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作 者:高娟[1] 严钏元[1] 梁文革[2] 杨培荣[3] 李红兵[1] GAO Juan;YAN Chuan-yuan;LIANG Wen-ge;YANG Pei-rong;LI Hong-bing(Department of Tuberculosis and AIDS Prevention and Control,Baoji Center for Disease Control and Prevention,Baoji Shaanxi,721006,China;Department of Profession Management,Baoji Center for Disease Control and Prevention,Baoji Shaanxi,721006,China;Department of Health Education and Endemic Disease Prevention and Control,Baoji Center for Disease Control and Prevention,Baoji Shaanxi,721006,China)
机构地区:[1]宝鸡市疾病预防控制中心结核病艾滋病防制科,陕西宝鸡721006 [2]宝鸡市疾病预防控制中心业务管理科,陕西宝鸡721006 [3]宝鸡市疾病预防控制中心健康教育与地方病防制科,陕西宝鸡721006
出 处:《职业与健康》2020年第22期3072-3075,共4页Occupation and Health
基 金:宝鸡市卫健委科研立项(2019-51)。
摘 要:目的了解宝鸡市医务人员艾滋病职业防护知识知晓情况及其影响因素,探索降低医务人员职业暴露发生的方法。方法 2019年9—11月采用整群随机抽样方法,对宝鸡市6家市级医疗卫生机构医务人员进行问卷调查,了解该人群艾滋病职业暴露防护知识知晓情况,并分析相关影响因素。结果宝鸡市6家市级医疗卫生机构共获取有效问卷1 419份,被调查的医务人员总体知晓人数为826人,知晓率为58.2%。多因素logistic回归分析发现,从事临床辅助工作(OR=2.406,95%CI=1.063~5.444)和医学检验工作(OR=3.186,95%CI=1.506~6.738)是医务人员艾滋病职业暴露知识知晓率的保护因素;有创诊疗操作频次1~5次/月(OR=0.742,95%CI=0.557~0.990)和≥6次/月(OR=0.714,95%CI=0.555~0.918)是医务人员艾滋病职业暴露知识知晓率的危险性因素(均P<0.05)。结论宝鸡市医务人员艾滋病职业暴露知识知晓率整体偏低,应加强医务人员艾滋病职业暴露防护知识的规范培训,以有效减少艾滋病职业暴露的发生。Objective To understand the awareness of knowledge of occupational protection against HIV/AIDS among medical staff in Baoji City, analyze the influencing factors, and explore the ways to reduce occupational exposure of medical staff. Methods From September to November 2019, the medical staff in six hospitals in Baoji City were selected by cluster sampling and were invited to fill out a questionnaire, to understand the awareness of knowledge of occupational protection against HIV/AIDS and analyze its influencing factors. Results A total of 1 419 valid questionnaires were obtained from 6 municipal medical and health institutions in Baoji City. The total number of medical staff who knew the knowledge was 826, and the awareness rate was 58.2%.Multivariate logistic regression analysis showed that clinical auxiliary workers(OR=2.406, 95%CI=1.063-5.444) and medical laboratory workers( OR = 3. 186, 95 % CI = 1. 506-6. 738) were the protective factors for the awareness rate of knowledge about occupational protection against HIV/AIDS, while the invasive diagnosis and treatment operation frequency of 1-5 times per month(OR=0.742,95%CI=0.557-0.990) and ≥6 times per month(OR=0.714,95%CI=0.555-0.918) were the risk factors(all P<0.05).Conclusion The awareness rate of knowledge about occupational protection against HIV/AIDS is low in medical staff in Baoji City. It is necessary to strengthen the standardized training of medical staff on the knowledge of about occupational protection against HIV/AIDS, so as to effectively reduce the occurrence of occupational exposure to HIV/AIDS.
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