高级检索

江西省临床医生丙型肝炎知晓情况分析

Awareness of professional knowledge on hepatitis C prevention and control among practicing clinicians in Jiangxi province: a cross-sectional study

  • 摘要:
    目的 了解江西省临床医生丙型肝炎(简称丙肝)防治专业知识知晓水平,为有针对性地开展培训和制定院内丙肝病例筛查管理措施提供参考。
    方法 2021年8月 — 2022年5月,按照中国疾病预防控制中心《全国丙肝知识知晓率调查实施方案》要求,对江西省5个县区10家医疗机构的临床医生进行现场调查。内容包括丙肝的检测发现、诊断报告和治疗动员知识共16题,答对 ≥ 12题判定为知晓丙肝防治专业知识。采用多因素logistic回归模型分析临床医生丙肝知晓情况及相关影响因素。
    结果 共发放问卷752份,收回有效问卷751份。临床医生丙肝防治专业知识知晓率为17.0%,其中“丙肝病例的诊断分类”“丙肝临床诊断病例的诊断依据”和“丙肝病例诊断后的正确做法”等问题回答正确率较低,分别为7.0%、7.0%和33.9%。相对于外科医生,感染性疾病科医生(OR = 8.308,95%CI = 3.746~18.427)和内科医生(OR = 1.855,95%CI = 1.011~3.406)知晓率较高;相对于本科学历医生,硕士及以上学历临床医生知晓率较高(OR = 1.750,95%CI = 1.157~2.647)。
    结论 江西省临床医生丙肝防治专业知识知晓水平较低,科室和文化程度是主要影响因素。

     

    Abstract:
    Objective To understand the level of professional knowledge of hepatitis C prevention and control among practicing clinicians in Jiangxi province, and to provide a reference for targeted training and development of in-hospital hepatitis C case screening and management policies.
    Methods Using stratified cluster sampling and the questionnaire of the "National Implementation Plan for Hepatitis C Knowledge Awareness Rate Survey" developed by the Chinese Center for Disease Control and Prevention, we conducted an on-site anonymous survey of 752 practicing clinicians aged 21 – 60 years in 10 hospitals in 5 counties and districts of Jiangxi province from August 2021 to May 2022. Participants who correctly answered 12 out of 16 questions on hepatitis C detection, diagnosis, and treatment from the questionnaire were classified as having professional knowledge of hepatitis C prevention and control. A multivariate logistic regression model was used to analyze the associated factors influencing hepatitis C awareness among clinicians.
    Results Among 751 participants with valid responses, 17.0% were assessed as having professional knowledge of hepatitis C prevention and control, with lower proportions of participants correctly answering "diagnostic classification of hepatitis C cases" (7.0%), "diagnostic basis for clinical diagnosis of hepatitis C cases" (7.0%), and "correct practices after diagnosis of hepatitis C cases" (33.9%). Compared with surgeons, clinicians working in infectious disease departments (odds ratio OR = 8.308, 95% confidence interval 95%CI: 3.746 – 18.427) and internal medicine departments (OR = 1.855, 95%CI: 1.011 – 3.406) were more likely to have higher awareness of professional knowledge. Compared to those with a bachelor′s degree, clinicians with a master's degree or higher were more likely to have a higher awareness of professional knowledge (OR = 1.750, 95%CI: 1.157 – 2.647).
    Conclusions The awareness level of professional knowledge on hepatitis C prevention and control is low and mainly influenced by work department and education among practicing clinicians in Jiangxi province.

     

/

返回文章
返回