论文部分内容阅读
目的开展医务人员布鲁氏菌病防治相关知识行为调查分析,为进一步做好布鲁氏菌病防治工作提供科学依据。方法根据甘肃省镇原县疾病预防控制中心自行设计的布鲁氏菌病防治知识问卷调查表,对全县819名医务人员进行现场调查。结果医务人员9个方面布鲁氏菌病防治知识知晓率为14.65%~99.15%,平均51.06%,其中男性52.76%、女性50.20%,男性医务人员布鲁氏菌病防治知识知晓率高于女性,差异有统计学意义(χ~2=4.344,P<0.05),且随着年龄增长(χ~2=56.220)、工龄增加(χ~2=94.938)以及职称提高(χ~2=54.820),知晓率逐渐升高,差异有统计学意义(均P<0.05);县疾病预防控制中心医务人员布鲁氏菌病防治知识知晓率(71.26%)高于县级综合医院(53.01%),也高于乡(镇)卫生院(48.43%);从事公共卫生的医务人员布鲁氏菌病防治知识知晓率(64.99%)高于医疗岗位(51.32%)、医技岗位(49.72%)、药剂岗位(48.31%)、护理岗位(47.84%)和其他岗位(42.13%),差异有统计学意义(均P<0.05);多因素非条件Logistic回归分析显示,性别、年龄、工龄、工作单位及工作岗位是影响医务人员布鲁氏菌病防治知识知晓率的主要因素。结论镇原县医务人员布鲁氏菌病防治知识平均知晓率较低,医疗机构中从事临床工作的年轻医生相关知识更为薄弱,少数人员卫生防病意识淡薄;加强医务人员布鲁氏菌病防治知识全员培训和健康教育,是目前布鲁氏菌病防治工作的当务之急。
Objective To carry out investigation and analysis of the related knowledge and behavior of prevention and treatment of brucellosis among medical staff and provide a scientific basis for further prevention and control of brucellosis. Methods Based on the questionnaire of Brucellosis prevention and control knowledge designed by CDC in Zhenyuan County, Gansu Province, 819 medical staffs in the county were investigated on site. Results The awareness rate of prevention and control of brucellosis among medical staff was 14.65% ~ 99.15%, with an average of 51.06%, of which 52.76% for males and 50.20% for females, and the awareness rate of prevention and control of brucellosis among male medical staff was higher than that of females (Χ ~ 2 = 4.344, P <0.05). With increasing age (χ ~ 2 = 56.220), the length of service increased (χ ~ 2 = 94.938) and the title was increased (χ ~ 2 = 54.820) (P0.01); the awareness rate of brucellosis prevention and control among medical staff in county CDC (71.26%) was higher than that of county-level general hospital (53.01%), the difference was statistically significant (P0.05) (48.43%) in township (town) hospitals. The awareness rate of brucellosis prevention and control among medical staff engaged in public health was 64.99% higher than medical posts (51.32%), medical posts (49.72%), (48.31%), nursing posts (47.84%) and other posts (42.13%), the differences were statistically significant (all P <0.05) .Multivariate non-conditional Logistic regression analysis showed that gender, age, length of service, And job positon are the main factors influencing the awareness of prevention and control of brucellosis among medical staffs. Conclusion The average awareness rate of prevention and control of brucellosis among medical staffs in Zhenyuan County is relatively low. The knowledge about young doctors engaged in clinical work in medical institutions is weaker, and the awareness of health and disease prevention among minority persons is weak. The number of brucellosis Prevention and treatment of all staff training and health education, prevention and treatment of brucellosis is the top priority.