天津医药

• 论著 • 上一篇    下一篇

天津市生殖健康相关专业医务人员对性传播疾病的KAP研究

张钰娟,杨敬,王建梅,霍彦,王慧   

  1. 天津医科大学第二医院计划生育科
  • 收稿日期:2013-08-29 修回日期:2013-09-12 出版日期:2013-12-15 发布日期:2013-12-15
  • 通讯作者: 张钰娟

Knowledge, Attitudes and Practices of Sexually Transmitted Diseases in Reproductive Health-Related Medical Professionals in Tianjin

ZHANG Yu juan,YANG Jing ,WANG Jian mei,HUO Yan ,WANG Hui   

  1. Department of Family Planning, The Second Hospital of Tianjin Medical University
  • Received:2013-08-29 Revised:2013-09-12 Published:2013-12-15 Online:2013-12-15
  • Contact: ZHANG Yu juan

PDF (PC)

2639

摘要：

【摘要】 目的 了解天津市生殖健康相关专业医务人员对艾滋病等性传播疾病(STD)的知识、态度和行为(KAP)现状及相关知识需求情况。  方法  分层整群随机抽样方法抽取天津市各级医疗机构的生殖健康相关专业医务人员507例，采用自填式性传播疾病KAP问卷进行调查，调查内容包括：一般情况、艾滋病等STD基本知识知晓情况、对艾滋病和梅毒患者的接诊态度、自身职业暴露发生情况、相关知识培训需求等。  结果  二级医疗机构被调查者的STD知识得分为（75.59±12.15）分，高于三级（70.11±10.07）和一级（67.62±12.20），差异有统计学意义（F=15.817，P＜0.001）。多因素分析显示妇产科及妇保专业者STD认知水平较高（β=-3.765，P=0.048）。86.34%的医务人员担心因职业暴露而感染HIV或梅毒，仅25.88%愿意为艾滋病和梅毒患者提供医疗服务。60.46%的被调查者自身发生过职业暴露，仅13.04%熟知发生职业暴露后的紧急处理及上报程序，94.62%有相关知识培训需求。  结论  今后应通过一系列干预措施进一步提高该专业医务人员的STD认知水平、改善相关态度、增强职业防护能力，使其更好地为患者
和大众服务。

关键词: 获得性免疫缺陷综合征, 性传播疾病, 生殖健康, 医务人员, 健康知识, 态度.实践

Abstract:

[Abstract]   Objective   To understand the knowledge, attitudes, practices (KAP) and relative training demand of
AIDS and other sexually transmitted diseases (STDs) in reproductive health-related medical professionals in Tianjin.  Methods   By using random, stratified and clustered sampling approach,507reproductive health-related medical professionals were selected in Tianjin area. A self-administered KAP questionnaire on AIDS and other STDs was used to collect the data included in the general condition, understanding of AIDS and other STDs knowledge, attitudes to AIDS and syphilis patients, occupational exposure of medical staffs and request of continuing education.  Results   The score of STD knowledge was (75.59±12.15) in respondents coming from the secondary medical institutions, which was significantly higher than that of tertiary medical institutions (70.11±10.07) and primary health care institutions (67.62±12.20，F=15.817，P＜0.001). Multiplefactor analysisshowed that there was a higher cognitive level for STD in professionals working in the department of obstetrics and gynecology and women’s health care (β=-3.765，P=0.048). A total of86.34% respondents worried about HIV or syphilis infection due to occupational exposure. Only 25.88% respondents expressed a willingness to provide medical services for AIDS and syphilis patients. About60.46% medical staffs experienced occupational exposure. Only13.04% respondents were familiar with emergency treatment and reporting procedures while occupational exposure occurring. The 94.62% medical personnel showed demand on relative training.  Conclusion   It’s necessary to perform continuing education to medical staffs via different intervention, so as to improve theircognitivelevel and attitudes to AIDS and other STDs, and help them providing better service to the patients and the public.

Key words: Acquired immune deficiency syndrome, sexually transmitted diseases, reproductive health, medical staff, health knowledge, attitudes, practice