Cadeddu C, Di Thiene D, Ricciardi W, Boccia A, La Torre G
Institute of Hygiene, Sacro Cuore Catholic University, Rome, Italy.
J Prev Med Hyg. 2011 Sep;52(3):127-30.
In case of pandemics, healthcare workers (HCWs) are the main actors and, at the same time, one of the main targets of preventive measures. This is what occurred in 2009 during the A/HINI pandemic flu. The aim of our survey was to get information about HCWs' knowledge of the A/HINI pandemic flu prevention.
A survey of 32 questions, 11 of which about knowledge towards A/H1N1 pandemic flu, created on the basis of a similar one by the Harvard School of Public Health, was made available on the Italian Journal of Public Health website during the month of October 2009. The survey was advertised with links from various professional websites and by emailing to HCWs' addresses taken from the Italian Society of Hygiene and Public Health (SItI) databases. Descriptive and univariate analyses were conducted in order to assess whether differences exist on the level of knowledge of HCWs (specifically Nurses and Physicians) about preventive measures against the A/H1N1 pandemic flu.
1,960 HCWs answered to the questionnaire, 1,711 (87.3%) Nurses and 249 (12.7%) Physicians. Both Nurses and Physicians seemed to have a high or moderately high interest for A/H1N1 pandemic flu (86.1% vs. 91.2% respectively, p = 0.03). Nurses indicated national newscasts (38.6%) and communications within hospitals or other workplaces (33.8%) as the source of most information about A/H1N1 pandemic flu. On the other hand Physicians got information mostly from Internet (41.8%), but also from communications within their hospital or other workplace (34.5%) (p < 0.001). Not all the Nurses and Physicians knew that contagion is possible by close contact (less than 1 metre) wit someone affected (74.0% and 88.0% respectively, p < 0.001), while 82.3% of Nurses and 71.1% of Physicians reported that face masks protected from getting infected (p < 0.001).
Information and awareness campaigns on the influenza pandemic should be conducted firstly among HCWs, because of their importance--especially in case of pandemics--as a valuable resource at risk, as a contagion vehicle and as a source of information for the general population.
在大流行期间，医护人员是主要行动者，同时也是预防措施的主要目标之一。2009年甲型H1N1流感大流行期间就是如此。我们此次调查的目的是了解医护人员对甲型H1N1流感预防知识的掌握情况。
2009年10月，意大利《公共卫生杂志》网站上发布了一项包含32个问题的调查，其中11个问题是关于甲型H1N1流感大流行的知识，该调查是在哈佛大学公共卫生学院的一项类似调查基础上创建的。该调查通过各种专业网站的链接以及向从意大利卫生与公共卫生协会（SItI）数据库获取的医护人员地址发送电子邮件进行宣传。进行了描述性和单变量分析，以评估医护人员（特别是护士和医生）在甲型H1N1流感大流行预防措施知识水平上是否存在差异。
1960名医护人员回答了问卷，其中1711名（87.3%）是护士，249名（12.7%）是医生。护士和医生似乎对甲型H1N1流感大流行都有较高或中等程度的关注（分别为86.1%和91.2%，p = 0.03）。护士表示国家新闻广播（38.6%）以及医院或其他工作场所内的交流（33.8%）是关于甲型H1N1流感大流行的大部分信息来源。另一方面，医生主要从互联网获取信息（41.8%），但也从医院或其他工作场所内的交流中获取（34.5%）（p < 0.001）。并非所有护士和医生都知道与感染者密切接触（小于1米）可能会导致传染（分别为74.0%和88.0%，p < 0.001），而82.3%的护士和71.1%的医生报告说口罩可以防止感染（p < 0.001）。
应首先在医护人员中开展关于流感大流行的信息和宣传活动，因为他们作为面临风险的宝贵资源、传播媒介以及普通民众的信息来源，其重要性——尤其是在大流行期间。
