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目的了解医务人员对预防艾滋病母婴传播知识的掌握情况。方法以2014年4月—7月凉山州各县(市)参加四川省重点地区预防艾滋病母婴传播学习班的医务人员和日常参与预防艾滋病母婴传播工作的医务人员为研究对象,发放“预防艾滋病母婴传播知识调查表”进行问卷调查,采用χ2检验进行统计学分析。结果共发放问卷450份,回收有效问卷447份,有效回收率99.33%。94.18%的受访者对围生期人类免疫缺陷病毒(human immunodeficiency virus,HIV)抗体检测最佳时机和传播途径的知晓,95.30%的受访者能正确回答在孕期尽早对HIV感染孕产妇应用抗病毒药物,86.58%的受访者知道HIV阳性孕产妇所生婴儿首次服药时间和避免母乳喂养,但相关应用性知识知晓情况较差。妇幼保健院人员知晓率总体高于综合医院(P<0.05),不同专业、职称以及工作年限的医务人员知晓率不同(P<0.05)。结论调查地区的多数医务人员基本掌握预防艾滋病母婴传播的基本知识,但在具体实际工作中准确、及时、规范应用知识的能力尚显不足。建议除了加强预防艾滋病母婴传播的常规培训外,应结合干预技术重点加强培训后的落实与考核评价机制,尤其对综合医院,并尽可能分专业类别进行有针对性的培训与考核。
Objective To understand the medical staff’s knowledge of prevention of mother-to-child transmission of AIDS. Methods From April to July 2014, medical staff from various counties (cities) in Liangshan Prefecture who participated in the prevention of mother-to-child transmission of HIV / AIDS in key areas of Sichuan Province and medical personnel who routinely participated in the prevention of mother-to-child transmission of AIDS were enrolled in the study. Prevention of mother-to-child transmission of HIV knowledge questionnaire "questionnaire, using χ2 test for statistical analysis. Results A total of 450 questionnaires were distributed and 447 valid questionnaires were recovered, with an effective recovery rate of 99.33%. 94.18% of respondents were aware of the best timing and route of transmission for the detection of antibodies to the human immunodeficiency virus (HIV) during the perinatal period, and 95.30% of respondents were able to correctly respond to the use of HIV-infected pregnant women as early as possible during pregnancy Antiviral drugs, 86.58% of respondents knew about the first dose of infants born to HIV-positive pregnant women and avoid breastfeeding, but the relevant application of knowledge is poor. The awareness rate of MCH staff was higher than that of general hospital (P <0.05), and there was a difference (P <0.05) among medical staff of different majors, professional titles and working years. Conclusions Most of the medical staff in the surveyed areas have basically mastered the basic knowledge of preventing mother-to-child transmission of HIV / AIDS, but their ability to accurately and timely and regulate the application of knowledge in specific practical work is still insufficient. In addition to strengthening routine prevention of mother-to-child transmission of AIDS, it is suggested that the implementation of post-training evaluation and assessment mechanisms should be strengthened in combination with intervention techniques, especially in general hospitals, and targeted training and assessment should be carried out as far as possible in different professional categories.