重庆市临床医生丙型病毒性肝炎防治知识知晓率调查  

Awareness of knowledge about hepatitis C among clinicians in Chongqing

作　　者：贺亚萍 吴国辉[1] 张维[1] 周超[1] HE Yaping;WU Guohui;ZHANG Wei;ZHOU Chao(Chongqing Center for Disease Control and Prevention,Chongqing 400042,China)

机构地区：[1]重庆市疾病预防控制中心,重庆400042

出　　处：《中国艾滋病性病》2023年第9期1015-1018,共4页Chinese Journal of Aids & STD

基　　金：重庆市科卫联合医学科研项目(2022GDRC017);重庆自然科学基金项目(cstc2021jcyj-msxmX1171);重庆市首批公共卫生重点学科(专科)建设项目。

摘　　要：目的了解临床医务人员对丙型病毒性肝炎(简称丙肝)防治知识认知现状,为下一步防治工作提供参考。方法采用问卷调查的方式对重庆市4家医院的临床医生开展丙肝防治基本知识及专业知识知晓率调查,并对调查结果进行统计分析。结果共调查413名临床医生,医生对丙肝防治基本知识知晓率为94.4%,三级医院医生知晓率高于二级医院(OR=6.078,95%CI:2.339~15.791),其中医生对“丙肝可以治愈”知晓率最低(83.3%)。医生对丙肝防治专业知识知晓率为35.6%,三级医院(OR=11.581,95%CI:5.819~23.051)、内科医生(OR=1.898,95%CI:1.009~3.572)、工作年限6~10年(OR=2.976,95%CI:1.655~5.351)及10年以上(OR=2.737,95%CI:1.524~4.913)者知晓率更高。医生对丙肝病例的诊断分类及临床病例的诊断依据认知最低,完全正确认知率分别为24.2%和29.1%;仅有40.7%的医生能完全认知感染HCV的高风险人群,61.7%的医生能完全正确认知HCV筛查的实验室检测项目,49.6%的医生认为治疗丙肝最有效的药物是直接抗病毒药物(DAAs)。结论重庆市临床医生对丙肝防治专业知识知晓率较低,今后应加强医务人员丙肝防治专业知识的培训,从而提高丙肝病例发现率和诊治水平。Objective This study aims to investigate clinicians'awareness of knowledge about hepatitis C virus(HCV),and to provide a scientific reference for the further preventions and treatment.Methods A survey on the fundamental and professional knowledge of hepatitis C prevention and treatment was conducted via questionnaire in clinicians from 4 hospitals in Chongqing,and the collected data was statistically analyzed.Results A total of 413 clinicians were investigated.The overall awareness rate of primary knowledge about hepatitis C was 94.4%,which was higher in tertiary hospitals than secondary ones(OR=6.078,95%CI:2.339-15.791),with the lowest awareness rate of"hepatitis C can be cured"(83.3%).The awareness rate of the professional knowledge was 35.6%,and the rates were higher in terms of tertiary hospitals(OR=11.581,95%CI:5.819-23.051),physicians(OR=1.898,95%CI:1.009-3.572),clinicians had worked for 6 to 10 years(OR=2.976,95%CI:1.655-5.351)or more than 10 years(OR=2.737,95%CI:1.524-4.913).The awareness rates of the diagnostic classification and diagnostic criteria for hepatitis C cases were 24.2% and 29.1%,respectively.Only 40.7% of the clinicians were fully aware of the high-risk groups for HCV infection,61.7% were fully aware of the laboratory tests for HCV screening,and 49.6% knew that the most effective drug for hepatitis C was direct-acting antivirals(DAAs).Conclusions The awareness rate of professional knowledge about hepatitis C among clinicians is low.In the future,the training of hepatitis C prevention and treatment expertise among medical staff should be strengthened,so as to improve the detection rate of hepatitis C cases and the ability of diagnosis and treatment.

关 键 词：丙型病毒性肝炎 临床医生 知晓率 

分 类 号：R512.6[医药卫生—内科学]