江苏农村医务人员结核病知识、态度和行为的定性研究

A qualitative study on knowledge, attitude and practice on tuberculosis of healthcare providers in rural jiangsu province

目的 研究苏北农村地区医务人员有关结核病的知识、态度和行为 (KAP) ,为农村结核病防治提供依据。方法 采用定性研究方法 ,以专题小组讨论 (FGD)和个人深入访谈的形式对从事结防工作的医务人员进行调查。结果 ⑴医务人员具有结核病发生、诊断和治疗的基本知识 ,认为结核病发生的危险因素包括外出打工、贫穷和营养差 ;病人经济条件和年龄是影响病人能否坚持治疗的主要原因之一 ;延误就医和不规范治疗可能导致治疗失败 ;⑵结防专业医务人员能与病人保持良好的医患关系 ;⑶对结核病人能及时准确地按照规程开展诊治 ,积极宣传结核病预防知识。结论 医务人员对结核病具有一定的认识 ;能诊治当地的结核病 ,但过程不甚规范 ,进一步业务培训应着重强调病人教育。

Objective To study the status of Knowledge, Attitude and Practice (KAP) on Tuberculosis (TB) of healthcare providers in rural Jiangsu province. Method A qualitative study was carried out among healthcare providers of TB control. Ten Focus Group Discussions(FGD) and seven In-depth Interviews were conducted. Results ⑴The healthcare providers had a good understand of prevalence, diagnosis and treatment on TB. The risk factors are doing heavy physical work out of town, poverty and malnutrition. Socio-economic status and age affected the adherence to treatments. ⑵The providers were accepted by patients for their good health services. ⑶ The diagnosis and treatment of TB in county and township hospitals followed the guideline of the Ministry of Health. Conclusion The healthcare providers need further trainings on diagnosis and treatments of TB even they have done a lot for TB control. The findings from this study provide helpful information to TB control in rural China.