医务人员乙型肝炎病毒母婴阻断措施知晓情况的4年随访  

Four-year follow-up of cognitive situation of mother-to-infant hepatitis B virus transmission amongmedical personnel

作　　者：刘春华[1] 李庆彦[1] 刘晶晶[1] 王伟红[1] 谷金君[2] 李庆方[1] 王思奎[1] Liu Chunhua;Li Qingyan;Liu Jingjing;Wang Weihong;Gu Jinjun;Li Qingfang;Wang Sikui(Department of Hepatology,Liaocheng People＇s Hospital,Liaocheng 252000,Shandong,Chin;Department of Prevention and Health Care,Liaocheng People＇s Hospital,Liaocheng 252000,Shandong,China)

机构地区：[1]聊城市人民医院肝病科,山东聊城252000 [2]聊城市人民医院预防保健科,山东聊城252000

出　　处：《国际流行病学传染病学杂志》2018年第4期254-257,共4页International Journal of Epidemiology and Infectious Disease

摘　　要：目的了解山东省5市医务人员HBV母婴阻断措施认知情况，探讨进行继续教育的必要性。方法2013年选择山东省5市721名医务人员为研究对象。以首次发放预防HBV母婴传播知识调查表为起点，通过电子邮件和电话随访4年，调查医务人员获取HBV母婴阻断相关知识的途径及调查表得分的变化，分析影响得分的因素。结果随访起点回收的721份有效问卷中得分≥11分的问卷共计369份（51_2％）。对721人随访（3．1±1．6）年，687人获得满意随访，随访率95．3％。4年满分率仅85．9％（590／687）。与二级和三级医院相比，基层一级医院继续教育机会不足坼：25．334、18．081，P均〈0．01）。相对于专科医疗机构，综合医院HBV母婴传播相关知识的继续教育培训机会少（X2=13．323、28．394，P均〈0．01）。机构级别（OR=6．292，95％CI：1．672-16．939）和文化程度（OR=7．798，95％C1：2．709～30．379）是影响满分问卷的因素。结论山东省5市医务人员对HBV母婴传播阻断相关知识还需要加强学习。乡镇基层综合医院低学历人员，需要重点进行继续教育培训。Objective To investigate the cognitive situation of mother-to-infant HBV transmission among medical staffs in Shandong province, so as to provide references for further education. Methods There were 721 medical staffs selected from 5 cities in Shandong in 2013. The questionnaire was taken as the starting point of the survey. The 4-year follow-up was done through Email and telephone. The access to related inten^uption knowledge and the change of questionnaire score were observed among these medical staffs. Influencing factors of the score change were analyzed. Results There were 369 （51.2%） out of 721 valid questionnaires at the starting point scored/〉 11. A total of 72l medical staffs were followed up for （3.1-＋1.6） years, and 687 ones （95.3%） completed the follow-up. The results showed that 590 （85.9%） out of 687 staffs got full scores during 4-year follow-up. Continuing education and training opportunities about mother-to-infant HBV transmission were inadequate in the primal7 hospitals compared with seeondm7 and tertiary hospitals（~=25.334 and 18.081, P all〈 0.01 ）, as well as in general hospitals compared with specialized hospitals 0（2=13.323 and 28.394, P all〈0.01 ）. The hospital level（OR= 6.292, 95%CI：1.672-16.939） and education level （OR =7.798, 95%CI： 2.709-30.379） could influence the awareness rate of mother-to-infant HBV transmission knowledge. Conclusions The knowledge and awareness of interruption measures of mother-to-infant HBV transmission should be further trained in medical staffs from 5 eities in Shandong. Continuing education should be strengthened among low education background staff of general hospitals in towns.

关 键 词：肝炎病毒 乙型 医务人员 母婴阻断 影响因素 

分 类 号：R192[医药卫生—卫生事业管理]