广州市基层医疗卫生机构儿童保健从业人员孤独症谱系障碍相关知识的知晓情况调查  

Survey on autism knowledge of child health care professionals in primary health care institutions in Guangzhou

作　　者：卢少敏 胡艳 马冰洁 邢艳菲 宋燕燕 梁晶晶 Lu Shaomin;Hu Yan;Ma Bingjie;Xing Yanfei;Song Yanyan;Liang Jingjing(Department of Child Health,Guangzhou Women and Children′s Medical Center,Guangzhou Medical University,Guangzhou 510623,China)

机构地区：[1]广州医科大学附属妇女儿童医疗中心儿童保健部,广州510623

出　　处：《中华全科医师杂志》2024年第4期361-367,共7页Chinese Journal of General Practitioners

基　　金：广东省自然科学基金(2021A1515011163)。

摘　　要：目的了解基层医疗卫生机构儿童保健从业人员对孤独症谱系障碍(简称孤独症)知识的知晓情况。方法该研究为横断面调查。2023年2—3月向广州市所有基层医疗卫生机构从事儿童保健服务的医务人员线上发放调查问卷,了解其对孤独症相关知识的知晓情况及影响因素。结果共收回问卷341份,有效问卷312份,有效率为91.5%。312名被调查者的年龄为(35.9±7.9)岁,其中女性303名(97.1%)。152名(48.7%)接受过儿童心理行为发育筛查相关技术培训,139名(44.6%)表示自己了解孤独症早期发现的“五不”行为。问卷得分合格率为88.1%(275/312),优秀率为53.2%(166/312)。正确率较低的3个题目分别为孤独症可以用药物治好、孤独症有遗传基础以及康复训练没有效果,正确率分别为42.6%(133/312)、52.2%(163/312)和70.2%(219/312)。孤独症相关知识知晓的合格与接受相关培训相关(OR=2.585,95%CI:1.200~5.569),优秀与学历(OR=1.939,95%CI:1.220~3.083)、接受相关培训相关(OR=2.016,95%CI:1.247~3.260)。结论基层医疗卫生机构儿童保健从业人员的孤独症专业知识有待进一步进行专业培训。Objective To evaluate the knowledge of autism among child health care professionals in primary health care institutions.Methods The study was a cross-sectional survey.An online questionnaire survey was conducted from February to March 2023 in primary health care institutions in Guangzhou to investigate the knowledge on autism among medical staff engaged in children′s health services and the influencing factors.Results A total of 341 questionnaires were returned and 312 questionnaires were valid with a recovery rate of 91.5%.The age of 312 respondents was(35.9±7.9)years,of which 303(97.1%)were female.One hundred and fifty-two(48.7%)child health care professionals in primary health care institutions had received specialist training in assessing the psychological and behavioral development of children,and only 139(44.6%)reported that they were aware of the"five no"principle for early identification of autism.The questionnaire scores were 88.1%pass(275/312)and 53.2%excellent(166/312).The three questions with low accuracy were:autism can be cured with drugs,autism has a genetic basis and rehabilitation training has no effect,and the accuracy for these questions was 42.6%(133/312),52.2%(163/312)and 70.2%(219/312),respectively.The passing of autism-related knowledge was positively associated with receiving relevant training(OR=2.585,95%CI:1.200-5.569),and the excellence was positively associated with the highest education(OR=1.939,95%CI:1.220-3.083)and receiving relevant training(OR=2.016,95%CI:1.247-3.260).Conclusions There is a need for more professional training in autism knowledge among child health care professionals in primary health care institutions.

关 键 词：孤独症谱系障碍 基层医疗卫生机构 儿童保健 知晓 

分 类 号：R749.94[医药卫生—神经病学与精神病学] R193[医药卫生—临床医学]