吉林省临床医生丙型病毒性肝炎防治知识认知现况

Present cognition of viral hepatitis type C prevention and control knowledge among clinicians in Jilin Province

目的了解吉林省临床医生丙型病毒性肝炎(简称丙肝)防治知识知晓情况、专业知识现况及相关影响因素,为加强相关培训、提升临床医生对丙肝的诊疗水平提供依据。方法2022年6—8月采用分层随机抽样方法抽取调查对象,对其进行问卷调查,单因素分析采用χ^(2)检验,多因素分析采用logistic回归分析。结果共收集有效问卷555份,临床医生对丙肝防治知识的总知晓率为55.32%。单因素分析结果显示:不同年龄、文化程度、职称、部门、科室、工作年限、医院等级和医院类型的临床医生,对“丙肝诊断依据”(χ^(2)=9.211、7.622、6.042、4.582、2.341、12.029、12.243、8.027,均P<0.05)和“丙肝治疗方案”(χ^(2)=36.470、36.489、25.397、19.042、1.595、48.017、35.314、68.547,均P<0.05)的知晓率,差异有统计学意义。多因素分析结果显示:年龄≥40岁(OR=3.076,95%CI:1.303~6.815)、本科学历(OR=2.818,95%CI:1.162~6.835)、工作年限≥11年(OR=2.209,95%CI:1.148~4.253)、二级和三级医院(OR=11.648、6.484,95%CI:1.998~67.893、1.414~29.727)的临床医生,对“丙肝诊断依据”的知晓率更高;年龄≥40岁(OR=3.132,95%CI:1.340~7.320)、本科学历(OR=3.914,95%CI:1.408~7.163)、工作≥11年(OR=1.768,95%CI:1.078~2.900)、二级和三级医院(OR=12.521、5.668,95%CI:1.319~58.846、11.310~22.946)的临床医生,对“丙肝治疗方案”的知晓率更高。结论部分临床医生对丙肝认知不足,应有针对性地加强医护人员丙肝防治知识培训,提升医疗队伍丙肝诊疗和防治知识水平。

Objective To understand the awareness of prevention and treatment knowledge of viral hepatitis type C(referred to as hepatitis C)among clinicians in Jilin Province,the current status of core knowledge,and related influencing factors,and to provide a basis for strengthening the relevant training and improving the diagnosis and treatment level of hepatitis C among clinicians.Methods From June to August 2022,a stratified random sampling method was used to select the survey subjects for a questionnaire survey.Single factor analysis was performed using theχ^(2) test,and multivariate analysis was performed using logistic regression analysis.Results A total of 555 valid questionnaires were collected,and the total awareness rate of clinicians about hepatitis C prevention and treatment knowledge was 55.32%.The results of univariate analysis showed that clinicians of different ages,educational levels,position titles,departments,divisions,years of experience,hospital grades,and types of hospitals were more likely to be interested in the"Diagnostic basis of hepatitis C"(χ^(2)=9.211,7.622,6.042,4.582,2.341,12.029,12.243,8.027,all P<0.05)and"Treatment regimens for hepatitis C"(χ^(2)=36.470,36.489,25.397,19.042,1.595,48.017,35.314,68.547,all P<0.05),and the difference in the awareness rates of the knowledge was statistically significant.The results of multivariate analysis showed that clinicians aged≥40 years(OR=3.076,95%CI:1.303-6.815),with a bachelor′s degree(OR=2.818,95%CI:1.162-6.835),≥11 years of work experience(OR=2.209,95%CI:1.148-4.253),and working in secondary and tertiary hospitals(OR=11.648,6.484,95%CI:1.998-67.893,1.414-29.727)had a higher awareness rate of the"Diagnostic basis of hepatitis C".Clinicians who were≥40 years old(OR=3.132,95%CI:1.340-7.320),had a bachelor′s degree(OR=3.914,95%CI:1.408-7.163),had been working for≥11 years(OR=1.768,95%CI:1.078-2.900),and working in secondary and tertiary hospitals(OR=12.521,5.668,95%CI:1.319-58.846,11.310-22.946)had higher awareness rates of the"Treatment regimens for hepatitis C".Conclusion Some clinicians have insufficient understanding of hepatitis C.Targeted training should be provided to strengthen the knowledge of hepatitis C prevention and treatment among healthcare professionals,and to improve the level of diagnosis and treatment,and prevention knowledge of hepatitis C among healthcare teams.