Chen Y, Xie C, Zhang Y, Li Y, Ehrhardt S, Thio C L, Nelson K E, Chen Y, Lin C-S
Department of Infectious Diseases, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
J Viral Hepat. 2018 May;25(5):561-570. doi: 10.1111/jvh.12839. Epub 2018 Jan 24.
To determine the knowledge regarding hepatitis B virus (HBV) mother-to-child transmission (MTCT) and its prevention and treatment among healthcare workers (HCWs) in Guangdong Province, China, an HBV endemic area. An HBV knowledge questionnaire was administered to 900 HCWs from the 3rd Affiliated Hospital of Sun Yat-Sen University and 2 rural hospitals in Guangdong Province. The 27 items in the questionnaire fell into 3 sections: HBV MTCT general knowledge, respondents' practices of preventing HBV MTCT and awareness of the resources of preventing HBV MTCT. The data collected were coded and analysed using SPSS software version 20. In total, 503 of 900 HCWs responded to the survey (response rate: 55.9%). Eighty-four individuals responded correctly to all of the knowledge questions: 58 were doctors, and 26 were nurses (P < .05). Doctors more often performed practices than nurses (t = 3.591, P < .01). Participants from the infectious disease department demonstrated a significantly higher proportion of correct answers and resource utilization than other specialties (χ = 14.052, 7.998, P < .01). In terms of the average knowledge score, t test or ANOVA showed that there were significant differences between the specialty groups (t = 3.110, P < .01), hospital level groups (t = 2.337, P < .05) and age groups (F = 3.020, P < .05). Respondents' initiative increased with hospital level and age (t = 2.993, 7.493, P < .01). A considerable percentage of HCWs has misconceptions about HBV MTCT. Healthcare workers, in particular nurses, those working in noninfectious disease departments or township hospitals and younger medical staff, lack systematic and comprehensive knowledge about HBV MTCT and are in urgent need of HBV-related training.
为了解中国广东省(乙肝地方流行区)医护人员对乙型肝炎病毒(HBV)母婴传播(MTCT)及其预防和治疗的知识掌握情况,对来自中山大学附属第三医院和广东省2家乡村医院的900名医护人员进行了HBV知识问卷调查。问卷中的27个项目分为3个部分:HBV母婴传播常识、受访者预防HBV母婴传播的做法以及预防HBV母婴传播资源的知晓情况。收集到的数据使用SPSS 20.0软件进行编码和分析。900名医护人员中共有503人回复了调查(回复率:55.9%)。84人正确回答了所有知识问题:其中58人为医生,26人为护士(P <.05)。医生比护士更常采取预防措施(t = 3.591,P <.01)。感染科的参与者正确答案和资源利用率的比例显著高于其他专科(χ² = 14.052,7.998,P <.01)。在平均知识得分方面,t检验或方差分析显示,专科组(t = 3.110,P <.01)、医院级别组(t = 2.337,P <.05)和年龄组(F = 3.020,P <.05)之间存在显著差异。受访者的主动性随着医院级别和年龄的增加而提高(t = 2.993,7.493,P <.01)。相当一部分医护人员对HBV母婴传播存在误解。医护人员,尤其是护士、在非感染科或乡镇医院工作的人员以及年轻医务人员,缺乏关于HBV母婴传播的系统全面知识,迫切需要接受HBV相关培训。