安徽省部分地区医务人员对人感染 H7N9禽流感知信行调查
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摘要
目的了解医务人员对H7N9禽流感知信行状况,为禽流感病例的早诊早治提供科学依据。方法采用统一的调查问卷对3个县各级医疗机构医务人员开展调查,分析医务人员知信行状况。结果回收有效问卷394份,回收率96.59%(394/408),其中女性205人,占52.03%;平均年龄(37.29±9.14)岁;来自乡镇医疗机构的占62.18%,县级医疗机构占37.82%。医务人员对个人防护、病毒分型、传染源和治疗方法的知晓率分别为94.92%、91.37%、90.86%、90.61%,早期使用抗病毒药物(48h)知晓率仅为41.37%,H7N9病毒对禽类不致病为23.60%,患者转诊条件知晓率为66.53%。知识得分为(16.27±2.44)分,LJ县较其他2个县知识得分较低(OR=0.47,95%CI:0.25～0.89);态度行为得分为(7.21±1.25)分,县级医院较乡镇医疗机构有较高的态度行为得分(OR=2.02,95%CI:1.26～3.23)。结论安徽省LJ、NL和FC 3个县的县级和乡镇医疗机构的医务人员对H7N9禽流感知识和态度行为方面认识不足,应加强医务人员对H7N9禽流感知识和态度行为方面的培训,尤其是LJ地区、乡镇医疗机构的医务人员。
Objective To discuss the current status of knowledge, attitude and practice(KAP) of healthcare workers toward avian influenza A(H7N9) virus human infection, and to provide scientific evidence for disease early diagnosis and treatment. Methods A standardized, self-administered questionnaire survey was conducted among healthcare workers in medical institutions in three counties, and the KAP of healthcare workers were evaluated. Results A total of 408 questionnaires were issued and 394 were retrieved with a response rate of 96.59% and 52.03% were females.The average age was 37.29±9.14 years old, 62.18% and 37.82% of participants were from town-level and county-level medical institutions.The awareness rates of participants in personal protection, virus typing, infection sources and treatment methods were 94.92%, 91.37%, 90.86%, and 90.61%, respectively.The awareness rates of subjects about early antiviral treatment(48 h), pathogenicity of H7N9 virus to poultry and referral conditions of patients were 41.37%, 23.60% and 66.53%, respectively.The overall score of knowledge was 16.27±2.44, which was lower among healthcare worker from LJ region compared to those from the other two counties(OR=0.47,95%CI:0.25-0.89).The overall score of attitude-practice was 7.21±1.25,which was much higher among subjects from county-level medical institutions compared to those from town-level ones(OR=2.02,95%CI:1.26-3.23). Conclusions Healthcare workers in town-level and county-level medical institutions in three counties of LJ,NL and FC in Anhui Province have insufficient awareness of KAP toward human infections with avian influenza H7N9 virus.Therefore,specific trainings should be provided to local healthcare workers especially those from LJ area and from town level medical institutions.
Objective To discuss the current status of knowledge, attitude and practice(KAP) of healthcare workers toward avian influenza A(H7N9) virus human infection, and to provide scientific evidence for disease early diagnosis and treatment. Methods A standardized, self-administered questionnaire survey was conducted among healthcare workers in medical institutions in three counties, and the KAP of healthcare workers were evaluated. Results A total of 408 questionnaires were issued and 394 were retrieved with a response rate of 96.59% and 52.03% were females.The average age was 37.29±9.14 years old, 62.18% and 37.82% of participants were from town-level and county-level medical institutions.The awareness rates of participants in personal protection, virus typing, infection sources and treatment methods were 94.92%, 91.37%, 90.86%, and 90.61%, respectively.The awareness rates of subjects about early antiviral treatment(48 h), pathogenicity of H7N9 virus to poultry and referral conditions of patients were 41.37%, 23.60% and 66.53%, respectively.The overall score of knowledge was 16.27±2.44, which was lower among healthcare worker from LJ region compared to those from the other two counties(OR=0.47,95%CI:0.25-0.89).The overall score of attitude-practice was 7.21±1.25,which was much higher among subjects from county-level medical institutions compared to those from town-level ones(OR=2.02,95%CI:1.26-3.23). Conclusions Healthcare workers in town-level and county-level medical institutions in three counties of LJ,NL and FC in Anhui Province have insufficient awareness of KAP toward human infections with avian influenza H7N9 virus.Therefore,specific trainings should be provided to local healthcare workers especially those from LJ area and from town level medical institutions.
引文
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[11] 中华人民共和国国家卫生和计划生育委员会.人感染H7N9禽流感诊疗方案(2017年第一版)[J].中华临床感染病杂志,2017,10(1):1-4.
[12] 王帮马,金晗英,陈章霞,等.杭州市西湖区1例人感染H7N9禽流感死亡病例的调查分析[J].中国预防医学杂志,2017,18(3):240-241.
[13] 马岩,王吉玲,张冬艳,等.绍兴市11例人感染H7N9禽流感死亡病例流行特征分析[J].中国农村卫生事业管理,2017,37(12):1472-1474.
[14] 刘爱香.枣庄市医务人员梅毒艾滋病职业暴露知信行及其影响因素分析[D].济南:山东大学,2017.
[2] Watanabe T,Kiso M,Fukuyama S,et al.Characterization of H7N9 influenza A viruses isolated from humans[J].Nature,2013,501(7468):551-555.
[3] Liu S,Sun J,Cai J,et al.Epidemiological,clinical and viral characteristics of fatal cases of human avian influenza A (H7N9) virus in Zhejiang Province,China[J].J Infect,2013,67(6):595-605.
[4] 王国华,郭敏建,曹元,等.5例人感染H7N9禽流感死亡病例流行特征分析[J].中国农村卫生事业管理,2016,36(7):882-884.
[5] 王锋生,周道平,吴怀国,等.医院职工人感染H7N9禽流感防治知信行调查[J].安徽卫生职业技术学院学报,2017,16(2):20-21.
[6] 史继新,宋士勋,张松建,等.医务人员对人感染H7N9禽流感知信行调查[J].中国公共卫生管理,2015,31(1):43-45.
[7] 刘强林.人感染H7N9禽流感研究进展[J].热带医学杂志,2018,18(6):835-838.
[8] 陈炜,陈金强,鲁君敏,等.3例人感染H7N9禽流感重症病例临床特征分析[J].预防医学,2016,28(10):1031-1033.
[9] 高忠博,苏丽梅,梁淇星,等.人感染H7N9禽流感病毒性肺炎的影像学特征[J].深圳中西医结合杂志,2017,27(12):60-61.
[10] Kuehn BM.CDC:Use antivirals early,aggressively for H7N9 flu[J].Jama J Am Med Assoc,2013,309(20):2086-2086.
[11] 中华人民共和国国家卫生和计划生育委员会.人感染H7N9禽流感诊疗方案(2017年第一版)[J].中华临床感染病杂志,2017,10(1):1-4.
[12] 王帮马,金晗英,陈章霞,等.杭州市西湖区1例人感染H7N9禽流感死亡病例的调查分析[J].中国预防医学杂志,2017,18(3):240-241.
[13] 马岩,王吉玲,张冬艳,等.绍兴市11例人感染H7N9禽流感死亡病例流行特征分析[J].中国农村卫生事业管理,2017,37(12):1472-1474.
[14] 刘爱香.枣庄市医务人员梅毒艾滋病职业暴露知信行及其影响因素分析[D].济南:山东大学,2017.