某医院患者乙型肝炎相关知识、行为及态度调查
|
摘要
目的调查温州医科大学附属第二医院就诊患者对乙型肝炎传播与防护知识、行为及态度的状况,为临床制定合理科学的乙肝宣教及防控内容提供参考。方法选取2017年1月—2018年5月于温州医科大学附属第二医院就诊的患者为调查对象,应用自拟调查问卷对就诊患者进行现状调查。结果乙型肝炎传播与防护知识、行为及态度在不同文化程度患者间存在较大差异,"乙型肝炎能够通过规范治疗得到控制""共用注射器是乙肝病毒传染途径"等问题的知晓率比较差异有统计学意义(χ~2=12.7310,P<0.05;χ~2=8.2136,P<0.05);"是否接种过乙肝疫苗"的行为以及"您觉得乙肝病毒感染者可以生孩子吗"的态度方面,在不同文化程度患者间差异有统计学意义(Z=-3.6331,P<0.05;Z=-2.4604,P<0.05)。结论医院就诊患者因文化程度不同,在乙肝的传播与防护知识、行为以及态度方面存在较大差异,针对就诊患者应该积极开展乙肝疾病相关知识的教育工作,同时结合患者的特点针对性进行宣教,对于预防乙型肝炎有重要意义。
Objective To investigate the hepatitis B transmission and protection knowledge,attitude and practice of patients in Second Affiliated Hospital of Wenzhou Medical University,provide reference for the clinical development of reasonable and scientific hepatitis b education and prevention and control.Methods The patients from January 2017 to May 2018 were selected as the subjects.The present situation of the patients was investigated by self-designed questionnaire.Results The knowledge,attitude and practice of hepatitis B related transmission and protection had great differences among patients with different cultural degrees.There were statistically significant differences in the awareness rates of "hepatitis B can be controlled by standardized treatment" and "shared syringe is the path of hepatitis B virus infection"(χ~2=12.7310,P<0.05;χ~2=8.2136,P<0.05).There were differences between the behaviors of "whether you have been vaccinated with hepatitis B vaccine" and the attitude of "Do you think hepatitis B virus infection can give birth to children?" There were statistically significant differences among patients with different educational levels(Z=-3.6331,P<0.05;Z=-2.4604,P<0.05).Conclusion There are great differences in the knowledge,behavior and attitude between the transmission and protection of hepatitis B in hospital patients because of the different educational level.It is great significance for the prevention of hepatitis B to promote the education of the related knowledge of hepatitis B disease and the specific characteristics of the patients.
Objective To investigate the hepatitis B transmission and protection knowledge,attitude and practice of patients in Second Affiliated Hospital of Wenzhou Medical University,provide reference for the clinical development of reasonable and scientific hepatitis b education and prevention and control.Methods The patients from January 2017 to May 2018 were selected as the subjects.The present situation of the patients was investigated by self-designed questionnaire.Results The knowledge,attitude and practice of hepatitis B related transmission and protection had great differences among patients with different cultural degrees.There were statistically significant differences in the awareness rates of "hepatitis B can be controlled by standardized treatment" and "shared syringe is the path of hepatitis B virus infection"(χ~2=12.7310,P<0.05;χ~2=8.2136,P<0.05).There were differences between the behaviors of "whether you have been vaccinated with hepatitis B vaccine" and the attitude of "Do you think hepatitis B virus infection can give birth to children?" There were statistically significant differences among patients with different educational levels(Z=-3.6331,P<0.05;Z=-2.4604,P<0.05).Conclusion There are great differences in the knowledge,behavior and attitude between the transmission and protection of hepatitis B in hospital patients because of the different educational level.It is great significance for the prevention of hepatitis B to promote the education of the related knowledge of hepatitis B disease and the specific characteristics of the patients.
引文
[1] 何水珍,苏成豪,沈理通,等.厦门市自然人群中乙型肝炎病毒隐匿性感染状况调查[J].中华预防医学杂志,2015,49(2):132-136.
[2] 潘胜茂,周英,邱翠琼,等.广州市本科实习护生乙型肝炎防护知识认知及态度的调查[J].全科护理,2016,14(11):1160-1161.
[3] 于丽洁,刘鸿宇,郑娟,等.中国东部三省份农村成年人乙型肝炎歧视现状及其影响因素[J].中华预防医学杂志,2015,49(9):771-776.
[4] 李利翔,文加峰,南社利.某市接种门诊570 名新生儿乙肝疫苗接种免疫效果观察[J].医学动物防制,2015,31(5):555-557.
[5] 张延炀,李军,叶莹,等.河南省 2013 年乙型病毒性肝炎疫情分析[J].慢性病学杂志,2014,15(5):352-356.
[6] 孙迎春.沈阳市 2005-2015年甲型病毒性肝炎流行特征分析[J].中国当代医药,2016,23(32):156 -158.
[7] Daniel G,Gebrekidan GA,Hagos AG.Seroprevalence of hepatitis B virus surface antigen (HBsAg) among clients visiting‘Tefera Hailu’memorial hospital,Sekota,Northern Ethiopia[J].BMC Infect Diseases,2016,16(1):383.
[8] 高贵珍,王晶,刘凯文,等.15 岁以下人群乙型肝炎疫苗免疫效果调查分析[J].医学动物防制,2015,31(5):582-586.
[9] 张秋玲,吴修山.学生乙型肝炎疫苗免疫接种效果的评价[J].中国医药指南,2016,14(29):86-87.
[10] 申文豪,孔德亮,麦炜,等.肇庆市居民乙肝病毒感染现状及危险因素调查[J].中国公共卫生,2016,32(5):673-675.
[11] 王青,徐佳薇,姚宁.乙型肝炎病毒表面抗原携带者配偶感染乙型肝炎危险因素调查[J].重庆医学,2014,43(21):2767-2769.
[12] 马淑红,张敏,范晓玲.某高职院校新生乙型肝炎病毒携带情况及原因调查分析[J].肝脏,2015,20(6):491-492.
[13] 赵姜楠,郑蔚,余钫,等.慢性乙型肝炎病人特异性、焦虑、抑郁和社会支持的相关性研究[J].护理研究,2014,28(3):931-933.收稿日期;2018-08-25
[2] 潘胜茂,周英,邱翠琼,等.广州市本科实习护生乙型肝炎防护知识认知及态度的调查[J].全科护理,2016,14(11):1160-1161.
[3] 于丽洁,刘鸿宇,郑娟,等.中国东部三省份农村成年人乙型肝炎歧视现状及其影响因素[J].中华预防医学杂志,2015,49(9):771-776.
[4] 李利翔,文加峰,南社利.某市接种门诊570 名新生儿乙肝疫苗接种免疫效果观察[J].医学动物防制,2015,31(5):555-557.
[5] 张延炀,李军,叶莹,等.河南省 2013 年乙型病毒性肝炎疫情分析[J].慢性病学杂志,2014,15(5):352-356.
[6] 孙迎春.沈阳市 2005-2015年甲型病毒性肝炎流行特征分析[J].中国当代医药,2016,23(32):156 -158.
[7] Daniel G,Gebrekidan GA,Hagos AG.Seroprevalence of hepatitis B virus surface antigen (HBsAg) among clients visiting‘Tefera Hailu’memorial hospital,Sekota,Northern Ethiopia[J].BMC Infect Diseases,2016,16(1):383.
[8] 高贵珍,王晶,刘凯文,等.15 岁以下人群乙型肝炎疫苗免疫效果调查分析[J].医学动物防制,2015,31(5):582-586.
[9] 张秋玲,吴修山.学生乙型肝炎疫苗免疫接种效果的评价[J].中国医药指南,2016,14(29):86-87.
[10] 申文豪,孔德亮,麦炜,等.肇庆市居民乙肝病毒感染现状及危险因素调查[J].中国公共卫生,2016,32(5):673-675.
[11] 王青,徐佳薇,姚宁.乙型肝炎病毒表面抗原携带者配偶感染乙型肝炎危险因素调查[J].重庆医学,2014,43(21):2767-2769.
[12] 马淑红,张敏,范晓玲.某高职院校新生乙型肝炎病毒携带情况及原因调查分析[J].肝脏,2015,20(6):491-492.
[13] 赵姜楠,郑蔚,余钫,等.慢性乙型肝炎病人特异性、焦虑、抑郁和社会支持的相关性研究[J].护理研究,2014,28(3):931-933.收稿日期;2018-08-25