首页|普通人群幽门螺杆菌感染认知度和治疗意愿

普通人群幽门螺杆菌感染认知度和治疗意愿

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目的:目前中国幽门螺杆菌(Helicobacter pylori,H.pylori)感染率高,为40%~50%,其感染与胃部及全身多系统胃外疾病的发生、发展相关.尽管一般情况下根除H.pylori具有较高的成本经济效益优势,但在临床工作中,依旧发现有部分人群从未听说过H.pylori,很多人对H.pylori的认知水平低,有些人发现H.pylori感染依旧选择不根除.因此,本研究调查影响普通人群H.pylori认知度和治疗意愿的因素,为临床医生在工作中甄别重点对象进行H.pylori知识宣教及提高他们的治疗积极性和依从性提供依据.方法:自行设计H.pylori相关知识问卷及治疗意愿量表,于2022年9月至10月通过方便抽样的方法对中南大学湘雅三医院就诊的患者或患者家属进行线下调查,以"滚雪球"方式进行线上问卷收集.通过单因素及多因素分析确定影响H.pylori认知水平和治疗意愿的因素.结果:共纳入518份有效问卷,H.pylori低认知水平127人(24.5%),中等认知水平143人(27.6%),高认知水平248人(47.9%);女性、年龄≤40岁、较高文化水平、学生、医疗卫生人员、检查过H.pylori和周围人诊断或治疗过H.pylori者对H.pylori有较高的认知水平.在所有纳入人群中,77人(14.9%)对H.pylori治疗持不确定态度或不愿意治疗;男性、未检查过H.pylori、周围人未诊断或治疗过H.pylori、H.pylori中等和低认知水平是影响H.pylori治疗意愿的独立危险因素,其中低认知水平是患者不愿意根除H.pylori的主要因素.结论:H.pylori知识的宣教存在不足,应对男性、高龄、文化水平较低、农民及工人等重点人群进行H.pylori知识的宣教.
Awareness and treatment intention of Helicobacter pylori infection among general population
Objective:Currently,the infection rate of Helicobacter pylori(H.pylori)in China remains high,ranging from 40%to 50%.Its infection is associated with the occurrence and development of gastric and multisystem extragastric diseases.Although H.pylori eradication is highly cost-effective,clinical practice has shown that many people are unaware of H.pylori and some choose not to undergo eradication even when the infection is detected.This study aims to investigate the factors influencing the awareness and treatment willingness of H.pylori among the general population,providing a basis for clinicians to identify key targets for H.pylori education and improve motivation and adherence to treatment.Methods:A self-designed questionnaire on H.pylori related knowledge and a treatment willingness scale was used.In September and October 2022,offline surveys were conducted on patients or their relatives at the Third Xiangya Hospital through convenience sampling,and online questionaries were collected through a"snowballing"method.Factors influencing the level of awareness and treatment willingness of H.pylori were determined through univariate and multivariate analysis.Results:A total of 518 valid questionnaires were included.Among them,127 individuals(24.5%)had low awareness of H.pylori,143 individuals(27.6%)had moderate awareness,and 248 individuals(47.9%)had high awareness.Females,age≤40 years,higher level of education,students,healthcare workers,those who have been tested for H.pylori,and those whose acquaintances have been diagnosed or treated for H.pylori had higher awareness levels of H.pylori.Among all participants,77 individuals(14.9%)held an uncertain attitude or were unwilling to undergo treatment for H.pylori.Males,not being examined for H.pylori,acquaintances not being diagnosed or treated for H.pylori,and moderate to low awareness levels of H.pylori were independent risk factors influencing treatment willingness of H.pylori.Among them,low awareness level was the main factor for patients being unwilling to eradicate H.pylori.Conclusion:There is a lack of H.pylori education.H.pylori education should be focused on males,the elderly,people with lower education level,farmers,and laborers.

Helicobacter pyloriawarenesstreatment willingnessquestionnaire survey

赵文芳、刘鑫洋、徐灿霞

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中南大学湘雅三医院消化内科,长沙 410013

幽门螺杆菌 认知度 治疗意愿 问卷调查

2024

临床与病理杂志
中南大学

临床与病理杂志

CSTPCD
影响因子:0.559
ISSN:1673-2588
年,卷(期):2024.44(1)
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