南宁市基层结核病督导员结核病核心知识知晓率及耐多药结核病管理态度调查  

Investigation of TB core knowledge awareness and management attitudes towards MDR-TB patients in Nanning grassroots TB supervisors

作　　者：朱荣健[1] 梁长威[1] 陈燕萍[1] 黄家运[1] 刘玉坚[1] 谢柳媛 徐斌[1] 

机构地区：[1]南宁市疾病预防控制中心结核病防治科,广西南宁530023

出　　处：《中国医药科学》2016年第8期7-11,共5页China Medicine And Pharmacy

基　　金：广西壮族自治区卫生和计划生育委员会科研课题(Z2015032);广西壮族自治区南宁市科学研究与技术开发计划项目(20123126)

摘　　要：目的了解南宁市基层两类督导员对结核病核心知识知晓率,以及对耐药结核病患者态度的差异,分析其影响因素,为调整南宁市基层开展结核病防控策略提供重要依据。方法对南宁市64名耐多药督导员以及131名普通督导员进行结核病核心知识等进行结构式问卷调查,另外采用AQ-S8态度调查问卷对督导员对结核病患者的态度进行调查。计数资料采用卡方检验或Fisher确切概率法进行组间比较,计量资料采用成组t检验或配对t检验,多因素分析采用广义线性模型(generalized linear model)调整协变量,取α=0.05。结果收回有效问卷195份,应答率为86.7%,其中耐多药督导员问卷64份,普通督导员问卷131份。基层两类督导员调查显示:结核病核心知识知晓率为89.91%,耐多药知晓率仅为65.20%。对待结核患者态度调查显示:基层两类督导员对结核病患者和耐多药结核病患者回避的态度都较为明显,且对耐多药结核病患者的责备、威胁、恐惧及回避的情绪较普通结核病患者显著增高(P<0.05);耐多药督导员对耐多药患者的威胁感随着督导时间延长呈正相关(t=3.44,P<0.01)。结论应加强基层督导员结核病政策信息及耐多药肺结核的防治知识的培训,掌握耐多药结核病相关院感防护知识及技能,消除他们对耐多药肺结核患者的恐惧心理。Objective To explore TB core knowledge awareness and management attitudes towards MDR-TB patients in Nanning grassroots TB supervisors, analyze the influential factors, and provide scientific references for the adjustment of basic level tuberculosis prevention and control strategy in Nanning city. Methods Structured questionnaires of TB core knowledge were carried out in 64 MDR-TB supervisors and 131 ordinary TB supervisors.The management attitudes of supervisors towards TB patients were investigated by AQ-S8 attitude questionnaires. The enumeration data were compared by chi-square test or Fisher exact probability method, the measurement data were compared by group t-test or paired t-test,and the multi factor analysis was carried out by generalized linear model（α=0.05）. Results There were 195 validated questionnaires in all, the response rate was 86.7%, among them, there were 64 questionnaires from MDR-TB supervisors,and 131 questionnaires from ordinary TB supervisors. The structured questionnaires showed that the TB core knowledge awareness rate was 89.91%,the MDR-TB knowledge awareness rate was merely 65.20%.The attitude questionnaires showed that the evasive attitudes of the two kinds of supervisors towards TB patients and MDR-TB patients were obvious, and the emotions of blame, threat, fear, and avoidance towards MDR-TB patients were obviously stronger than those towards common TB patients（in all questionnaires,P〈0.05）.There was a positive correlation between the threaten emotions in MDR-TB supervisors towards MDR-TB patients and supervise time（t=3.44,P〈0.05）. Conclusion We should strengthen the awareness of TB policy and MDR-TB prevention knowledge in grassroots TB supervisors, help them master the prevention knowledge and skills of hospital related MDR-TB infections, and eliminate their fear towards MDR-TB patients.

关 键 词：耐多药结核病 督导员 知晓率 管理态度 

分 类 号：R521[医药卫生—内科学]