摘要
目的:通过对医护人员进行安全注射综合性实验性干预,观察干预后的近期、远期效果,为改善不安全注射现状提供切实可行的措施。方法:对湖南省县级医院、乡镇医院进行抽样,随机分为实验组和对照组,对实验组进行知识讲座、发放安全注射指南、宣传册以及现场指导等综合干预措施,并分别在干预后1个月和6个月对2组进行问卷调查,比较2组不安全注射行为率及安全注射行为的效果。结果:干预后1个月,实验组不安全注射行为率由干预前的27.8%下降到21.7%,而对照组的不安全注射行为率反而由26.0%上升到了27.9%,干预后2组比较差异具有统计学意义(P<0.01);干预后6个月,再次对医护人员进行调查发现,实验组医护人员的不安全注射率继续下降到了18.4%,未接受干预的对照组医护人员的不安全注射行为率也下降到了22.4%,但干预后两组比较差异仍具有统计学意义(P<0.01)。而实验组和对照组在不同干预时间点不安全注射行为率都逐渐降低,差异均有统计学意义(P<0.01)。实验组在干预后1个月和6个月的安全注射行为得分均高于对照组(P<0.01);实验组自身干预后比干预前的行为得分高(P<0.01)。结论:安全注射知识与技能的培训、发放安全注射指南与注射现场的实践指导相结合的综合干预模式对于改变基层医护人员不安全注射的行为效果显著,值得推广。
Objective： To experimentally intervene safe injection by medical staff in basic-level hospitals and observe the recent and long-term effect after the intervention and to provide practical measures to improve safe injection. Methods： We used random sampling methods to set up groups in county hospitals and township hospitals of Hunan Province, and offered lectures, delivered safe injection guide, brochure and on-site guidance in the experimental group. We surveyed the 2 groups after the intervention at1 month and 6 months to compare the effect of unsafe iniection behaviors and safe injection behaviors. Results： One month after the intervention, the unsafe injection rate in the experimental group decreased from 27.8% to 21.7%, while in the control group injection the unsafe injection rate rose from 26.0% to 27.9%, with significant difference （P〈0.01）. Six months after the intervention, the unsafe injection rate in the experimental group declined to 18.4% while the unsafe injection rate in the control group also dropped to 22.4%, with significant difference （P〈0.01）. Unsafe injection rate was decreased in the experimental group at different intervention points, with significant difference （P〈0.01）. The safe injection behavior scores in the experimental group were higher than those in the control group after the intervention of 1 month and 6 month intervention （P〈0.01）; the experimental group got higher scores after the intervention （P〈0.01）. Conclusion： Training of safe injection, distribution of safe injection guide, and comprehensive intervention model can significantly change the primary care practitioners＇ behaviors in unsafe injections and it is worth promoting.
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2013年第7期748-753,共6页
Journal of Central South University ：Medical Science
关键词
不安全注射
综合干预
评估
医护人员
基层医院
unsafe injection
comprehensive intervention
assessment
medical staff
basic-level hospital
