综合干预对禽类从业人员H7N9禽流感知信行的影响

Effects of comprehensive interventions on H7N9 avian influenza KAP in poultry practitioners

目的探讨综合干预对禽类从业人员H7N9禽流感知信行的影响,评价干预效果。方法整群选取佛山市三水区内禽类从业人员,采取综合措施进行干预,并于干预前后进行问卷调查,调查内容包括:H7N9禽流感知识、H7N9禽流感风险认知态度及个人防护行为。结果调查对象H7N9禽流感相关知识、态度及行为干预前、后平均得分分别为7.05、11.28分,差异有统计学意义(P<0.01)。干预后禽类从业人员H7N9禽流感知识各个知识点的知晓率均有不同程度的提高,差异均有统计学意义(均P<0.01),其中干预后知晓率提高幅度最大的知识点为"不同批次的禽类应该分开存放",知晓率提高了50.67%。干预后禽类从业人员H7N9禽流感风险认知正确态度持有率均有不同程度的提高,差异均有统计学意义(均P<0.01),其中干预后持有率提高幅度最大的认知态度为"档口是否应增加抽风设备",提高了53.88%。干预后禽类从业人员H7N9禽流感个人防护行为的正确形成率均有不同程度的提高,差异均有统计学意义(均P<0.01),其中干预后形成率提高幅度最大的行为为"工作时佩戴手套",提高了19.67%。结论采取综合干预措施对提高禽类从业人员H7N9禽流感知识知晓率、正确态度持有率及行为形成率均有明显效果,今后应继续加大综合干预力度,同时应针对干预中的薄弱环节加强干预。

Objective To explore and evaluate effects of comprehensive intervention on KAP regarding H7N9 avian influenza in poultry practitioners. Methods Poultry practitioners were selected by cluster random sampling method in Sanshui District,Foshan City,intervened using comprehensive measures,and surveyed before and after the intervention. Survey contents included knowledge,risk perception attitudes,and personal protective behavior regarding H7N9 avian influenza. Results The average scores of knowledge,risk perception attitudes,and personal protective behavior held by the subjects regarding H7N9 avian influenza were 7. 05 and 11. 28 before and after the intervention（ P〈0. 01）. After intervention the awareness rates of knowledge regarding H7N9 avian influenza in poultry practitioners were improved in different degrees（ all P〈0. 01）,of which the awareness rate of knowing that ＂ Different batches of poultry should be kept separately＂ increased the greatest by 50. 67%. The proportions of correct attitude to risk perception regarding H7N9 avian influenza held by poultry practitioners increased in different degrees after the intervention（ all P〈0. 01）,of which the rate of cognitive attitude to that ＂ The ventilation equipment should be installed in the stalls＂ increased the greatest by 53. 88%. After the intervention their correct personal protective behaviors had different degrees of improvement（ all P〈0. 01）,of which the behavior to ＂wear gloves when working＂ increased the greatest by 19. 67%. Conclusion Comprehensive interventions had significant effect on improving rates of knowledge and awareness,right attitude,and personal protective behavior held by the poultry practitioners regarding H7N9 avian influenza.