评估中国北京市基层医疗机构医护人员的结核病知识和有效控制措施的认知情况。

Evaluating tuberculosis knowledge and awareness of effective control practices among health care workers in primary- and secondary-level medical institutions in Beijing, China.

机构信息

Beijing Chest Hospital Affiliated to Capital Medical University, Beijing Tuberculosis & Thoracic Tumor Research Institute, Beijing, 101149, China.

Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.

出版信息

BMC Infect Dis. 2024 Aug 2;24(1):774. doi: 10.1186/s12879-024-09647-9.

DOI:10.1186/s12879-024-09647-9

PMID:39095731

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11295525/

Abstract

OBJECTIVE

Inadequate tuberculosis (TB) knowledge and awareness of proper TB control practices among health care workers (HCWs) may increase the risk of nosocomial TB transmission. This study aimed to assess HCWs' TB-related knowledge and control practices to guide the development of more effective targeted TB health education and training programs.

METHODS

In January 2023 a cross-sectional survey was administered to 323 HCWs employed by five primary health care centers and three secondary comprehensive medical institutions in Beijing, China. Survey data were collected using a standard questionnaire.

RESULTS

Analysis of survey responses revealed TB knowledge and practices awareness rates of 60.4% and 90.6%, respectively. The overall average awareness rate across all 19 TB knowledge- and practice-related questions was 70.0%. Intermediate- and senior-level HCW's average TB knowledge score was respectively 2.225 and 8.175 times higher than that of primary-level HCWs, while the average TB knowledge score of HCWs in secondary comprehensive medical institutions was 3.052 times higher than that of HCWs in primary health care centers. Higher average TB knowledge score correlated with higher-level professional titles and higher level work units, but higher average TB control practices score correlated with employment at primary health care center rather than secondary comprehensive medical institution. Notably, 13.6% of HCWs had not received TB training during the past three years, while 86.1% expressed willingness to undergo online TB training.

CONCLUSION

These findings highlight inadequate TB knowledge and awareness of proper TB control practices among HCWs in primary health care centers and secondary comprehensive medical institutions in Beijing, underscoring the urgent need for targeted educational and training initiatives to improve TB awareness and control efforts.

摘要

目的

医护人员（HCWs）对结核病（TB）的认识不足，对正确的 TB 控制措施的认识不足，可能会增加医院内 TB 传播的风险。本研究旨在评估 HCWs 与 TB 相关的知识和控制措施，以指导制定更有效的针对 TB 的健康教育和培训计划。

方法

2023 年 1 月，对中国北京的 5 个初级保健中心和 3 个二级综合医疗机构的 323 名 HCWs 进行了横断面调查。使用标准问卷收集调查数据。

结果

对调查结果进行分析发现，TB 知识和实践意识率分别为 60.4%和 90.6%。在所有 19 个与 TB 知识和实践相关的问题中，整体平均意识率为 70.0%。中级和高级 HCW 的平均 TB 知识得分分别比初级 HCW 高 2.225 和 8.175 倍，而二级综合医疗机构 HCW 的平均 TB 知识得分比初级保健中心 HCW 高 3.052 倍。较高的平均 TB 知识得分与较高的职称和较高级别的工作单位相关，但较高的平均 TB 控制实践得分与在初级保健中心工作而不是二级综合医疗机构工作相关。值得注意的是，13.6%的 HCWs 在过去三年中没有接受过 TB 培训，而 86.1%的 HCWs 表示愿意接受在线 TB 培训。