县级综合医院医护人员结核病控制知识知晓现况分析

目的　了解县级综合医院医务人员对现代结核病控制知识的掌握现况。方法 在湖南省的怀化、湘西自治州、张家界、郴州和衡阳等5市各随机抽查2个县级人民医院,采用封闭式问卷对各医院的呼吸内科、传染科、放射科和检验科各5～7名医护人员进行结核病临床与诊断技术、化疗原则、DOTS策略、归口管理和政府有关法规等9项结核病控制知识及是否接受过专业培训共10个问题的调查。结果 10所抽查医院共回收问卷261份,有效问卷254份(97.3%)。9项结核病知识回答正确者仅36份(14.2%),且不同科室、不同职业和不同职称之间没有明显差异;答卷者对结核病知识的平均得分为6.58±1.56分,其中男性高于女性;职称越高,得分越高;护士得分较低;得分与工作岗位无关;答卷者中仅77人(30.3%)接受过相关知识培训,结核病控制知识的知晓与专业机构培训次数呈正相关。结论 大多数县级综合医院医护人员对结核病控制知识较为欠缺,忽视痰涂片镜检的作用,对国家结核病控制规划和政府的相关法规不了解。加强综合医院医护人员有关结核病知识的培训是目前结核病控制的当务之急。

Knowledge on Tuberculosis control among county level general hospital staff

Objective To ascertain the knowledge on tuberculosis control among county level general hospital staff. Methods Health workers in departments of respiratory disease,infectious diseases,radiology and laboratory from 10 hospitals at the county level were asked to answer a pre-tested questionnaire consisting of 9 multiple-choice questions assessing the knowledge of tuberculosis control in Hu’nan Province by random sampling. Results Total 254 medical workers were involved in the study. The response rate was 97.3%(254/261). Only 36 respondents (14.2%) know rather well about tuberculosis control with the correct answer rate of 100%. Mean knowledge score among 254 respondents was 6.58±1.56 (1 point for each item, 9 items altogether). The knowledge levels were significant differences in gander,professional title,specialty of the medical workers and the knowledge score was correlated with training they received.Conclusion This study demonstrated that the knowledge on tuberculosis control is meager among medical workers in the county level general hospitals. It is an urgent task to train health workers in general hospitals with modern knowledge of tuberculosis control and management.