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江西省临床医生丙型肝炎知晓情况分析

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目的 了解江西省临床医生丙型肝炎(简称丙肝)防治专业知识知晓水平,为有针对性地开展培训和制定院内丙肝病例筛查管理措施提供参考.方法 2021年8月-2022年5月,按照中国疾病预防控制中心《全国丙肝知识知晓率调查实施方案》要求,对江西省5个县区10家医疗机构的临床医生进行现场调查.内容包括丙肝的检测发现、诊断报告和治疗动员知识共16题,答对≥12题判定为知晓丙肝防治专业知识.采用多因素logistic回归模型分析临床医生丙肝知晓情况及相关影响因素.结果 共发放问卷752份,收回有效问卷751份.临床医生丙肝防治专业知识知晓率为17.0%,其中"丙肝病例的诊断分类""丙肝临床诊断病例的诊断依据"和"丙肝病例诊断后的正确做法"等问题回答正确率较低,分别为7.0%、7.0%和33.9%.相对于外科医生,感染性疾病科医生(OR=8.308,95%CI=3.746~18.427)和内科医生(OR=1.855,95%CI=1.011~3.406)知晓率较高;相对于本科学历医生,硕士及以上学历临床医生知晓率较高(OR=1.750,95%CI=1.157~2.647).结论 江西省临床医生丙肝防治专业知识知晓水平较低,科室和文化程度是主要影响因素.
Awareness of professional knowledge on hepatitis C prevention and control among practicing clinicians in Jiangxi province:a cross-sectional study
Objective To understand the level of professional knowledge of hepatitis C prevention and control among practicing clinicians in Jiangxi province,and to provide a reference for targeted training and development of in-hospital hepatitis C case screening and management policies.Methods Using stratified cluster sampling and the questionnaire of the"National Implementation Plan for Hepatitis C Knowledge Awareness Rate Survey"developed by the Chinese Center for Disease Control and Prevention,we conducted an on-site anonymous survey of 752 practicing clinicians aged 21-60 years in 10 hospitals in 5 counties and districts of Jiangxi province from August 2021 to May 2022.Participants who correctly answered 12 out of 16 questions on hepatitis C detection,diagnosis,and treatment from the questionnaire were classified as having professional knowledge of hepatitis C prevention and control.A multivariate logistic regression model was used to analyze the associated factors influencing hepatitis C awareness among clinicians.Results Among 751 participants with valid responses,17.0%were assessed as having professional knowledge of hepatitis C prevention and control,with lower proportions of participants correctly answering"diagnostic classification of hepatitis C cases"(7.0%),"diagnostic basis for clinical diagnosis of hepatitis C cases"(7.0%),and"correct practices after diagnosis of hepatitis C cases"(33.9%).Compared with surgeons,clinicians working in infectious disease departments(odds ratio[OR]=8.308,95%confidence interval[95%CI]:3.746-18.427)and internal medicine departments(OR=1.855,95%CI:1.011-3.406)were more likely to have higher awareness of professional knowledge.Compared to those with a bachelor's degree,clinicians with a master's degree or higher were more likely to have a higher awareness of professional knowledge(OR=1.750,95%CI:1.157-2.647).Conclusions The awareness level of professional knowledge on hepatitis C prevention and control is low and mainly influenced by work department and education among practicing clinicians in Jiangxi province.

hepatitis Ccliniciansawareness rateJiangxi province

刘培林、刘家虹、周文滔、龚俊平

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江西省疾病预防控制中心艾滋病性病防制所 南昌 330029

江西省疾病预防控制中心青年科研创新攻关团队 南昌 330029

丙型肝炎 临床医生 知晓率 江西省

江西省卫生健康委员会科技计划项目

202311104

2024

中国公共卫生
中华预防医学会

中国公共卫生

CSTPCD北大核心
影响因子:1.404
ISSN:1001-0580
年,卷(期):2024.40(7)