北京市医务人员鼠疫防控知识知晓率及病例报告与培训相关态度意愿调查

Survey on the awareness rate,training demand and attitude towards case report about plague among medical workers in Beijing

目的了解北京市医务人员对鼠疫相关知识的掌握情况及对鼠疫培训知识的需求,为有针对性地开展鼠疫培训工作、提升医务人员鼠疫防控技能给出合理建议。方法通过网络发布问卷,采用自填式问卷调查方法对北京市医疗机构医务人员开展问卷调查。采用Kolmogorov-Smirnov检验方法进行单样本均数的正态性检验,采用方差分析和秩和检验的方法进行组间均数的比较。结果本次调查共回收问卷706份,通过对作答所用时长及逻辑校验进行筛选,最终654份问卷纳入统计计算。问卷中各部分正确率由高到低分别为:病例治疗(67.48%)、鼠疫基础知识(65.49%)、病例报告(55.66%)、流行形势(41.13%)和病例诊断(35.86%)。调查对象工作单位性质不同,封闭式问题总分不同,由高到低依次为疾控中心、医院、社区卫生服务中心,差异具有统计学意义(P<0.017);工作单位为医院的调查对象,一级医院得分低于三级医院(H=-49.47,P=0.014)。调查对象认为影响临床医师报告病例的主要因素居前三位的为:专业知识和技能(32.25%)、培训知识全面(21.49%)和经验(19.85%)。调查对象对鼠疫培训的需求居前三位的为:鼠疫临床诊断标准更新和补充的内容(15.00%)、北京市鼠疫防控工作详情(13.22%)和鼠疫疫源地及鼠间鼠疫情况(12.89%)。结论应根据医务人员的需求有针对性地开展鼠疫培训,同时提高医院、社区卫生服务中心医务人员鼠疫防控相关知识知晓率。

Objective This study aimed to understand the awareness rate,attitude and training needs of medical staff in Beijing on plague,and to provide suggestions for targeted training and improvement of plague prevention and control skills.Methods A self-administered questionnaire was posted on the Internet to survey medical staff in medical institutions in Beijing.Kolmogorov-Smirnov test was used to test for normality of sample means.ANOVA and Kruskal-Wallis method were used to compare means between groups.Results A total of 706 questionnaires were collected in this survey.After screening the length of time and logical verification,654 questionnaires were finally included in the statistical calculation.The accuracy rates of each part of the questionnaire from high to low were:case treatment(67.48%),core knowledge(65.49%),case report(55.66%),epidemical tendency(41.13%)and diagnosis(35.86%).Overall scores for closed-ended questions varied by the nature of the respondents’organization.The order from high to low was CDC,hospital and community health service center,and the differences were statistically significant(P<0.017).The score of the respondents in the first-class hospitals was lower than that in third-class hospitals(H=-49.47,P=0.014).Professional knowledge and skills(32.25%),comprehensive training(21.49%)and personal experience(19.85%)were considered to be most important factors affecting medical workers case reporting.For the training of plague,the updated information of diagnostic criteria(15.00%),the prevention and control of plague in Beijing(13.22%),as well as the epidemic areas and the situation of plague in rats were most desired knowledge.Conclusions The plague training should be carried out according to the needs of medical workers,and at the same time,the awareness rate of plague prevention and control knowledge among medical workers of hospitals and community health service centers should be improved.