《广州管圆线虫病诊断标准》(WS/T 321—2010)在福建省和云南省实施情况的跟踪评价

Follow-up evaluation on the implementation of Diagnostic Criteria for Angiostrongyliasis(WS/T 321—2010)in Fujian and Yunnan provinces

目的了解《广州管圆线虫病诊断标准》(WS/T 321—2010)(简称《标准》)的实施情况,为《标准》的推广和进一步修订、完善提供科学依据。方法通过分层抽样的方式抽取福建省和云南省的省、市、县和乡镇4级的疾病预防控制机构(简称疾控机构)和医疗机构的专业技术人员作为调查对象,采用调查对象自填问卷的方式开展《标准》实施情况调查。结果共调查工作人员308人,回收有效问卷308份。《标准》知晓率为71.10%(219/308),不同特征调查对象中,≥50岁(81.40%,35/43)、市级单位(79.76%,67/84)、疾控机构(88.24%,105/119)、从事寄生虫病防治工作(85.71%,114/133)、高级职称(82.86%,58/70)、本科文化程度(77.09%,138/179)、公共卫生专业(86.21%,75/87)等人群的《标准》知晓率较高,且随着年龄增加和职称升高,《标准》知晓率呈上升趋势(χ^(2)_(趋势)=8.272、8.258,P均<0.01);知晓途径主要是业务培训(65.30%,143/219)和自主查阅(60.73%,133/219)。在《标准》的使用情况方面,知晓《标准》的调查对象中,有75.34%(165/219)会在工作中使用,15.98%(35/219)会经常使用。不同宣贯方式中,宣传资料的普及率最高(58.77%,181/308);75.32%(232/308)的调查对象认为专题讲座的宣贯效果好。能正确且完整掌握诊断原则、感染方式、临床表现、实验室检查方法和诊断类型等知识的调查对象人数分别为292人(占94.81%)、102人(占33.12%)、130人(占42.21%)、117人(占37.99%)和152人(占49.35%)。绝大多数调查对象(占89.61%,276/308)认为标准的可操作性好或较好。宣贯力度对标准实施的影响最大(占80.84%,249/308)。91.88%(283/308)的调查对象认为现行标准不需要修订。结论《标准》仍适用于当前阶段的诊断需求,应继续加大对专业人员的宣贯力度,提高其认知和应用水平。

Objective To understand the current status of implementing Diagnostic Criteria for Angiostrongyliasis(WS/T 321—2010)for scientific evidences to promote and further refine this standard.Methods By stratified sampling,we conducted a survey on the professionals from the disease prevention and control institutions(hereafter referred to as disease control institutions)and medical institutions at the provincial,municipal,county,and township levels in Fujian Province and Yunnan Province.Self-administered questionnaire was used to investigate the implementation status of Diagnostic Standard for Angiostrongyliasis(WS/T 321—2010).Results A total of 308 professionals were surveyed,and all of the questionnaires were validly retrieved.The awareness rate for the Standard was 71.10%(219/308).Among the subjects surveyed with different characteristics,those aged≥50(81.40%,35/43),professionals working at prefecture level units(79.76%,67/84)and in disease control institutions(88.24%,105/119),engaging in parasitic disease prevention and control work(85.71%,114/133),with senior professional titles(82.86%,58/70),undergraduate education level(77.09%,138/179),and public health majors(86.21%,75/87)demonstrated higher awareness rates of the Standard.The awareness rate of the Standard showed an increasing trend with age and professional title(χ^(2)_(trend)=8.272,8.258,all P<0.05).The main channels to acquire the knowledge were professional training(65.30%,143/219)and selfaccess to the knowledge(60.73%,133/219).Among 219 respondents,who were aware of the Standard 75.34%(165/219)had the chance to use the Standard in real work,and 15.98%(35/219)used it frequently.The popularity rate of promotional materials was the highest among different promotion methods(58.77%,181/308),and 75.32%(232/308)of the respondents considered that the special lecture had a good dissemination effect.The rate for completely mastering the diagnostic principles,infection modes,clinical manifestations,laboratory testing methods,and diagnostic types were 94.81%(292/308),33.12%(102/308),42.21%(130/308),37.99%(117/308)and 49.35%(152/308),respectively.The absolute majority of respondents(89.61%,276/308)considered that the operability of the standard was good or fairly good.The promotion efforts(80.84%,249/308)had the greatest impact on the implementation of the Standard,and 91.88%(283/308)of the respondents insisted that there was no need to amend the Standard in current stage.Conclusion Diagnostic Standard for Angiostrongyliasis(WS/T 321—2010)is still applicable to the current diagnostic needs,and it is necessary to continue to increase the dissemination of the Standard among professionals to enhance their awareness and application levels.