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目的了解北京市顺义区基层医务人员病毒性肝炎相关知识知晓情况及态度情况,评价培训效果,为防控提供依据。方法采用分阶段整群随机抽样方法自顺义区28家医疗机构抽取103名病毒性肝炎防控相关医务人员开展培训并进行问卷调查。结果共调查医务人员90名,目前顺义区基层医务人员病毒性肝炎相关知识的掌握情况不太理想,仅有51.1%知晓HBV的传染源,63.4%知晓HBV的传播途径,55.6%了解急性HBV的主要临床表现,45.5%清楚HBV的判断标准。通过专业培训,医务人员病毒性肝炎相关知识知晓率显著提高,HBV传染源,传播途径,主要临床表现和诊断标准的知晓率分别为74.3%、93.2%、89.2%和89.2%,差异均有统计学意义(χ2=9.25,20.4,22.19,34.09;P﹤0.05);病毒性肝炎正确态度采取率也进一步提高。结论提高基层医务人员病毒性肝炎相关知识知晓率及正确态度采取率对病毒性肝炎预防控制工作非常重要,应加强病毒性肝炎相关知识及规范化诊疗方面的培训。
Objective To understand the knowledge and attitudes of viral hepatitis related to grassroots medical workers in Shunyi District of Beijing and evaluate the effect of training so as to provide basis for prevention and control. Methods Staged cluster random sampling method was used to collect 103 viral hepatitis prevention and control related medical staff from 28 medical institutions in Shunyi District to carry out training and conduct questionnaire survey. Results A total of 90 medical staffs were surveyed. At present, the knowledge about viral hepatitis in grassroots medical workers in Shunyi District is not satisfactory. Only 51.1% knew the source of HBV infection, 63.4% knew the route of HBV transmission, 55.6% knew acute HBV The main clinical manifestations, 45.5% clear criteria for the determination of HBV. Through professional training, the awareness rate of viral hepatitis related to medical staff increased significantly, and the awareness rate of HBV source, route of transmission, main clinical manifestations and diagnostic criteria were 74.3%, 93.2%, 89.2% and 89.2% respectively, with statistical differences (Χ2 = 9.25,20.4,22.19,34.09; P <0.05); the correct attitude of viral hepatitis to take rate is also further improved. Conclusion It is very important to improve the awareness and correct attitude of viral hepatitis related knowledge among primary medical staff to take precautionary and control work on viral hepatitis. Training on viral hepatitis-related knowledge and standardized diagnosis and treatment should be strengthened.