中牟县基层医疗机构医生结核感染控制知识知晓情况及影响因素分析  

Knowledge of tuberculosis infection control and its associated factors among doctors in primary medical institutions in Zhongmu

作　　者：陈彦宵 杜莹 张彬 杜江[4] 曹雪芳 冯博轩 郭同磊 何翼君 沈玲羽 黄娟娟 邸元植 梁建国 李子涵 刘自森 段伟焘 高磊[4] 辛赫男 Chen Yanxiao;Du Ying;Zhang Bin;Du Jiang;Cao Xuefang;Feng Boxuan;Guo Tonglei;He Yijun;Shen Lingyu;Huang Juanjuan;Di Yuanzhi;Liang Jianguo;Li Zihan;Liu Zisen;Duan Weitao;Gao Lei;Xin He’nan(College of Public Health,Zhengzhou University,Zhengzhou 450001,China;School of Public Health,Capital Medical University,Beijing 100069,China;Zhongmu County Center for Disease Control and Prevention,Zhengzhou 451450,China;National Institute of Pathogen Biology,Chinese Academy of Medical Sciences/Peking Union Medical College,Beijing 102629,China)

机构地区：[1]郑州大学公共卫生学院,郑州450001 [2]首都医科大学公共卫生学院,北京100069 [3]河南省郑州市中牟县疾病预防控制中心,郑州451450 [4]中国医学科学院/北京协和医学院病原生物学研究所,北京102629

出　　处：《结核与肺部疾病杂志》2024年第5期453-460,共8页Journal of Tuberculosis and Lung Disease

基　　金：首都医科大学学科建设经费(0300-123001);中国医学科学院中央级公益性科研院所基本科研业务费专项资金资助(2023-PT310-04);中国医学科学院医学与健康科技创新工程项目(2021-I2M-1-037)。

摘　　要：目的:了解河南省郑州市中牟县基层医疗机构医生群体结核感染控制知识知晓情况,并分析其影响因素,为提升基层医疗卫生机构结核感染控制水平提供参考数据。方法:针对中牟县符合纳入标准的全部社区(村)医生进行问卷调查和γ-干扰素释放试验。同时,利用自主命题问卷(10道题)开展考核,获得基层医疗机构医生对患者管理、消毒通风、个人防护及健康教育等结核感染控制知识知晓的情况。量化考核指标(满分10分制),以8分作为掌握良好标准,分析与结核感染控制知识知晓情况有关的因素。结果:494名基层医疗机构医生参与本次调查,结核感染控制知识答题得分中位数(四分位数)为6(5,7)分,仅有2.23%(11/494)的基层医疗机构医生全部回答正确,21.66%(107/494)的基层医疗机构医生答题得分≥8分。基层医疗机构医生结核感染控制知识知晓情况受性别(OR=1.68,95%CI=1.03~2.76)和服务的总人口数(OR=1.68,95%CI=1.05~2.69)影响。结论:中牟县基层医疗机构医生结核感染控制知识知晓水平有待提高,建议加强结核感染控制知识宣传、培训和考核,提高基层医疗机构医生结核防控认识,降低职业暴露风险,保护基层医疗机构医生生命健康的同时降低结核病在社区中的传播风险。Objective:This cross-sectional study aimed to generate valuable evidence to improve tuberculosis infection control(TBIC)in primary health care institutions by assessing the level of TBIC knowledge and identifying its associated factors among doctors working in primary medical institutions in Zhongmu County,Henan Province.Methods:A questionnaire survey and interferon-gamma release assay(IGRA)were administered to all doctors in primary medical institutions in Zhongmu who met the inclusion criteria.A self-designed questionnaire comprising ten questions was then utilized to assess their knowledge of TBIC measures,including patient management,disinfection and ventilation procedures,the use of personal protective equipment,and health education initiatives.A quantitative scoring system(10 points being the full score)was applied to analyze factors associated with TBIC knowledge,with a score of 8 considered indicative of satisfactory mastery.Results:A total of 494 doctors from primary medical institutions participated in the survey.The median(interquartile range)score for TBIC knowledge was 6(5,7).Only 2.23%(11/494)of the doctors answered all questions correctly,while 21.66%(107/494)achieved a score of 8 or higher.The level of TBIC knowledge among doctors was significantly associated with gender(OR=1.68,95%CI=1.03-2.76)and the number of villagers served(OR=1.68,95%CI=1.05-2.69).Conclusion:The study highlights the need for improvement in TBIC knowledge among doctors in primary medical institutions in Zhongmu.Efforts in dissemination,training,and assessment must be strengthened to enhance TBIC awareness,reduce occupational exposure risks,and ultimately decrease the transmission of tuberculosis within the community.

关 键 词：结核 感染控制 基层医疗机构 因素分析 统计学 

分 类 号：R52[医药卫生—内科学]