四川省临床医生丙型病毒性肝炎防治知识知晓率及影响因素分析

Awareness rate and influencing factors of hepatitis C prevention and treatment knowledge among clinical physicians in Sichuan Province

目的 了解四川省临床医生丙型病毒性肝炎(简称丙肝)防治知识知晓现况,为下一步工作提供基线资料。方法 采用问卷调查四川省11家综合性医院的临床医生丙肝防治知识知晓情况,并进行统计分析。结果 共回收有效问卷322份,丙肝基础知识知晓率为94.41%,其中相对县级医院,地市级医院医生基础知晓率较低(OR=0.108,P=0.033)。专业问题知晓率最低的为“丙肝的诊断分类”(22.05%)。对专业知识知晓率低于60.00%的7题进行分析,“丙肝的特点”仅医院等级差异有统计学意义(P<0.001);余下6题多因素分析显示:地市级医院除“需要进行抗病毒治疗的丙肝病例类型”外、省级医院除“丙肝的高风险人群”外其余5题知晓率均较低(P≤0.05);对于“丙肝的临床病例诊断依据”和“需要进行抗病毒治疗的丙肝病例类型”三级医院知晓率较高(OR分别为58.308、6.331,P<0.001);对于“丙肝的临床病例诊断依据”外科医生(OR=2.973,P=0.014)、对于“丙肝的诊断分类”妇产/儿科/皮肤性病/感染科医生(OR=2.795,P=0.031)、近一年接受过丙肝相关培训者(OR=2.212,P=0.017)知晓率均较高;对于“血液抗-HCV阳性的意义”工作5年以上者的(OR=0.482,P=0.011)知晓率较低。结论 四川省临床医生的丙肝防治知识知晓水平较低,有必要在四川省临床医生中开展规模大、内容针对性强的相关培训。

Objective To investigate the current level of awareness of hepatitis C virus(HCV)prevention and treatment knowledge among clinical physicians in Sichuan Province,China,and to provide baseline data for future work in this area.Methods A questionnaire survey was conducted among clinical physicians from 11 comprehensive hospitals in Sichuan Province to assess their awareness of HCV prevention and treatment knowledge.Statistical analysis was performed on the collected data.Results A total of 322 valid questionnaires were collected,with an overall basic knowledge awareness rate of 94.41%.Compared with physicians from county-level hospitals,those from prefecture-level hospitals had a lower awareness rate(OR=0.108,P=0.033).The professional question with the lowest awareness rate was"diagnostic classification of HCV"(22.05%).A totally of 7 questions with an awareness rate less than 60.00%were analyzed,and only the hospital grade of"characteristics of HCV"showed a statistically significant difference(P<0.001).Multivariate analysis of the remaining 6 questions showed that,except for"types of HCV cases requiring antiviral treatment"in prefecture-level hospitals,and"the high-risk populations for hepatitis C"in provincial-level hospitals,the awareness rates for the remaining 5 questions were relatively low(P≤0.05).The awareness rates for"clinical diagnosis criteria for HCV"and"types of HCV cases requiring antiviral treatment"were higher in tertiary hospitals(OR=58.308,OR=6.331,P<0.001).Regarding"clinical diagnosis criteria for HCV",the awareness rate was higher among surgeons(OR=2.973,P=0.014),and regarding"diagnostic classification of HCV",the awareness rate was higher among physicians specializing in obstetrics/gynecology,pediatrics,dermatology/venereology,and infectious diseases(OR=2.795,P=0.031).Awareness rate was also higher among those who had received HCV-related training in the past year(OR=2.212,P=0.017).However,the awareness rate of"significance of a positive anti-HCV blood test"was lower among physicians with more than five years of experience(OR=0.482,P=0.011).Conclusions The awareness of HCV prevention and treatment knowledge among clinical physicians in Sichuan Province,China,is relatively low.It is necessary to conduct large-scale and targeted training programs specifically designed for clinical physicians in this region.