河北省鼠疫监测区医务人员鼠疫防控知识知晓情况调查  

Investigation on the awareness of knowledge of plague prevention and control of medical staff in plague surveillance areas of Hebei Province

作　　者：韩晓莉[1] 杨庆会 孙飞 张晓磊 冯志科 杜国君[5] 韩冰[5] 赵勇[1] 高文[1] 宋纪文[1] 马丽华[1] HAN Xiaoli;YANG Qinghui;SUN Fei;ZHANG Xiaolei;FENG Zhike;DU Guojun;HAN Bing;ZHAO Yong;GAO Wen;SONG Jiwen;MA Lihua(Institute of Pest Control,Hebei Province Center for Disease Control and Prevention,Shijiazhuang,Hebei 050021,China;不详)

机构地区：[1]河北省疾病预防控制中心有害生物防治所,河北石家庄050021 [2]承德市围场满族蒙古族自治县疾病预防控制中心 [3]张家口市疾病预防控制中心 [4]张家口市张北县疾病预防控制中心 [5]承德市疾病预防控制中心

出　　处：《医学动物防制》2024年第8期735-740,共6页Journal of Medical Pest Control

基　　金：河北省医学研究课题计划青年科技课题(20200687)。

摘　　要：目的了解河北省鼠疫监测区医务人员鼠疫诊疗知识现状,为鼠疫防控和针对性的开展培训提供依据。方法通过问卷调查的方式,对河北省鼠疫监测区医务人员鼠疫防控知识知晓情况进行调查。计量资料采用均数±标准差描述,两组间比较使用t检验,多组间比较采用单因素方差分析,多因素分析采用非条件logistic回归,率的比较采用χ^(2)检验。结果河北省鼠疫监测区医务人员关于鼠疫监测区、鼠疫是哪类传染病、对疑似鼠疫病例应采取的措施、鼠疫的传播途径知晓率较高(分别为96.7%、95.8%、90.4%和83.3%)。不同性别(χ^(2)=6.503,P=0.011)、工作年限(χ^(2)=11.730,P=0.008)、职业类别(χ^(2)=7.421,P=0.024)、年龄(χ^(2)=8.466,P=0.037)的医务人员对鼠疫典型病例的诊断正确率差异有统计学意义。职业类别(χ^(2)=6.512,P=0.039)、工作年限(χ^(2)=3.289,P=0.008)及鼠疫相关基础知识掌握情况(χ^(2)=33.323,P<0.001)是河北省鼠疫监测区医务人员对鼠疫典型病例识别能力的影响因素。增加流行病学信息后医务人员对鼠疫病例识别能力更强。结论应加强河北省鼠疫监测区医务人员鼠疫防控知识培训,提高鼠疫的诊断能力。Objective To understand the current situation of knowledge of plague diagnosis and treatment of medical staff in the plague surveillance areas of Hebei Province,and to provide a reference for the prevention and control of plague and targeted training.Methods The awareness of knowledge of plague prevention and control among medical staff in the plague surveillance areas of Hebei Province was investigated by means of questionnaires.Measurement data were described by mean±standard deviation,t-test was used for comparison between two groups one-way analysis of variance was used for comparison between multiple groups unconditional logistic regression was used for multifactor analysis.Chi-square test was used for comparison of rates.Results The awareness rates of medical personnel in the plague surveillance areas of Hebei Province about the plague surveillance area,the infectious type of plague,the measures for suspected plague patients,and the transmission routes of plague were high(96.7%,95.8%,90.4%,and 83.3%,respectively).There were statistically significant differences in the diagnostic accuracy of typical cases of plague among medical staff of different genders(χ^(2)=6.503,P=0.011),working years(χ^(2)=11.730,P=0.008),occupational categories(χ^(2)=7.421,P=0.024),and ages(χ^(2)=8.466,P=0.037).Occupation type(χ^(2)=6.512,P=0.039),working years(χ^(2)=3.289,P=0.008)and mastery of basic knowledge related to plague(χ^(2)=33.323,P<0.001)were the influencing factors on the ability of the medical staff in plague surveillance areas of Hebei Province to identify typical cases of plague.The ability of medical staff to recognize plague cases was enhanced after the addition of epidemiological information.Conclusion The training of medical staff in plague prevention and control knowledge in the plague surveillance areas of Hebei Province should be strengthened to improve the diagnosis ability of plague.

关 键 词：河北省 鼠疫 防控知识 医务人员 知晓率 调查 

分 类 号：R516.8[医药卫生—内科学]