北京市医务人员猴痘认知及接诊意愿的影响因素  

Influencing factors of monkeypox perceptions and willingness to treat monkeypox patients among medical staff in Beijing

作　　者：张烨 王炳懿 孟晗 韩柏慧[1] 吴钶[1] 姜晓红[1] 付雷雯 张伟杰 李倩[1] 许志远[1] 杨媛 王佳琦 齐啸[1,3] 邹华春 ZHANG Ye;WANG Bingyi;MENG Han;HAN Baihui;WU Ke;JIANG Xiaohong;FU Leiwen;ZHANG Weijie;LI Qian;XU Zhiyuan;YANG Yuan;WANG Jiaqi;QI Xiao;ZOU Huachun(Department of Epidemic and Endemic Disease Control.Beijing Chaoyang District Center for Disease Prevention and Control,Beijing 100021,China;Department of Epidemiology,School of Public Health(Shenzhen),Sun Yat-Sen University,Shenzhen 518107,China;Department of Global Health,School of Public Health,Peking University,Beijing 100191,China;Department of Epidemiology,School of Public Health,Fudan University,Shanghai 200032,China)

机构地区：[1]北京市朝阳区疾病预防控制中心流行病和地方病控制科,北京100021 [2]中山大学公共卫生学院(深圳)流行病学教研室,深圳518107 [3]北京大学公共卫生学院全球卫生学系,北京100191 [4]复旦大学公共卫生学院流行病学系,上海200032

出　　处：《中华疾病控制杂志》2024年第4期402-408,442,共8页Chinese Journal of Disease Control & Prevention

基　　金：2021年度北京市重大疫情防治重点专科项目。

摘　　要：目的旨在了解北京市医务人员对猴痘的认知水平及对猴痘患者的接诊意愿,分析其现状及影响因素,为制定相应策略提供科学依据。方法在2023年7月24日―8月2日,采用方便抽样法对北京市医务人员进行问卷调查,调查内容主要包括个人基本信息、对猴痘的认知、接诊猴痘患者的意愿。采用多因素logistic回归分析模型分析影响医务人员猴痘认知水平和接诊意愿的因素。结果共回收2148份有效问卷,被调查者平均年龄(36.76±9.08)岁。83.10%的医务人员在本次调查之前了解过猴痘,82.45%的医务人员愿意接诊猴痘患者。多因素logistic回归分析模型分析结果显示,年龄为41~<51岁(OR=1.98,95%CI:1.27~3.07)、三级医疗机构工作(OR=1.53,95%CI:1.13~2.07)、医师(OR=1.80,95%CI:1.32~2.45)、中级职称(OR=1.37,95%CI:1.05~1.79)对猴痘的认知水平较高,妇科、儿科等其他科室的(OR=0.73,95%CI:0.57~0.94)医务人员认知水平较低(均P<0.05);女性(OR=0.70,95%CI:0.51~0.96)、中级(OR=0.62,95%CI:0.45~0.87)、高级职称(OR=0.55,95%CI:0.31~0.95)及对猴痘认知水平高的医务人员(OR=0.76,95%CI:0.61~0.97)对猴痘患者的接诊意愿较低,其他科室医务人员接诊意愿高于(OR=1.51,95%CI:1.08~2.15)重点科室(均P<0.05)。结论北京市医务人员对猴痘具有较高的认知水平,有部分医务人员不愿接诊猴痘患者。需加强医务人员的职业防护培训及心理干预,避免医务人员感染,消除接诊顾虑,提高接诊意愿。Objective This study aims to understand the level of awareness of monkeypox,the willingness to treat monkeypox patients and their associated factors among medical workers in Beijing.Thereby contributing to provide a scientific basis for formulating responding strategies.Methods The questionnaire survey was conducted among medical workers using the convenient sampling method between July 24 and August 2,2023 in Beijing.The contents of the survey mainly included general demographic characteristics,awareness of monkeypox,and the willingness to treat monkeypox patients.Multivariate logistic regression analysis model was employed to analyze the influencing factors associated with the level of awareness of monkeypox and the willingness of receiving monkeypox patients among medical workers.Results A total of 2148 valid questionnaires were collected in this study,the mean age of the respondents was 36.76±9.08 years old.83.10%of individuals knew about monkeypox before this survey,and 82.45%were willing to treat monkeypox patients.The results of multivariate logistic regression analysis model showed that medical workers who aged from 41 to 50 years old(OR=1.98,95%CI:1.27-3.07),working in tertiary medical institutions(OR=1.53,95%CI:1.13-2.07),physician(OR=1.80,95%CI:1.32-2.45),with middle professional titles(OR=1.37,95%CI:1.05-1.79)had a higher level of monkeypox knowledge.And medical workers who working in other departments such as gynecology/pediatrics departments(OR=0.73,95%CI:0.57-0.94)were more likely to have lower level of monkeypox knowledge(all P<0.05).Medical workers who were female(OR=0.70,95%CI:0.51-0.96),with middle(OR=0.62,95%CI:0.45-0.87)and senior professional titles(OR=0.55,95%CI:0.31-0.95),had high awareness of monkeypox(OR=0.76,95%CI:0.61-0.97),were less willing to treat monkeypox patients.Medical staff in other departments were more willing to treat monkeypox patients(OR=1.51,95%CI:1.08-2.15)than those in high-risk departments(all P<0.05).Conclusions Awareness of monkeypox was high among medical workers

关 键 词：猴痘 认知水平 医务人员 

分 类 号：R18[医药卫生—流行病学] R511[医药卫生—公共卫生与预防医学]