基层医务人员新冠肺炎防护知、信、行调查分析  

Knowledge,attitude and practice of protection against COVID-19 among primary medical staff

作　　者：冯祥 华召来[1] 施秋萍[1] 王敏[1] 钱东福 周琴[1] 施爱武[1] FENG Xiang;HUA Zhaolai;SHI Qiuping;WANG Min;QIAN Dongfu;ZHOU Qin;SHI Aiwu(Yangzhong People’s Hospital,Yangzhong,Jiangsu 212200,China;School of Public Health,Nanjing Medical University,Nanjing,Jiangsu 211166,China;School of Health Policy&Management,Nanjing Medical University,Nanjing,Jiangsu 211166,China)

机构地区：[1]江苏省扬中市人民医院,江苏扬中212200 [2]南京医科大学公共卫生学院,江苏南京211166 [3]南京医科大学医政学院,江苏南京211166

出　　处：《中国农村卫生事业管理》2020年第6期409-414,共6页Chinese Rural Health Service Administration

基　　金：国家自然科学基金面上项目(71874085);扬中市新型冠状病毒感染的肺炎疫情应急科技攻关专项(YS202004)。

摘　　要：目的了解基层医务人员新型冠状病毒肺炎(novel coronavirus pneumonia,COVID-19)防护知信行现状。方法于2020年3月3日-10日,通过便利抽样的方法抽取扬中市基层医疗机构中的617位医务人员作为调查对象。采用问卷星自行设计调查问卷,对调查对象COVID-19防护的认知、态度和行为进行调查,进行描述性分析。结果基层医务人员对COVID-19是人传人现象、COVID-19定义、无症状感染者是否具有传染性、密切接触者居家隔离期限和是否可治愈的知晓率较高(96.92%~99.51%);对COVID-19症状、有效灭活病毒的方法、传播途径以及COVID-19可能的携带者等知识掌握欠佳(15.07%~57.21%);其他知识点知晓率在70.83%~88.17%之间。53.00%的基层医务人员并不恐惧COVID-19,99.51%的人有信心战胜COVID-19。同时,对COVID-19防护意义、疫情进展、现场防疫工作参与意愿、开展相关课程和培训、突发公共卫生事件演练、了解相关知识和现场防疫和救助工作的自我胜任能力呈现积极态度。但28.85%的基层医务人员认为当地COVID-19防疫力度过当,影响正常生活。基层医务人员工作防护行为和个人防护行为执行率均较高,但其中根据岗位的调动,采取相应级别的防护措施,并及时更换、尽量不去公共场合和适量运动方面还需进一步加强。结论扬中市基层医务人员COVID-19防护认知呈现知而不全的特征,但防护态度和防护行为较好。因此,应不断结合科学的COVID-19防护指南和健康教育手册,加强COVID-19防控知识的培训和教育力度,培养基层医务人员对COVID-19防护科学而全面的认知。Objective To know about the status quo of knowledge,attitude and practice of protection against coronavirus disease 2019(COVID-19)among primary medical staff in Yangzhong City.Methods From March 3 to 10,2020,617 medical workers from primary health institutions in Yangzhong City were selected as the subjects by means of convenience sampling.A questionnaire was designed by the questionnaire star software to investigate the knowledge,attitude and practice of the protection against COVID-19 among the respondents and then a descriptive analysis was made.Results The respondents had a higher awareness of human-to-human transmission of COVID-19,definition of COVID-19,whether asymptomatic infections were contagious,home isolation period for close contacts,and whether the disease was curable(96.92%~99.51%).Their awareness was not satisfactory of the symptoms of COVID-19,effective ways to inactivate viruses,means of transmission and the possible carriers of COVID-19(15.07%~57.21%).The awareness rate of other relevant knowledge was between 70.83%and 88.17%.53.00%of the respondents were not afraid of COVID-19,and 99.51%of them were confident to conquer it.Meanwhile,the respondents showed a positive attitude towards the significance of COVID-19 protection,the progress of epidemic situation,the willingness to participate in on-site epidemic prevention work,the implementation of relevant courses and training,training and drills of public health emergencies,the enthusiasm of acquiring relevant knowledge,and the self-competence of on-site epidemic prevention and rescue work.However,28.85%of the respondents thought that the local COVID-19 epidemic prevention efforts were excessive,affecting the normal life.Besides,the implementation rate of work protection and personal protection behavior of the respondents was high,but aspects of taking corresponding protection based on the post transfer and timely replacement,not to go to public places as far as possible and moderate exercise needed to be further strengthened.Conclusions The COVI

关 键 词：新型冠状病毒肺炎 基层 医务人员 知识-态度-行为 

分 类 号：R197.2[医药卫生—卫生事业管理]