Lorch Rebecca, Guy Rebecca, Temple-Smith Meredith, Vaisey Alaina, Wood Anna, Ford Belinda, Murray Carolyn, Bourne Chris, Tomnay Jane, Hocking Jane, ACCEPt Consortium On Behalf Of The
The Kirby Institute, Wallace Wurth Building, UNSW Australia, Sydney, NSW 2052, Australia.
Department of General Practice, The University of Melbourne, 200 Berkeley Street, Parkville, Vic. 3010, Australia.
Sex Health. 2016 Feb;13(1):73-80. doi: 10.1071/SH15134.
Background We aimed to determine the impact of a chlamydia (Chlamydia trachomatis) education program on the knowledge of and attitudes towards chlamydia testing of practice nurses (PNs).
A cross-sectional survey was conducted at baseline and 6-12 months following recruitment with PNs in the Australian Chlamydia Control Effectiveness Pilot. Likert scales were analysed as continuous variables (scores), and t-tests were used to assess changes in mean scores between survey rounds and groups.
Of the 72 PNs who completed both surveys, 42 received education. Epidemiology knowledge scores increased significantly between surveys in the education group (P<0.01), with change in knowledge being greater in the education group compared with the non-education group (P<0.01). Knowledge of recommended testing scenarios (P=0.01) and retesting following treatment (P<0.01) increased in the education group. Attitudes to testing scores improved over time in the education group (P=0.03), with PNs more likely to want increased involvement in chlamydia testing (P<0.01). Change in overall attitude scores towards testing between surveys was higher in the education group (P=0.05). Barriers to chlamydia testing scores also increased in the education group (P=0.03), with change in barriers greater in the education vs the non-education group (P=0.03).
The education program led to improved knowledge and attitudes to chlamydia, and could be made available to PNs working in general practice. Future analyses will determine if the education program plus other initiatives can increase testing rates.
背景 我们旨在确定一项衣原体(沙眼衣原体)教育项目对执业护士(PNs)关于衣原体检测的知识和态度的影响。
在澳大利亚衣原体控制有效性试点项目中,对PNs在基线时以及招募后6 - 12个月进行了横断面调查。李克特量表作为连续变量(分数)进行分析,t检验用于评估调查轮次和组间平均分数的变化。
在完成两项调查的72名PNs中,42名接受了教育。教育组在两次调查之间流行病学知识得分显著提高(P<0.01),与未接受教育组相比,教育组知识变化更大(P<0.01)。教育组对推荐检测场景的知识(P = 0.01)和治疗后重新检测的知识(P<0.01)有所增加。教育组对检测分数的态度随时间改善(P = 0.03),PNs更有可能希望增加参与衣原体检测(P<0.01)。教育组两次调查之间对检测的总体态度分数变化更高(P = 0.05)。教育组衣原体检测分数的障碍也有所增加(P = 0.03),与未接受教育组相比,教育组障碍变化更大(P = 0.03)。
该教育项目使对衣原体的知识和态度得到改善,可提供给从事全科医疗的PNs。未来分析将确定该教育项目加上其他举措是否能提高检测率。