医院卫生技术人员对静脉血栓栓塞症防治认知差异及影响因素分析

目的 探讨我国医疗情境下静脉血栓栓塞症(venous thromboembolism, VTE)认知差异及影响因素,为制定有效的VTE防治管理策略和培训计划提供依据。方法 采用定性和定量相结合的方法,通过分层抽样对医院在岗卫生技术人员进行问卷调查,涵盖医生、护士、技师、药师及医院管理者。问卷内容包括个人基本信息、对VTE防治的认知情况、态度及难点,针对以上数据进行描述性分析、单因素和多元线性回归分析。结果 共收集有效问卷915份。调查显示卫生技术人员对VTE防治的认知总体较高,但存在显著差异。性别、人员类别、教育程度和职称是影响VTE认知的主要因素。与药师相比,规范化培训医师、护士、医师及医疗管理人员的VTE认知得分较高。较高的教育程度和职称水平与更高的VTE防治认知呈正相关。在态度方面,大部分卫生技术人员对VTE防治持积极态度,但也担忧额外工作压力和患者的依从性。结论 人员类别、教育程度和职称是影响卫生技术人员VTE防治认知的主要因素。建议加强对不同类别卫生技术人员的VTE防治知识培训,特别针对初级和中级医务人员,建议提升其专业能力和参与意愿,同时强化跨科室合作和患者教育,以提高VTE防治的效果。

The Difference in Cognition Consistency Between the Sciences and Humanities

It is reasonable that the strict sciences represented by mathematics, physics and chemistry have nearly been a kind of substitutional belief of humans after "the Death of God". To conclude theoretically, the significant attraction or the extremely great power of science is, in a word, the validity of thinking and action. From the viewpoint of human action or prac-

Exploring Tourists’Low-carbon Cognition and Influencing Factors from the Dimension of Education Level

The cognition of low-carbon tourism among tourists is closely related to education level.In this study,the degree of coordination of low-carbon cognition with different educational levels is assessed by the coupling model in Wutai Mountain,and the effect of each factor on low-carbon cognition is analyzed by the geographical detector.The results show that:(1)The six cognition aspects of low-carbon tourism gradually transition from the level of intermediate coordination to good coordination with the advancement of the education level.Both the low-level and lower-level tourists belong to the lag type of low-carbon visiting cognition,and the higher-level tourists belong to the lag type of low-carbon shopping cognition,while the high-level tourists show the lag type of low-carbon food cognition.(2)According to the individual factors and interactive effects in the geographical detector,each impacting factor has a decisive effect on tourists’cognition of low-carbon tourism,and the effect of any two factors after interaction shows either a double-factor or nonlinear enhancement.The findings of this study provide valuable practical implications for helping tourism destinations to educate tourists and improve their low-carbon tourism options.At the same time,this study will provide theoretical standards for measuring tourists’cognition of low-carbon tourism,so as to enrich and improve the theoretical research related to low-carbon tourism.