医务人员对结核病患者筛查和管理肝炎病毒感染的认知调查

Survey on medical workers' cognition of hepatitis virus screening and management in tuberculosis patients

目的了解国内医务人员为结核病患者进行诊疗时对肝炎病毒感染筛查和管理的认知意向。方法2019年6月,采用电子问卷的形式对国内参与结核病诊疗的医务人员进行抽样调查,分析被调查者的人口学特征、结核病诊疗经验、所在医院相关检验,以及对肝炎病毒筛查和管理的意向选择的情况。结果在纳入分析的2155份问卷中,被调查者对结核病患者肝炎病毒感染筛查和管理的认知总分为8分,平均得分(6.21±2.11)分,有21.1%的医务人员的认知总分低于5分。在抗结核治疗前,对抗-HCV筛查意向的比例明显低于HBsAg(52.8%VS 71.1%,P<0.001)。被调查者对结核病患者筛查和监测肝炎病毒的意向,与其所处地区、医院等级、科室类别及所在医院是否有相关检验项目存在相关性。结论从事结核病诊疗的医务人员对结核病患者肝炎病毒感染的筛查与监测的意向存在较大差异,提升医务人员在诊疗结核病患者的肝炎病毒筛查与管理认知,将有助于降低结核病患者严重肝损伤的发生。

Objective To investigate the cognition of medical workers about the screening and management of hepatitis virus infections in tuberculosis patients.Methods In June 2019,an electronic questionnaire was used to conduct a sample survey of domestic medical workers engaged in tuberculosis diagnosis and treatment.And the demographic characteristics of the respondents,tuberculosis diagnosis and treatment experience,relevant lab tests in their hospitals,as well as their intention to choose hepatitis virus screening and management were analyzed.Results 2155 questionnaires were included in the analysis.The total score of respondents'cognition for screening and management of hepatitis virus infection in TB patients was 8 points,the mean score was(6.21±2.11)points,and the total score of 21.1%of the respondents was less than 5 points.Before anti tuberculosis treatment,the proportion of anti HCV screening intention was significantly lower than that of HBsAg(52.8%vs 71.1%,P<0.001).The intention of respondents screened and monitored for hepatitis virus infection in TB patients was associated with their hospital departments,hospital's grades and locations and the availability of appropriate laboratory supports.Conclusion There is substantial between-worker variation in the cognition and practice of screening and monitoring of hepatitis virus infections in TB patients.Improving the cognition of hepatitis virus screening and management in tuberculosis patients will help reduce the occurrence of severe liver injuries in TB patients.