周口市医务人员丙型肝炎防治知识调查

Investigation on knowledge about hepatitis C prevention among medical staff in Zhoukou City

目的了解医疗机构丙型病毒性肝炎(丙肝)防治工作人员丙肝防治知识、病例诊断和疫情报告标准掌握情况及影响因素,为提高丙肝疫情报告质量和采取有效的预防控制措施提供依据。方法采用问卷调查的方式,对周口市辖区市县乡三级医疗机构606名医务人员进行一对一调查,并对调查结果进行统计分析。结果 36.6%的调查对象能完全正确回答如何预防丙肝,市县级医院医务人员回答正确率高于乡级医院(χ2=13.9,P<0.01),调查对象所在业务部门回答正确性差异有统计学意义,其中检验部门(52.0%)高于诊治部门(37.0%),诊治部门高于防保部门(18.2%),差异有统计学意义(χ2=34.6,P<0.01);35.8%的人能够正确回答丙肝的诊断标准,多因素logistic回归分析显示,市级医院医务人员回答正确率高于县级医院,县级高于乡级,检验部门人员回答正确率高于防保部门,防保部门高于诊治部门,回答正确率随着工作年限的增加而增高;17.7%能完全正确回答丙肝疫情报告标准,多因素logistic回归分析结果显示,医院级别越高,回答正确率越低,防保部门业务人员回答正确率高于诊治部门,诊治部门高于检验部门,回答正确率随着工作年限的增加而增高。结论该市医务人员丙肝防治知识、丙肝诊断与报告标准掌握情况均较差,并受到所在医院级别、所在业务部门及工作年限的影响。提示应提高医务人员丙肝防治业务技术水平,通过医务人员这一平台,向广大患者传播正确的丙肝防治知识,提高职业暴露防护意识,从而遏制丙肝的进一步传播和蔓延。

[Objective]To study the knowledge about hepatitis C prevention,diagnosis criteria,and epidemic situation reporting standards among working staff in medical institutions,explore its influencing factors,and provide evidence for improving the report quality on hepatitis C epidemic situation and taking effective preventive measures.[Methods]606 workers in city-level,county-level and township-level medical institutions of Zhoukou City were investigated by questionnaire,and the investigation results were statistically analyzed.[Results]36. 6% of interviewees have correctly answered the question of how to prevent hepatitis C. The correct answer rates of medical workers in city-level and county-level institutions were higher than that of township-level institutions（ χ^2= 13. 9,P〈0. 01）. There were significant differences in correct answer rate among different departments. The correct answer rate of testing department（ 52. 0%） was higher than that of diagnosis department（ 37. 0%）,while the correct answer rate of diagnosis department was higher than that of prevention department（ 18. 2%）,and the differences were significant（ χ^2= 34. 6, P〈0. 01）. 35. 8% of interviewees have correctly answered the question of diagnostic criteria on hepatitis C. Multiple logistic regression analysis showed the correct answer rate of medical workers in city-level institutions was higher than that in county-level institutions,while the county-level institutions was higher than township-level institutions. The correct answer rate of testing department was higher than that of prevention department,while the prevention department was higher than the diagnosis department. The correct answer rate increased with increasing working years. 17. 7% of interviewees have correctly answered the question of report standard of epidemic situation on hepatitis C. The higher grade hospitals had the lower correct answer rate. The correct answer rate of prevention department was higher than that of diagnosis department,while the diagnosis department was higher than the testing department. The correct answer rate increased with increasing working years.[Conclusion]The awareness rates of knowledge about hepatitis C prevention,diagnosis criteria,and epidemic situation reporting standards among workers in medical institutions are low in Zhoukou City,and are influenced by hospital grade,department and working years. It is necessary to improve the level of hepatitis C prevention and treatment among medical staff to spread the correct knowledge to patients,and strengthen the protection consciousness about occupational exposure,to restrain the further transmission and spread of hepatitis C.