安徽省医疗机构医务人员丙肝防治知识培训效果评估

Effect evaluation of knowledge training in the prevention and treatment of hepatitis C among medical staff of Anhui medical institutions

目的了解安徽省医疗机构医务人员对丙肝基本知识、诊断和防护知识的知晓情况,并对培训效果进行评估,探讨培训模式及内容的可行性。方法邀请丙肝防控及临床专家,采用讲座及互动讨论的方式,就丙肝流行病学、临床特点及防控知识进行面对面培训,并于培训前、后分别对参加培训的医务人员进行问卷调查。结果参加培训的169名医务人员培训前丙肝基本知识回答正确率在70%以上,121名培训者培训后丙肝基本知识回答正确率在87%以上。医务人员对"急性丙肝的临床表现"、"慢性丙肝的定义"、"感染丙肝后可检测到HCV核酸的时间"、"确诊为丙肝的实验室检测依据"、"丙肝标准预防的原则"、"防止医务人员发生丙肝院内感染的措施"和"发生丙肝职业暴露后应采取的措施"这7个知识的回答正确率分别由培训前的78.7%、85.8%、33.7%、74.0%、53.3%、71.0%、23.8%提高到培训后的94.2%、96.7%、65.3%、99.2%、66.9%、82.6%、47.0%,差异均有统计学意义(P值均小于0.05)。结论医疗机构医务人员对丙肝诊断和防护知识的知晓水平不高,应进一步加强对安徽省医务人员丙肝知识的培训。

Objective To understand the awareness of basic knowledge,diagnosis and prevention knowledge about hepatitis C among medical staff in Anhui province,and evaluate the effect of training to explore the feasibility of training mode and training content. Methods The public health and clinical experts for the prevention and control of hepatitis C were invited to lecture through the styles of seminar and interactive discussion. A face-to-face training in the epidemiology,clinical features,and prevention and control of hepatitis C was conducted to the medical staff. A questionnaire survey was conducted to the medical staff before and after training,respectively. Results The correct rate of the basic knowledge of hepatitis C was over 70% before training among the 169 medical staff who participated in the training. And it was increased to above 87% after training among the 121 medical staff. The correct answer rate on the questions such as ＂ the clinical manifestations of acute hepatitis C＂, ＂ the definition of chronic hepatitis C＂, ＂ the time of detecting HCV-RNA after infected with hepatitis C＂, ＂ the laboratory testing basis for confirmed hepatitis C＂, ＂ the standard prevention principle for hepatitis C＂, ＂ the measures of preventing hospital infection for hepatitis C＂,and ＂ the measures should be taken after occupational exposure for hepatitis C＂,were improved significantly from 78. 7%,85. 8%,33. 7%,74. 0%,53. 3%,71. 0% and 23.8% before training to 94. 2%,96. 7%,65. 3%,99. 2%,66. 9%,82. 6% and 47. 0% after training（ all P〈0. 05）.Conclusion The awareness of diagnosis and prevention knowledge about hepatitis C among medical staff was not well. We should further strengthen the training of medical staff on knowledge in this area.