天津市生殖健康相关专业医务人员对性传播疾病的KAP研究

【摘要】目的了解天津市生殖健康相关专业医务人员对艾滋病等性传播疾病(STD)的知识、态度和行为(KAP)现状及相关知识需求情况。方法分层整群随机抽样方法抽取天津市各级医疗机构的生殖健康相关专业医务人员507例，采用自填式性传播疾病KAP问卷进行调查，调查内容包括：一般情况、艾滋病等STD基本知识知晓情况、对艾滋病和梅毒患者的接诊态度、自身职业暴露发生情况、相关知识培训需求等。结果二级医疗机构被调查者的STD知识得分为（75.59±12.15）分，高于三级（70.11±10.07）和一级（67.62±12.20），差异有统计学意义（F=15.817，P＜0.001）。多因素分析显示妇产科及妇保专业者STD认知水平较高（β=-3.765，P=0.048）。86.34%的医务人员担心因职业暴露而感染HIV或梅毒，仅25.88%愿意为艾滋病和梅毒患者提供医疗服务。60.46%的被调查者自身发生过职业暴露，仅13.04%熟知发生职业暴露后的紧急处理及上报程序，94.62%有相关知识培训需求。结论今后应通过一系列干预措施进一步提高该专业医务人员的STD认知水平、改善相关态度、增强职业防护能力，使其更好地为患者和大众服务。

Knowledge,Attitudes and Practices of Sexually Transmitted Diseases in Reproductive Health-Related Medical Professionals in Tianjin

Abstract]ObjectiveTo understand the knowledge, attitudes, practices (KAP) and relative training demand ofAIDS and other sexually transmitted diseases (STDs) in reproductive health-related medical professionals in Tianjin.MethodsBy using random, stratified and clustered sampling approach,507reproductive health-related medical professionals were selected in Tianjin area. A self-administered KAP questionnaire on AIDS and other STDs was used to collect the data included in the general condition, understanding of AIDS and other STDs knowledge, attitudes to AIDS and syphilis patients, occupational exposure of medical staffs and request of continuing education.ResultsThe score of STD knowledge was (75.59±12.15) in respondents coming from the secondary medical institutions, which was significantly higher than that of tertiary medical institutions (70.11±10.07) and primary health care institutions (67.62±12.20，F=15.817，P＜0.001). Multiplefactor analysisshowed that there was a higher cognitive level for STD in professionals working in the department of obstetrics and gynecology and women’s health care (β=-3.765，P=0.048). A total of86.34% respondents worried about HIV or syphilis infection due to occupational exposure. Only 25.88% respondents expressed a willingness to provide medical services for AIDS and syphilis patients. About60.46% medical staffs experienced occupational exposure. Only13.04% respondents were familiar with emergency treatment and reporting procedures while occupational exposure occurring. The 94.62% medical personnel showed demand on relative training.Conclusion It’s necessary to perform continuing education to medical staffs via different intervention, so as to improve theircognitivelevel and attitudes to AIDS and other STDs, and help them providing better service to the patients and the public.