兰州市医务人员丙型肝炎防治知识知晓情况及影响因素分析

Knowledge of hepatitis C prevention and treatment and its influencing factors among medical staff in Lanzhou

目的为了解兰州市医务人员的丙型肝炎(丙肝)防治知识知晓率,探索相关的影响因素,为制定兰州市丙肝防治工作提供科学依据。方法采用多阶段分层抽样方法,在所选择的医院中以科室为单位抽取临床医生进行调查。利用决策树模型和Logistic回归模型探索医务人员丙肝知识知晓率的影响因素。结果共收回有效问卷937份,兰州市医务人员的丙肝防治知识总知晓率为63.6%,其中丙肝防治基础知识知晓率为89.9%,丙肝防治专业知识知晓率仅为52.5%。丙肝知识知晓率的决策树模型生长层数为3层,共筛选出文化程度、年龄、最近一个月是否开过丙肝化验单和性别为显著的影响因素。Logistic回归模型筛选出5个影响因素,分别为文化程度、科室、最近一个月是否开过丙肝化验单、医院等级和医院类型(P<0.05)。结论兰州市医务人员的丙肝防治专业知识知晓率较低,文化程度、年龄、性别、科室、最近一个月是否开过丙肝化验单、医院等级和医院类型是其主要的影响因素,下一步应该加强对医务人员丙肝防治知识的培训。

Objective To understand the awareness rate of hepatitis C knowledge among medical staff in Lanzhou,explore the relevant influencing factors and provide a scientific basis for the prevention and treatment of hepatitis C in Lanzhou city.Methods A multi-stage stratified sampling method was used to select clinicians by department in the selected hospitals for the survey.Decision tree model and logistic regression model were used to explore the influencing factors of knowledge about hepatitis C among medical staff.Results A total of 937 valid questionnaires were collected.The total awareness rate of knowledge about hepatitis C prevention and treatment was 63.6%,among which the awareness rate of basic knowledge about hepatitis C prevention and treatment was 89.9%,and the awareness rate of professional knowledge about hepatitis C prevention and treatment was only 52.5%in Lanzhou.The decision tree model of knowledge awareness rate of hepatitis C had 3 layers,and the factors including educational level,age,whether to open a test sheet for hepatitis C in the last month and sex were significant.The logistic regression model identified 5 influencing factors,including educational level,department,whether to open a test sheet for hepatitis C in the last month,hospital grade,and hospital type(P<0.05).Conclusions The medical staff in Lanzhou had a low awareness rate of the knowledge of hepatitis C prevention and treatment.Educational level,age,sex,department,whether or not a hepatitis C test was taken in the last month,hospital grade,and hospital type were the major influencing factors,the next step should be to strengthen the medical staff knowledge of hepatitis C prevention and treatment training.