248名医护人员结核菌素皮肤试验相关知识知晓情况调查  

Investigation on knowledge related to tuberculin skin test among 248 healthcare workers

作　　者：张文 石亚玲 刘珊珊 苏倩 辛玉 张理翌 吕娟 廖文平 范君 ZHANG Wen;SHI Yaling;LIU Shanshan;SU Qian;XIN Yu;ZHANG Liyi;LYU Juan;LIAO Wenping;FAN Jun(Department of Medical Education;Administrative Office;Department of Comprehensive Prevention and Control,Chongqing Municipal Institute of Tuberculosis,Chongqing 400050,China)

机构地区：[1]重庆市结核病防治所医教科,重庆400050 [2]重庆市结核病防治所行政办公室,重庆400050 [3]重庆市结核病防治所综合防治科,重庆400050

出　　处：《重庆医学》2025年第3期709-712,718,共5页Chongqing Medical Journal

基　　金：重庆市卫生健康委员会医学科研项目(2024WSJK089);重庆市科卫联合医学科研项目(2022MSXM018);重庆市公共卫生重点专(学)科建设经费资助。

摘　　要：目的调查医护人员结核菌素皮肤试验(TST)相关知识的掌握情况,为今后提升基层医护人员TST筛查规范性提供依据。方法对2023年重庆市27个区县248名具有执业医师或护士资格且承担TST工作的医护人员进行TST相关知识知晓情况问卷调查,统计调查对象TST相关知识的知晓情况,分析其影响因素。结果248名医护人员TST相关知识平均得分为(78.3±10.6)分。TST相关知识总知晓率为78.9%(8213/10416),其中TB常识方面知晓率为65.4%(1135/1736)、TST常识方面知晓率为87.3%(3248/3720)、TST原理方面知晓率为53.4%(795/1488)、TST操作方面知晓率为88.0%(1964/2232)、TST结果判读方面知晓率为86.4%(1071/1240)。护士的知晓率高于医师和其他(P>0.05),中疫情地区医护人员的知晓率高于高疫情地区和低疫情地区(P<0.001)。TST相关知识知晓达标组和未达标组不同性别、年龄、职业类型、单位类型和区域疫情等级比较差异无统计学意义(P>0.05)。结论医护人员TST相关知识掌握不全面,为规范TST的应用,应加强对TST相关知识的培训。Objective To investigate the knowledge of tuberculin skin test(TST)among healthcare workers and provide evidence for improving the standardization of TST screening in primary healthcare staff.Methods A questionnaire survey was conducted among 248 licensed physicians or nurses who were qualified as licensed physicians or nurses and responsible for TST work from 27 districts/counties of Chongqing in 2023.The awareness of TST-related knowledge and its influencing factors were statistically analyzed.Results The average TST knowledge score of 248 healthcare workers was(78.3±10.6)points.The overall awareness rate was 78.9%(8213/10416),with specific rates as follows:65.4%(1135/1736)for tuberculosis knowledge,87.3%(3248/3720)for TST general knowledge,53.4%(795/1488)for TST principles,88.0%(1964/2232)for TST procedures,and 86.4%(1071/1240)for TST result interpretation.Nurses showed higher awareness rates than physicians and other staff(P>0.05).Healthcare workers from medium-epidemic areas demonstrated significantly higher awareness rates than those from high-and low-epidemic areas(P<0.001).No statistically significant differences were observed in gender,age,occupation type,institution type,or regional epidemic level betwe en the qualified group and non-qualified group about TST-related knowledge(P>0.05).Conclusion Healthcare workers exhibit incomplete mastery of TST-related knowledge.Strengthening TST-related knowledge training for standardizing TST implementation.

关 键 词：结核 肺 结核菌素皮肤试验 问卷调查 医护人员 

分 类 号：R521[医药卫生—内科学]