安徽省部分地区医务人员对人感染 H7N9禽流感知信行调查

Survey on knowledge, attitude and practice of healthcare workers toward Avian influenza A (H7N9) virus human infection in areas of Anhui province

目的了解医务人员对H7N9禽流感知信行状况,为禽流感病例的早诊早治提供科学依据。方法采用统一的调查问卷对3个县各级医疗机构医务人员开展调查,分析医务人员知信行状况。结果回收有效问卷394份,回收率96.59%(394/408),其中女性205人,占52.03%;平均年龄(37.29±9.14)岁;来自乡镇医疗机构的占62.18%,县级医疗机构占37.82%。医务人员对个人防护、病毒分型、传染源和治疗方法的知晓率分别为94.92%、91.37%、90.86%、90.61%,早期使用抗病毒药物(48h)知晓率仅为41.37%,H7N9病毒对禽类不致病为23.60%,患者转诊条件知晓率为66.53%。知识得分为(16.27±2.44)分,LJ县较其他2个县知识得分较低(OR=0.47,95%CI:0.25~0.89);态度行为得分为(7.21±1.25)分,县级医院较乡镇医疗机构有较高的态度行为得分(OR=2.02,95%CI:1.26~3.23)。结论安徽省LJ、NL和FC 3个县的县级和乡镇医疗机构的医务人员对H7N9禽流感知识和态度行为方面认识不足,应加强医务人员对H7N9禽流感知识和态度行为方面的培训,尤其是LJ地区、乡镇医疗机构的医务人员。

Objective To discuss the current status of knowledge,attitude and practice(KAP)of healthcare workers toward avian influenza A(H7N9)virus human infection,and to provide scientific evidence for disease early diagnosis and treatment.Methods A standardized,self-administered questionnaire survey was conducted among healthcare workers in medical institutions in three counties,and the KAP of healthcare workers were evaluated.Results A total of 408 questionnaires were issued and 394 were retrieved with a response rate of 96.59%and 52.03%were females.The average age was 37.29±9.14 years old,62.18%and 37.82%of participants were from town-level and county-level medical institutions.The awareness rates of participants in personal protection,virus typing,infection sources and treatment methods were 94.92%,91.37%,90.86%,and 90.61%,respectively.The awareness rates of subjects about early antiviral treatment(48 h),pathogenicity of H7N9 virus to poultry and referral conditions of patients were 41.37%,23.60%and 66.53%,respectively.The overall score of knowledge was 16.27±2.44,which was lower among healthcare worker from LJ region compared to those from the other two counties(OR=0.47,95%CI:0.25-0.89).The overall score of attitude-practice was 7.21±1.25,which was much higher among subjects from county-level medical institutions compared to those from town-level ones(OR=2.02,95%CI:1.26-3.23).Conclusions Healthcare workers in town-level and county-level medical institutions in three counties of LJ,NL and FC in Anhui Province have insufficient awareness of KAP toward human infections with avian influenza H7N9 virus.Therefore,specific trainings should be provided to local healthcare workers especially those from LJ area and from town level medical institutions.