摘要
目的了解陕西省绥德县基层医务人员布鲁菌病（简称布病）诊断报告能力，为制定防控策略提供科学依据。方法2016年10月，采用方便抽样方法，通过问卷调查绥德县的县级医院、乡镇医院和村卫生室的医务人员布病诊断报告能力等相关信息（包括基本信息、布病诊断和报告能力的知晓情况、培训情况和个人对布病诊断看法），采用SPSS18．0软件进行描述性统计分析。结果共调查77名基层医务人员，男女性别比为2．7：1．0，平均年龄为（38±9）岁，文化程度以本科[57．1％（44／77）]为主，53．2％（41／77）的医务人员是在县级医院工作。9．1％（7／77）能够完全知道布病的主要传染源，29．9％（23／77）完全掌握传播途径，28．6％（22／77）和66．2％（51／77）能知道高发人群和布病的流行病学史。在临床知识方面，26．0％（20／77）的医务人员能够完全掌握布病的主要临床表现，68．8％（53／77）明确知晓布病的临床分期；24．7％（19／77）能掌握布病特异性的实验室检查项目；44．2％（34／77）的医务人员报告能力较强。71．4％（55／77）的医务人员接受过布病治疗知识的培训，49.4％（38／77）的医务人员认为布病病例诊断标准中最难把握的是临床表现。结论绥德县基层医务人员对布病诊断、报告能力整体较弱，对布病的流行病学和临床知识掌握不全面，建议加强医务人员尤其是基层医务人员对布病的认识。开展布病流行病学和临床诊疗知识的培训。
Objective To investigate the ability in diagnosing and reporting brucellosis of primary medical personnel in Suide County of Shaanxi Province, and provide scientific basis for making prevention and control strategies. Methods Convenience sampling method was adopted in October 2016. A questionnaire survey was conducted among the county hospitals, township hospitals, village clinics and individual clinics in Suide County to collect information on the ability in diagnosing and reporting brucellosis of primary medical personnel. The specific content includes the basic information, the awareness of brucellosis diagnosis and reporting capabilities, the situation of brucellosis training, and the views about the diagnosis of brucellosis. SPSS 18.0 software was used to carry out descriptive statistical analysis. Results A total of 77 primary healthcare workers were surveyed. Their average age was （38 -＋ 9） years old, 57.1% （44/77） workers were undergraduates, and 53.2% （41/77） were working in county hospitals. 9.1% （7/77） were completely aware of the major infectious diseases, 29.9% （23/77） were fully aware of the transmission route, 28.6% （22/77） and 66.2% （51/77） known the high risk population and the epidemiological history of brucellosis. Twenty-six percent （20/77） of the medical staff were thoroughly aware of the main clinical manifestations, 68.8% （53/77） were clearly aware of the clinical stage of brucellosis; 24.7% （19/77） could understand the specificity of the laboratory tests of brucellosis; 44.2% （34/77） had a strong ability in reporting brucellosis. 71.4% （55/77） of the medical staff received the training about the knowledge of brucellosis; 49.4% （38/77） thought that the clinical manifestation was the most difficult to grasp in the criteria about diagnosis of brucellosis. Conclusions The ability of diagnosis and reporting of brucellosis is weak in primary healthcare workers in Suide County, the epidemiology and clinical knowledge of brucellosis are not comprehensive. It is suggested to strengthen the understanding of brucellosis among medical staff, especially in primary heahhcare workers. We should carry out the training of disease epidemiology and clinical knowledge of brucellosis and standardize patient management.
出处
《中华地方病学杂志》
CSCD
北大核心
2017年第10期768-771,共4页
Chinese Journal of Endemiology
关键词
布鲁菌病
基层医务人员
诊断报告能力
Brucellosis
Primary heahhcare workers
Ability of diagnosis and report
