天津市社区医务人员肺结核防治知识干预效果调查

Study on the Intervention for Medical Staff in Community about Knowledge of Tuberculosis in Nankai District of Tianjin

目的了解天津市社区医务人员肺结核防治知识的认知情况以及评价相关健康教育的干预效果,并通过达到有效的干预途径以提高社区医务人员肺结核防治知识知晓率,为肺结核的防治提供参考和依据。方法采用整群抽样方法,调查天津市南开区13家社区医院的300名医务人员,设计肺结核防治知识调查问卷进行调查,并进行肺结核防治知识健康教育培训,干预前后都采取问卷调查医务人员对肺结核的知、信、行三个方面的内容,评价干预效果。结果干预前后,五项核心信息知识的知晓率分别为85.74%和100%;对结核病患者的态度调查发现"同情他们并希望帮助他们"的态度持有率分别为65%和76%;对结核病患者采取"支持和帮助他们"的行为持有率分别为63%和100%。结论在社区医疗机构开展肺结核防治知识健康教育的干预效果具有成效,各级医疗卫生机构应长久、持续地开展相应的健康教育培训,提高医务人员的发现和正确有效治疗肺结核病的能力。

Objective To understand the awareness of pulmonary tuberculosis （TB） community medical workers and evaluate the effect of the health education. Methods Cluster sampling were used to survey 300 medical workers of 13 community hospitals in Nankai area. We provided health education training for medical workers and used questionnaire to access the effect of the intervention. Results The rate of five core information about TB were 85.74% and 100% in befor and after intervention. The rate of attitude about compassion and hope to help TB patients were 65% and 76%. The rate of behavior about support and help them were 63% and 100%. Conclusions Carrying out the health education for community medical workers is necessary. Medical and health institutions at various levels should carry out the health education to improve the ability of detecting and effectively treating tuberculosis patient.