青海省基层医务人员乙肝防治KAP及影响因素分析  

Analysis on the KAP of hepatitis B prevention and treatment among grass-roots medical staff in Qinghai Province and its influencing factors

作　　者：吴娟 郝增平[2] 阿克忠 丁睿尧[1] 郭子哲 WU Juan;HAO Zengping;Akzhong;DING Ruiyao;GUO Zizhe(Department of Public Health,Faculty of Medicine,Qinghai University,Xining 810001,China;不详)

机构地区：[1]青海大学医学部公共卫生系,西宁810001 [2]青海省疾病预防控制中心免疫规划所

出　　处：《医学动物防制》2023年第5期429-433,共5页Journal of Medical Pest Control

基　　金：中国肝炎基金会——中国乙肝防控科研基金资助课题(YGFK2020003)。

摘　　要：目的了解2021年7月—2021年12月青海省基层医务人员乙型肝炎(乙肝)相关防治知识、态度和行为,分析影响基层医务人员乙肝知识水平的因素,为开展乙肝防控工作提供科学依据。方法采用分层简单随机抽样法在青海省8个市(州)基层医务人员发布问卷调查,了解乙肝防控认知现况,分析影响乙肝防治知识水平的因素。结果共纳入调查对象393名,乙肝防治知识、态度、行为平均得分15(13,17)分(满分20分)、3(1,4)分(满分4分)、2(2,2)分(满分2分)。各项乙肝相关知识知晓率和积极态度比例40.97%~96.69%,基层医务人员获取乙肝防治知识的积极态度在地区、人均年收入差异显著。多因素logistic回归分析显示,地区、年龄、文化程度、婚姻状况和家庭人均年收入等显著影响调查对象乙肝防治知识得分,文化程度和人均收入正相关,乙肝防治知识和行为得分正相关(rs=0.17,P<0.01)。结论青海省基层医务人员乙肝防治知识水平总体得分较低,知识掌握不够系统全面,存在薄弱环节,应加强基层医务人员乙肝防治知识培训,提高其乙肝防治知识水平。Objective To understand the knowledge,attitudes and behaviors related to the prevention and treatment of hepatitis B among grass-roots medical staff in Qinghai Province from July 2021 to December 2021,and analyze the factors that affect medical staff's hepatitis B cognition,so as to provide a scientific basis for the prevention and control of hepatitis B.Methods Stratified simple random sampling method was applied,and questionnaires were issued among grass-roots medical staff in 8 cities(prefectures)in Qinghai Province to investigate the current status of medical staff's knowledge of viral hepatitis B,and to analyze the factors affecting their hepatitis B knowledge.Results A total of 393 respondents were included in the survey,and the average scores of 393 respondents on knowledge,attitude and behavior of hepatitis B prevention and treatment were 15 points(13,17)(out of 20),3 points(1,4)(out of 4),2 points(2,2)(out of 2).The knowledge awareness rate and positive attitude ratio were between 40.97%and 96.69%,respectively.The positive attitude of grass-roots medical staff varies significantly between regions and per capita annual income.Multivariate logistic regression analysis showed that region,age,education level,marital status and per capita annual income of households significantly affected the scores of the subjects on hepatitis B prevention and control knowledge.Education level was positively correlated with per capita income,and the scores of knowledge and practice on hepatitis B prevention and treatment were positively correlated(rs=0.17,P<0.01).Conclusion The knowledge level of hepatitis B prevention and treatment among grass-roots medical staff in Qinghai Province is generally low,their knowledge is not comprehensive and systematic,and there are weak links.It is necessary to strengthen the training of hepatitis B knowledge of grass-roots medical staff to improve their knowledge of hepatitis B.

关 键 词：基层医务人员 乙型肝炎 知识 态度 影响因素 分析 

分 类 号：R512.2[医药卫生—内科学]