河南省消除试点医务人员猪带绦虫病和囊尾蚴病防治知识培训效果  

Effectiveness of training on Taenia solium taeniasis and cysticercosis control knowledge among medical professionals in disease-elimination pilot areas of Henan Province

作　　者：陈伟奇[1] 蒋甜甜 邓艳[1] 张雅兰[1] 陈曦 洪洋 赵东阳[1] 蔺西萌[1] 张红卫[1] CHEN Wei-qi;JIANG Tian-tian;DENG Yan;ZHANG Ya-lan;CHEN Xi;HONG Yang;ZHAO Dong-yang;LIN Xi-meng;ZHANG Hong-wei(Henan Provincial Center for Disease Control and Prevention,Zhengzhou,Henan 450016,China;Fangcheng County Center for Disease Control and Prevention,Henan Province,China)

机构地区：[1]河南省疾病预防控制中心,河南郑州450016 [2]河南省方城县疾病预防控制中心

出　　处：《中国血吸虫病防治杂志》2021年第6期600-605,633,共7页Chinese Journal of Schistosomiasis Control

基　　金：河南省医学科技攻关计划项目(LHGJ20190683,LHGJ20200125);瑞银集团慈善基金会项目(9051)。

摘　　要：目的了解培训前后河南省方城县消除试点医务人员猪带绦虫病和囊尾蚴病防治知识知晓率变化,评估培训效果。方法选取方城县独树镇、博望镇和杨集乡为干预乡(镇),2016—2020年每年对干预乡(镇)基层医务人员开展1次猪带绦虫病和囊尾蚴病防治知识培训;选择二郎庙乡、杨楼乡和小史店镇作为对照乡(镇),不开展培训。抽取干预乡(镇)和对照乡(镇)所有村级医生和部分乡(镇)级医生及公共卫生人员分别作为干预组和对照组,采用问卷调查方式,分别于2016年和2020年对干预组和对照组开展猪带绦虫病和囊尾蚴病防治知识知晓情况基线调查和终期评估,比较两组知晓率变化情况。结果2016—2020年方城县共调查医务人员663名,其中干预组474人、对照组189人。2016年基线调查结果显示,基层医务人员猪带绦虫病和囊尾蚴病防治知识知晓率为28.83%(47/163),其中干预组(32.47%,25/77)和对照组(25.58%,22/86)、男性(30.50%,43/141)和女性(18.18%,4/22)、村级(31.39%,43/137)和乡(镇)级医务人员(15.38%,4/26)知晓率差异均无统计学意义(χ^(2)=0.939、1.406、2.727,P均>0.05);不同文化程度和工作年限医务人员知晓率差异有统计学意义(χ^(2)=8.190、12.617,P均<0.05),且医务人员知晓率随文化程度升高而升高(χ^(2)=6.768,P<0.05);仅5.52%(9/163)的医务人员曾诊疗过猪带绦虫病或囊尾蚴病患者,仅1.23%(2/163)的医务人员近5年参加过猪带绦虫病和囊尾蚴病防治知识相关培训。2020年问卷调查结果表明,干预组医务人员猪带绦虫病和囊尾蚴病防治知识知晓率(93.55%,116/124)高于对照组(46.60%,48/103)(χ^(2)=61.845,P<0.05)。干预组不同性别、级别、工作年限以及是否接诊过猪带绦虫病和囊尾蚴病患者的研究对象知晓率差异均无统计学意义(χ^(2)=1.089、0.140、0.081、0.453,P均>0.05),仅不同文化程度者知晓率差异有统计学意义(χ^(2)=36.338,P<0.05)。与2016年Objective To investigate the changes in the awareness rate of Taenia solium taeniasis and cysticercosis control knowledge among medical professionals before and after training in Fangcheng County,a disease-elimination pilot area of Henan Province,so as to evaluate the effectiveness of the training.Methods Three townships in Fangcheng County were randomly selected as the study townships,including Dushu,Bowang and Yangji townships,while Erlangmiao,Yanglou and Xiaoshidian townships in the county were randomly selected as the control townships.The grassroots medical professionals in the study townships were given once training on T.solium taeniasis and cysticercosis control knowledge each year from 2016 to 2020,while those in the control townships were given no interventions.All village-level doctors and a part of township-level public health professionals were sampled from the study and control townships as intervention and control groups.The baseline and final assessments of the awareness of T.solium taeniasis and cysticercosis control knowledge were performed using questionnaire survey in intervention and control groups in 2016 and 2020,and the awareness of T.solium taeniasis and cysticercosis control knowledge was compared between the two groups.Results A total of 663 medical professionals were investigated in Fangcheng County from 2016 to 2020,including 474 participants in the intervention group and 189 participants in the control group.Results from the 2016 baseline survey showed that the awareness rate of T.solium taeniasis and cysticercosis control knowledge was 28.83%(47/163)among grassroots medical professionals in Fangcheng County,and there were no significant differences in the awareness between the intervention(32.47%,25/77)and control groups(25.58%,22/86)(χ^(2)=0.939,P>0.05),between men(30.50%,43/141)and women(18.18%,4/22)(χ^(2)=1.406,P>0.05)or between village-(31.39%,43/137)and township-level medical professionals(15.38%,4/26)(χ^(2)=2.727,P>0.05),while significant differences were found in the aware

关 键 词：猪带绦虫病 囊尾蚴病 消除 方城县 

分 类 号：R532.3[医药卫生—内科学]