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中国防痨杂志 ›› 2023, Vol. 45 ›› Issue (10): 989-996.doi: 10.19982/j.issn.1000-6621.20230188

• 论著 • 上一篇    下一篇

儿科医生对儿童结核病防治知识知晓情况及影响因素分析

刘翠玉1, 张慧2(), 申阿东3()   

  1. 1黑龙江省佳木斯市疾病预防控制中心流行病预防科,佳木斯 154000
    2中国疾病预防控制中心结核病预防控制中心,北京 102206
    3国家儿童医学中心/首都医科大学附属北京儿童医院/国家呼吸系统疾病临床医学研究中心/儿科重大疾病研究教育部重点实验室/儿童呼吸道感染性疾病研究北京市重点实验室,北京 100045
  • 收稿日期:2023-06-02 出版日期:2023-10-10 发布日期:2023-10-07
  • 通信作者: 张慧,Email:zhanghui@chinacdc.cn;申阿东,Email:shenad16@bch.com.cn
  • 基金资助:
    “十三五”国家科技重大专项-肺结核患者密切接触者潜伏感染干预技术研究(2017ZX10201302001);中央财政结核病预防控制项目-结核业务日常运转(232811)

Analysis on awareness of tuberculosis prevention and control knowledge and its influencing factors among pediatricians

Liu Cuiyu1, Zhang Hui2(), Shen Adong3()   

  1. 1Department of Epidemic Prevention, Jiamusi Prefectural Center for Disease Control and Prevention, Heilongjiang Province, Jiamusi 154000, China
    2National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
    3Beijing Key Laboratory of Pediatric Respiratory Infection Diseases, Key Laboratory of Major Diseases in Children, Ministry of Education, National Clinical Research Center for Respiratory Diseases, National Key Discipline of Pediatrics (Capital Medical University), Beijing Pediatric Research Institute, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China
  • Received:2023-06-02 Online:2023-10-10 Published:2023-10-07
  • Contact: Zhang Hui, Email: zhanghui@chinacdc.cn; Shen Adong, Email: shenad16@bch.com.cn
  • Supported by:
    “13th Five-Year Plan” National Science and Technology Major Project-Study of the Intervention Technique for Latent Tuberculosis Infection among Close Contacts of Patients with Tuberculosis(2017ZX10201302001);Central Government Funds for Tuberculosis Prevention and Control Project-Daily Operation(232811)

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摘要：

目的: 了解儿科医生对儿童结核病防治知识的知晓情况及其影响因素,为制定儿童结核病防治政策和结核病知识培训内容提供科学依据。方法: 采用横断面调查的研究方法,选择各级综合医院、儿童医院、妇幼保健院等医疗机构从事临床诊疗工作的儿科医生作为研究对象,通过在线工具——问卷星(https://www.wjx.cn/)开展问卷调查。本次调查共收集2278份问卷,有效问卷2138份,有效率为93.85%。采用多元线性回归模型分析儿科医生对儿童结核病防治知识知晓情况的影响因素。结果: 儿童结核病防治总体知识知晓率为34.36%(11753/34208),预防知识知晓率为22.56%(1929/8552),诊断知识知晓率为25.80%(2206/8552),治疗知识知晓率为25.36%(2169/8552),管理知识知晓率为63.72%(5449/8552)。多元线性回归模型分析结果显示,相较于中专/大专学历、其他科室、未参加过结核病知识培训、二级医院、不接诊儿童结核病患者的儿科医生,硕士及以上学历、儿童呼吸内科、参加过结核病知识培训、三级医院、接诊儿童结核病患者的儿科医生结核病防治总体知识知晓条目数较多(t=2.888,P=0.004;t=4.466,P<0.001;t=7.459,P<0.001;t=2.707,P=0.007;t=3.296,P=0.001);参加培训的儿科医生在结核病预防、诊断、治疗、管理知识方面知晓条目数较多(t=6.718,P<0.001;t=2.044,P=0.041;t=5.864,P<0.001;t=3.306,P=0.001);接诊儿童结核病患者的儿科医生在预防、诊断、治疗知识方面知晓条目数较多(t=3.084,P=0.002;t=2.832,P=0.005;t=2.195,P=0.028)。结论: 儿科医生结核病防治知识知晓率低,尤其是在结核病预防、诊断、治疗知识方面,加强儿科医生的专科培训是当前亟需解决的问题。

关键词: 结核, 医院, 儿科, 健康知识, 态度, 实践, 因素分析, 统计学

Abstract:

Objective: To understand pediatricians’ knowledge of childhood tuberculosis control and prevention and its influencing factors, and to provide a scientific basis for the development of childhood tuberculosis control policy and training materials. Methods: A cross-sectional study was conducted using an online survey tool Wenjuanxing (https://www.wjx.cn/, in Chinese). A total of 2278 questionnaires were distributed, and 2138 valid questionnaires were received with effective rate of 93.85%. Multiple linear regression model was used to analyze the influencing factors of pediatricians’ knowledge on childhood tuberculosis prevention and control. Results: The overall awareness rate of childhood tuberculosis prevention and treatment was 34.36% (11753/34208). The awareness rate of the knowledge of tuberculosis prevention, diagnosis, treatment and management were 22.56% (1929/8552), 25.80% (2206/8552), 25.36% (2169/8552) and 63.72% (5449/8552), respectively. The results of multiple linear regression model showed that compared with pediatricians with secondary/tertiary education, in non-pediatric respiratory departments, without tuberculosis knowledge training, in secondary hospitals, and who did not treated children with tuberculosis, pediatricians with master's degrees or above, in pediatric respiratory departments, participated in tuberculosis knowledge training, in tertiary hospitals and receiving pediatric tuberculosis patients had better knowledge about tuberculosis prevention and control (t=2.888, P=0.004; t=4.466, P<0.001; t=7.459, P<0.001; t=2.707, P=0.007; t=3.296, P=0.001). Pediatricians participated in tuberculosis knowledge trainings knew more items of the knowledge of tuberculosis prevention, diagnosis, treatment and management (t=6.718, P<0.001; t=2.044, P=0.041; t=5.864, P<0.001; t=3.306, P=0.001). Pediatricians who treated children with tuberculosis had more knowledge about prevention, diagnosis and treatment (t=3.084, P=0.002; t=2.832, P=0.005; t=2.195, P=0.028). Conclusion: The overall knowledge of tuberculosis prevention and control among pediatric medical personnel was relatively low, especially in the knowledge of tuberculosis prevention, diagnosis and treatment. Strengthening the specialized training of pediatricians is an important issue that needs to be urgently addressed at present.

Key words: Tuberculosis, Hospitals, pediatric, Health knowledge, attitudes, practice, Factor analysis, statistical

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