江苏省基层医务人员结核病知识及行为调查  

Knowledge and Practice about Tuberculosis Control and Management among Grassroots Medical Workers in Jiangsu Province

作　　者：赵琦[1] 徐飚[2] 修燕[1] 史素红[2] 唐杰 赵大海[1] 李旭亮[1] 

机构地区：[1]复旦大学公共卫生学院,上海200320 [2]江苏省建湖县疾病预防控制中心,江苏建湖224700 [3]江苏省阜宁县疾病预防控制中心,江苏阜宁224400

出　　处：《中国健康教育》2003年第11期835-837,共3页Chinese Journal of Health Education

基　　金：UNDP/WORLD BANK/WHO/TDR项目

摘　　要：目的　了解江苏省基层医务人员对结核病防治、管理的知识、行为。方法　在江苏省北部的建湖县 (项目县 )和阜宁县 (非项目县 ) ,对所有县医院和县结核病防治所的医生和各 8个和 6个乡卫生院从事呼吸内科的医生 ,以及这些乡各村从事的结核病防治的村医生 ,共 3 60名 ,进行问卷调查。结果　村、乡及县级医务人员中的结核病知识不合格率分别为 8 0 %、0及 1 1 1 % ,优秀率分别为 9 0 %、 1 9 0 %及 5 6%。 68 7%的应答者认为咳嗽和喀血是疑似结核病的临床表现 ,2 7 4%认为仅根据咳嗽或喀血就可以怀疑结核病 ,3 9%选择此两种症状为怀疑结核病的依据。约一半应答者认为咳嗽持续 2～ 3周以上即应怀疑结核病 ,95 8%认为应进行痰涂片检查 ,5 8 5 %认为应先确诊再开始正规治疗。仅 1 4%应答者不同意归口管理。 4 8%的项目县医务人员和1 3 6%的非项目县医务人员认为综合医院是最好的选择。结论　相当比例的基层医务人员具有结核病防治和管理的知识和经验。但他们的知识仍有待提高 ,在归口管理。Objective To investigate the knowledge and practice about tuberculosis control and management among the medical workers at the village, township, and county levels in north Jiangsu Province Methods A questionnaire survey was conducted among 360 grassroots medical workers, including all village doctors engaged in TB control and management, doctors engaged in respiratory diseases in the township health centers and county hospitals, and the doctors of county institute of TB prevention and control, in 8 townships of Jianhu County and 6 townships of Funing County, both accounting 1/3 of the townships of respective counties, by random sampling Results The qualification rate in TB knowledge was 8 0%, 0, and 11 1% for the medical workers at village, township, and county levels respectively The excellent rate in TB knowledge was 9 0%, 19 0%, and 5 6% respectively 68 7% of the respondents considered cough combined with hemoptysis as the clinical manifestation of suspected TB, and 27 4% considered cough or hemoptysis alone as the clinical manifestation of suspected TB, and 3 9% failed to consider these 2 symptoms About half of them considered a cough lasting 2～3 weeks and over as suggesting TB 95 8% of them deemed sputum smear should be taken as a diagnostic measure 58 5% of them deemed that treatment for the patients with chronic cough should be begun after the confirmation of diagnosis Only 1 4% of them did not agree with transfer of the TB patients to specialized institutions 4 8% of the respondents on the project county and 13 6% of the respondents in the non project county thought general hospital should be chosen as the place to treat TB Conclusion A considerable number of the grassroots medical workers know rather well about TB and have considerable experience However, their knowledge needs to be improved There are still misconceptions regarding convergence management, transfer system, and treatment of suspected cases

关 键 词：江苏 医务人员 结核病 医院 治疗 

分 类 号：R52[医药卫生—内科学]