甲状腺病伴慢性乙肝病毒感染者对乙肝防治知识知晓及影响因素  

Awareness of hepatitis B prevention and treatment and its influencing factors in chronic HBV patients with thyroid disease

作　　者：袁智英[1] 袁珊[1] 刘莎莎 蔡娜 YUAN Zhiying;YUAN Shan;LIU Shasha;CAI Na(Chengdu Fifth People’s Hospital,Chengdu 611130,China)

机构地区：[1]成都市第五人民医院,四川611130

出　　处：《医学动物防制》2020年第8期743-746,共4页Journal of Medical Pest Control

摘　　要：目的探讨甲状腺病伴乙肝病毒(HBV)阳性病人对乙肝防治知识知晓率及其影响因素,为进一步护理健康教育提供参考。方法采用便利抽样法,于2017年2月~2019年2月在成都市第五人民医院抽取182例甲状腺病伴HBV阳性病人作为研究对象,调查其乙肝防治知识知晓状况,分析其影响因素。结果182例病人中,乙肝防治知识得分≥9分的病人58例,总知晓率为31.87%,各知识点知晓率为14.83%~71.98%;不同学历、职业、居住地、平均月收入的甲状腺病伴HBV阳性病人对乙肝防治知识知晓率的比较,差异均有统计学意义(χ^2=16.309、11.927、4.347、8.148,P<0.05);Logistic回归分析显示,高中/中专(OR=2.14,95%CI:1.25~3.66)、大专及以上(OR=2.67,95%CI:1.46~4.86)、企事业单位人员(OR=2.37,95%CI:1.56~3.61)、月收入3000~5000元(OR=2.29,95%CI:1.51~3.48)、月收入≥5000元(OR=2.67,95%CI:1.45~4.91)、居住地为城镇(OR=2.23,95%CI:1.50~3.31)均为甲状腺病伴HBV阳性病人乙肝防治知识知晓率的独立因素。结论甲状腺病伴HBV阳性病人乙肝防治知识总体知晓率较低,高收入、高学历及城镇居民知晓率略高,应通过丰富多样、多渠道的针对性健康宣传教育,提高甲状腺病伴HBV阳性病人的乙肝防治知识水平。Objective To explore the awareness rate of hepatitis B prevention and treatment and its influencing factors in HBV-positive patients with thyroid disease,and to provide a reference for further nursing health education.Methods A total of HBV-positive 182 patients with thyroid disease were selected from the Chengdu Fifth People′s Hospital from February 2017 to February 2019 by convenience sampling method.Their awareness about prevention and treatment of hepatitis B and the influencing factors were analyzed.Results The knowledge score of hepatitis B prevention and treatment in 58 patients was more than or equal to 9 points.The total awareness rate was 31.87%,and the awareness rate of each knowledge point was 14.83%~71.98%.There were statistically significant differences in the awareness rate of hepatitis B prevention and treatment among HBV-positive patients with thyroid disease with different educational background,occupation,residence and average monthly income(χ^2=16.309,11.927,4.347,8.148,P<0.05);Logistic regression analysis showed that high school/technical secondary school(OR=2.14,95%CI:1.25~3.66),college or above(OR=2.67,95%CI:1.46~4.86),personnel of enterprises and institutions(OR=2.37,95%CI:1.56~3.61),monthly income of 3000~5000 yuan(OR=2.29,95%CI:1.51~3.48),monthly income of more than or equal to 5000 yuan(OR=2.67,95%CI:1.45~4.91),living conditions of cities and towns(OR=2.23,95%CI:1.50~3.31)were independent factors of the awareness rate.Conclusion The total awareness rate of hepatitis B prevention and treatment in HBV-positive patients with thyroid disease is low.And the awareness rate of patients with high income and education,living in cities and towns is slightly higher.We should improve the knowledge level of hepatitis B prevention and treatment in HBV-positive patients with thyroid disease through various and multi-channel health education.

关 键 词：甲状腺病 HBV阳性 乙肝 知识知晓率 影响因素 

分 类 号：R512.62[医药卫生—内科学] R581[医药卫生—临床医学]