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目的了解基层医疗机构防疫人员疾病防治综合知识知晓率及其影响因素。方法采用整群抽样方法对宁波市鄞州区24家基层医疗机构167名防疫人员进行疾病防治知识问卷调查,应用SPSS 19.0统计软件进行一般描述性分析、χ2检验、多因素logistic回归分析,P<0.05为差异有统计学意义。结果基层医疗机构防疫人员疾病防治综合知识知晓率为71.26%,其中免疫规划、传染病防治、地方病防治、艾滋病及性病防治、健康教育岗位的防疫人员知晓率分别为60.49%、80.00%、75.00%、79.17%、89.47%;1年内参加和未参加过其他岗位知识培训防疫人员知晓率分别为80.20%、57.58%;多因素logistic回归分析结果显示,岗位类别和1年内是否参加过其他岗位知识培训是疾病综合防治综合知识知晓率的主要影响因素。健康教育岗位和免疫规划管理岗位比较,差异有统计学意义(OR=5.054,P=0.041);参与者与未参与者比较差异有统计学意义(OR=2.585,P=0.011)。结论基层医疗机构防疫人员疾病防治综合性知识知晓率处于中等水平,应根据不同岗位类别与既往参加培训情况,开展跨岗位的疾病综合性业务知识培训。
Objective To understand the rate of awareness of disease prevention and control of epidemic prevention staff in primary medical institutions and its influencing factors. Methods A cluster sampling method was used to investigate the knowledge of prevention and treatment of diseases in 167 grass-roots medical institutions in Yinzhou District of Ningbo City. SPSS 19.0 software was used for general descriptive analysis, χ2 test and multivariate logistic regression analysis, P <0.05 For the difference was statistically significant. Results The awareness rates of prevention and treatment of epidemic prevention staff in primary medical institutions were 71.26%. The awareness rates of immunization staff in immunization programs, prevention and control of infectious diseases, prevention and treatment of endemic diseases, AIDS and STDs, and health education posts were 60.49%, 80.00% and 75.00% , 79.17% and 89.47% respectively. The awareness rate of epidemic prevention personnel who participated in and participated in other job knowledge training within one year was 80.20% and 57.58% respectively. The results of multivariate logistic regression analysis showed that the job category and other position knowledge training Is a comprehensive disease prevention and control knowledge of the main factors affecting the rate of awareness. There were significant differences between health education positions and immunization planning management positions (OR = 5.054, P = 0.041). There was significant difference between participants and non-participants (OR = 2.585, P = 0.011). Conclusion The awareness rate of integrated knowledge of prevention and treatment of epidemic prevention staff in grass-roots medical institutions is at a medium level. Comprehensive knowledge training should be carried out on different diseases according to different job categories and previous participation in training.