医护人员对肺结核感染防治知识认知现状及影响因素研究

A study on the cognitive status of prevention knowledge of tuberculosis infection in medical staff and its influencing factors

目的探讨某医院医护人员对肺结核相关防治知识的知晓现状及影响因素。方法制定《肺结核感染防治相关知识调查问卷》,收集2015年1月-2016年10月在医院工作1年以上的注册护士和执业医师为调查对象。统计研究对象的基本资料、调查问卷各项目得分及总得分情况。对调查问卷得分进行单因素分析,并将单因素分析中有统计学意义的项目作为自变量并进行赋值,将受试者调查问卷得分设为因变量,进行Logistic多因素分析。结果在完成问卷调查的348名受调查者中,总得分为(29.84±3.45)分;单因素分析结果显示,不同年龄、职称、学历、工龄、科室、治疗或护理肺结核患者经验的受调查者之间,调查问卷总得分比较差异有统计学意义(P<0.05),年龄越大、职称及学历越高、工龄越长、有治疗或护理肺结核患者经验的受试者,其调查问卷总得分越高,呼吸科、传染科的受试者,调查问卷得分高于其他科室;多因素Logistc回归分析结果显示,职称、学历、工龄、科室、治疗或护理肺结核患者经验为问卷得分的影响因素。结论某院医护人员对肺结核的相关防治知识总体认知水平有待提高,应加强培训、体检、防护等方面的工作。

OBJECTIVE To investigate the cognitive status of the knowledge on tuberculosis-related prevention and treatment among medical staff in a hospital and its influencing factors.METHODS A questionnaire on knowledge related to prevention and treatment of tuberculosis infection was developed,and the registered nurses and medical practitioners who have worked in the hospital for more than one year were enrolled from Jan.2015 to Oct.2016.The basic data of the research objects,the scores of the items in the questionnaire and the total score were analyzed.The scores of the questionnaires were analyzed by univariate analysis,and the items with statistical significance in the univariate analysis were assigned as independent variables,and the scores of the questionnaires were set as dependent variables for logistic multivariate analysis.RESULTS For the 348 respondents who completed the questionnaire,the total score was(29.84±3.45)points.The univariate analysis showed a s significant difference in the total scores of the questionnaires completed by respondents with different ages,titles,qualifications,length of service,department,experience in treatment or care of tuberculosis patients(P<0.05).The older the respondents,the higher the professional titles and academic qualifications,the longer the working years,and the more the experience in treatment or care for tuberculosis,the higher the total score of the questionnaire was.Subjects in the respiratory and infectious disease departments had higher scores than those in other departments.Multivariate logistic regression analysis showed that the professional title,education,seniority,department,and experience in treatment or care of tuberculosis patients were the influencing factors of the questionnaire score.CONCLUSION The overall cognitive level of the prevention and treatment knowledge relevant to tuberculosis among medical staff in the hospital needs to be improved,and training,physical examination and protection should be strengthened.