江西省卫生人员对于结核感染控制知识的认知情况调查

The awareness of tuberculosis infection control knowledge of healthcare worker＇ s in Jiangxi province

目的了解江西省医疗卫生机构结核病防治人员对于结核感染控制知识的认知情况，分析影响卫生人员对结核感染控制知识认知的因素。方法本研究采用江西省卫生和计划生育委员会科技计划项目“江西省结核感染控制现状调查”中的结核感染控制知识问卷[每份问卷由结核感染预防控制的组织管理和3种控制措施（分别为管理措施、环境和工程控制、个人防护），共4个方面的知识组成]，对江西省811名结核病防治（简称“结防”）工作人员[包括结防机构（疾病预防控制中心、结核病防治所、定点医院）和综合医疗机构结防科、感染科、传染科等从事结核病防治的工作人员]进行横断面调查，共收集到807份有效问卷（有效率为99．5％）进行数据分析；807名结核病防治工作人员分为5个职业类别，其中实验室人员120名、临床医生254名、公共卫生医师165名、护士131名、行政及其他人员（除实验室外的辅助检查科室人员）137名。结果结核感染控制措施中，结防工作者关于“排菌肺结核患者应隔离”、“通风有助于降低结核感染风险”的知晓率较高，分别为91．3％（502／550）和98．0％（539／550）；而对于“咳嗽者不应在普通候诊室候诊”、“结核病实验室暴露风险最高的操作”、“正确清洁紫外线灯的方法”和“医护人员采集患者痰标本时应佩戴医用防护口罩”的知晓率较低，分别只有58．0％（319／550）、19．5％（107／550）、66．2％（364／550）和77．7％（627／807）。结论江西省卫生人员对于结核感染控制知识的认知水平有待提高，医疗卫生机构需加强结防人员结核感染控制知识和技能的学习培训，特别需要注意候诊室分诊、结核病实验室暴露风险评估和口罩佩戴类型的选择等问题。

Objective To understand the TB professionals awareness level on tuberculosis infection control （TBIC） knowledge and its associated factors in Jiangxi province. Methods A cross study was taken by question- naires chosen from the science and technology plan projects of the health and family planning commission of Jiangxi province ＂the status survey on TBIC in healtheare facilities of Jiangxi province＂ about TBIC knowledge. The content of questionnaire includes TB infection management and 3 kinds of control measures （respectively for management measures, and environment and engineering control, and personal protection）, total 4 aspects of knowledge. A total of 811 tuberculosis prevention and treatment of workers, including staffs in CI）Cs, TB institutions, and TB desig nated hospitals and TB workers in general hospitals were investigated by questionnaires. Eight hundred and seven valid questionnaires were collected （effective rate of 99.5%） for analysis, among them 120 were from laboratory personnel, 254 were from clinicians, 165 were from public health doctors, 131 were from nurses and 137 were from administrators or others. Results On TB infection control measures, the TB workers had higher awareness level on ＂infectious pulmonary tuberculosis patients should be quarantined＂ and ＂ventilation helps to reduce the risk of TB infection＂, respectively 91.30% （502/550） and 98.0% （539/550）; As for ＂coughing persons should not wait in the general waiting room＂, ＂operations in TB laboratory at highest exposure risk＂, ＂correct cleaning methods of ultravio- let lamp＂ and ＂medical staff should wear a medical mask when collecting sputum specimens＂, the awareness is low, with only 58. 0% （319/550）, 19.5% （107/550）, 66.2%（364/550） and 77.7% （627/807）. Conclusion Theawareness level on TBIC knowledge needs to be improved among healthcare worker＇s in Jiangxi, and healthcare facilities need to strengthen the knowledge and skills about TBIC among the tuberculosis prevention and treatment workers with the focus on triage, TB laboratory exposure risk assessment and the selection of mask to wear.