2023年江苏省扬州市医护人员丙型肝炎防治知识知晓率现状及影响因素分析

Current status of awareness of knowledge about prevention and treatment of hepatitis C in medical staff and related factors in Yangzhou, Jiangsu, 2023

  • 摘要:
    目的  了解江苏省扬州市各级医疗机构医护人员对丙型肝炎(丙肝)基本知识、诊断和治疗知识和相关政策知晓率。
    方法  设计医护人员防治知识调查表,对扬州市各级医疗机构医护人员进行问卷调查,运用Excel 2010、SPSS 19.0软件对数据进行整理和分析,采用单因素和多因素logistic回归分析影响丙肝认知状况的因素。
    结果  本次调查共搜集有效问卷4 319份,总知晓率37.97%。 丙肝基本知识知晓率67.47%,完全知晓率13.31%,回答正确率在32.53%~97.92%;丙肝诊断和治疗知识知晓率30.40%,完全知晓率0.30%,回答正确率在24.33%~97.99%;丙肝相关政策知晓率35.19%,完全知晓率8.43%,回答正确率在19.31%~92.43%。 2 261人(52.35%)最近1年接受过丙肝知识培训。 多因素logistic回归分析结果显示:医院等级、医院类别、科室、文化程度和近1年是否接受丙肝知识培训是丙肝知识知晓率的影响因素(均P<0.05)。 不同科室、不同医院等级、不同医院类别医护人员,在丙肝基本知识、诊断和治疗知识、丙肝相关政策知晓率均差异有统计学意义(P<0.05)。
    结论  扬州市医护人员丙肝诊断、治疗知识和丙肝政策知晓率均不高,近1年接受丙肝知识培训的比例也较低,应该加强医护人员培训,提高其诊疗水平和发现疾病的能力。

     

    Abstract:
    Objective To understand the awareness of basic knowledge about hepatitis C, diagnosis and treatment and related policies in medical staff in medical institutions at all levels in Yangzhou, Jiangsu province.
    Methods A questionnaire was designed to investigate the awareness of knowledge about prevention and treatment of hepatitis C in the medical staff. Software Excel 2010 and SPSS 19.0 were used for the data process and analysis, and univariate logistic regression and multivariate logistic regression analyses were used to identify the factors affecting the awareness of the knowledge about hepatitis C.
    Results A total of 4 319 valid questionnaires were collected and the overall awareness rate was 37.97%. The awareness rate of basic knowledge about hepatitis C was 67.47%, the complete awareness rate was 13.31%, and the correct answer rate was 32.53%–97.92%. The awareness rate of the knowledge about diagnosis and treatment of hepatitis C was 30.40%, the complete awareness rate was 0.30%, and the correct answer rate was 24.33%–97.99%. The awareness rate of polices related hepatitis C prevention and control was 35.19%, the complete awareness rate was 8.43%, and the correct answer rate was 19.31%–92.43%. A total of 2 261 (52.35%) received hepatitis C knowledge training in the past year. Multivariate logistic regression analysis showed that hospital level, hospital category, department, educational level and receiving specific training or not in the past year were the influencing factors for awareness of hepatitis C related knowledge (all P<0.05). There were significant differences in the awareness of basic knowledge about hepatitis C, diagnosis and treatment of hepatitis C, and related policies among medical staff in different departments and in different hospitals (P<0.05).
    Conclusion The awareness of diagnosis and treatment related knowledge and related policies of hepatitis C were not high in the medical staff in Yangzhou, and the proportion of the medical staff who received specific training on hepatitis C in the past year was also low. It is necessary to strengthen the related training in medical staff to improve their diagnosis and treatment level.

     

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