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目的了解基层医务人员对梅毒诊断与报告知识的掌握情况,分析其影响因素,为制定梅毒防控策略提供依据。方法在培训前使用结构性问卷对医务人员进行匿名调查。结果共发放问卷213份,收回有效问卷202份,有效率94.84%。梅毒诊断知识12道题中,平均分(36.14±14.53)分,知晓率为56.44%;梅毒报告知识8道题中,平均分(26.76±8.06)分,知晓率为71.29%;总体平均分(62.90±19.13)分,知晓率为61.88%。多因素Logistic回归分析显示,不同科室的医务人员对梅毒诊断知识、报告知识和总体知识的知晓情况差异有统计学意义(P<0.05),不同年龄段的医务人员对梅毒诊断知识和总体知识的知晓情况差异有统计学意义(P<0.05)。结论基层医务人员梅毒诊断与报告知识知晓率低于国家要求,需进一步优化培训机制,加强对梅毒相关诊疗科室医务人员的培训,以提高医务人员的梅毒诊断与报告能力。
Objective To understand the knowledge of primary medical staff on the diagnosis and reporting of syphilis, analyze the influencing factors and provide the basis for the development of syphilis prevention and control strategy. Methods Anonymous surveys of medical staff were conducted using structured questionnaires prior to training. Results A total of 213 questionnaires were distributed and 202 valid questionnaires were returned, with an effective rate of 94.84%. Syphilis diagnosis knowledge 12 questions, the average score (36.14 ± 14.53) points, the awareness rate was 56.44%; syphilis report knowledge 8 questions, average score (26.76 ± 8.06) points, the awareness rate was 71.29%; overall average score 62.90 ± 19.13) points, the awareness rate was 61.88%. Multivariate logistic regression analysis showed that the medical staff in different departments had statistically significant differences in the knowledge of the diagnosis of syphilis, the reporting of knowledge and the overall knowledge (P <0.05). The medical staff of different age groups had significant difference in the diagnosis of syphilis and general knowledge Awareness of the difference was statistically significant (P <0.05). Conclusion The knowledge of diagnosis and reporting of syphilis in primary medical staff is lower than the national requirement. Training mechanism should be further optimized to enhance the training of medical staff in syphilis-related departments to improve the diagnosis and reporting ability of syphilis among medical staff.