rates of 97.7% (43/44), 77.9% (60/77), and 78.8% (26/33); χ2=17.241, P=0.001). Conclusion: The awareness of tuberculosis infection control among clinical support staff in hospitals needs to be improved urgently. Managers need to implement precise intervention measures from multiple dimensions and levels, establish a complete tuberculosis infection control system, improve the awareness level of clinical support staff, standardize control behaviors, and effectively control tuberculosis infection.

Key words: Hospitals, general, Ancillary services, hospital, Personnel, hospital, Mycobacterium infections, Universal precautions, Cognition

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