上海市养老机构消毒员从业现况及其需求调查

Personnel engaging in disinfection in nursing institutions for the aged in Shanghai and their demand investigation

  • 摘要: 目的 探讨上海市养老机构消毒员基本特征及其所在岗位的工作需求,为提升养老机构消毒与感染控制能力提供参考依据。方法 采用分层随机整群抽样方法,设计包含消毒员基本情况、岗位需求等内容的量表,对上海市6个行政区内全部养老机构消毒员开展调查。运用χ2检验、独立样本t检验和单因素方差分析等统计学方法进行数据分析。结果 回收有效量表9 00份,有效率为96.26%。上海市养老机构消毒员以女性为主,年龄多集中在41岁及以上,学历以初中及以下为主,半数以上从事养老工作年限≥5年,在当前机构工作时间≥5年以上占比最高,岗位类型最多为护理人员。上海市不同行政区、不同性质养老机构、不同岗位类型消毒员在年龄、学历、从事养老工作年限和在当前机构工作时间方面均存在统计学差异(P<0.05)。从事养老工作年限≥5年且在该机构工作时间≥5年的仅占37.22%。全市养老机构消毒员对四个需求维度总需求得分平均值为64.85±17.19分,不同年龄消毒员在总需求上存在统计学差异(P<0.05)。结论 上海市养老机构消毒员具有学历层次偏低、年龄偏大、流动性较高,消毒与感染控制专业素养不足的特征。亟需加强专业认知教育,开展系统化培训,以降低重点机构内感染性疾病发病率和聚集性疫情发生的风险。

     

    Abstract: OBJECTIVE To explore the essential features of the disinfection personnel in nursing institutions for the aged in Shanghai and the demands for their posts so as to provide bases for boosting the capabilities of disinfection and infection control in the nursing institutions for the aged. METHODS A scale involving the contents such as the basic information and demands for the posts was designed by stratified randomized cluster sampling method, and the survey was conducted for the disinfection personnel from all of the nursing institutions for the aged in 6 administrative districts of Shanghai. The data were analyzed by means of Chi-square test, independent sample t-test and univariate variance analysis. RESULTS Totally 900 valid questionnaires were recycled, with the valid rate 96.26%. The female personnel of disinfection was dominant among the personnel in the nursing institutions for the aged in Shanghai, most of them were aged no less than 41 years old and were with the education background of junior high school or less, half of them were engaged in nursing care work for the aged for no less than 5 years, the proportion of the personnel who have worked in the current institution for no less than 5 years was highest, and the nursing post was the predominant post. There were significant differences in the age, education level, years of working in the nursing post, and duration of employment in the current institution among the disinfection personnel with different posts from different nature of nursing institutions and different administrative districts of Shanghai(P<0.05). The personnel who have engaged in the aged people nursing for no less than 5 years and have worked in the current institutions for no less than 5 years accounted for 37.22%. The average total demand score across four dimensions was (64.85 ± 17.19) points among the disinfection personnel in the whole city, and there was significant difference in the total demand among the different age groups of disinfection personnel(P<0.05). CONCLUSIONS The disinfection personnel in the aged nursing institutions of Shanghai are characterized by the low educational level, old age, high mobility, and insufficient professional competence in disinfection and infection control. There is an urgent need to strengthen the education of professional awareness and carry out the systemic training so as to reduce the incidence of infectious diseases and risk of cluster epidemic in the key institutions.

     

/

返回文章
返回