深圳市某区全科医师麻风病防治知识与医源性歧视状况调查  

Survey on Leprosy-related Knowledge and Iatrogenic Discrimination of General Practitioners in a District of Shenzhen City

作　　者：许宗严[1] 邱莉霞[1] 帅俊[1] 胡瑞娟[1] 招琳[1] 朱红[1] 赵蓉[1] 

机构地区：[1]深圳市福田区慢性病防治院皮肤性病防治科,广东深圳518048

出　　处：《实用预防医学》2013年第11期1398-1401,共4页Practical Preventive Medicine

基　　金：2012年深圳市福田区公益性科研项目(FTWS201268)

摘　　要：目的调查深圳市某区社区全科医师对麻风病的认知现状与医源性歧视状况,探讨如何更有效开展社区全科医师培训,消除麻风病医源性歧视。方法采用匿名问卷调查的方法,对深圳市某区178名全科医师进行调查。结果被调查的社区全科医师,55.62%近5年内接受过麻风病知识培训;仅有12.36%及20.79%的全科医师能够正确掌握麻风病诊断标准及麻风病可疑症状;全科医师常见的医源性歧视形式为:服务后特别消毒处理(73.60%)、处理患者时保持距离(72.47%)、隔离或特别对待病人(62.36%),推诿转诊患者(15.73%)的情况较少。年龄、职称因素对于疾病认识没有影响(P>0.01),培训能够消除医师对于麻风病的恐惧。结论社区健康服务中心全科医师专业知识仍需加强,对麻风病患者仍存在一定程度的歧视,有必要建立长期的更为有效的培训模式以促进麻风病例早期诊断及消除医源性歧视。Objective To investigate the current situation of leprosy-related knowledge and iatrogenic discrimination among general practitioners in a district of Shenzhen City,and explore the effective training methods for eliminating iatrogenic discrimination towards leprosy.Methods An anonymous questionnaire survey was carried out among 178 general practitioners worked in 55 community health service centers in a district of Shenzhen City.Results Among 178 general practitioners,55.62 ％ received training in recent five years.Most of general practitioners were lack of the knowledge of diagnosis criteria and suspected symptoms of leprosy.The common discrimination behaviors in the general practitioners of the community health service centers were as follows：special disinfection after service （73.60％）,remaining distance between patients （72.47％）,and isolating patients or treating patients with special manners （62.36 ％）.The situation of unreasonably transferring patients to others was rare,accounting for 15.73 ％.The leprosy-related knowledge and discrimination of general practitioners were not correlated with age and professional title （P＞0.01）,but the leprosy-related training could reduce the fear of leprosy.Conclusions The general practitioners of the community health service centers are deficient in the expertise,and iatrogenic discrimination towards leprosy is still remained.It is necessary to establish an effective and long-term training mechanism for early diagnosis of leprosy and elimination of iatrogenic discrimination.

关 键 词：麻风病 社区 全科医师 

分 类 号：R755.01[医药卫生—皮肤病学与性病学]