安徽与辽宁部分农村卫生人员人禽流感防控知识知晓现况研究-study on the current status of human bird flu prevention and control knowledge among some rural health workers in anhui and liaoning.docx

分差异具有统计学意义（P﹤0.05）；重点科室中的急传科和检验科人员对于核心信息的平均知晓率分别为 58.3%和 58.2%。县级医疗机构人员得分的中位数（四分 位数）是 53.10（35.40～76.70）分；不同培训经历、培训次数、科室、职称人员 得分差异均有统计学意义（P﹤0.05）；重点科室人员（呼吸内科）对人/禽流感核 心信息的平均知晓率为 43.8%。乡（镇）卫生院人员得分的中位数（四分位数）是 75.00（50.00～87.50）分；不同培训经历、培训次数、科室人员得分差异均有统 计学意义（P﹤0.05）；重点科室人员对人/禽流感核心信息的平均知晓率为 70.4%。 村医得分的中位数（四分位数间距）是 100.00（88.80～100.00）分，对核心信息 的平均知晓率为 89.6%。（2）访谈结果表明，县级卫生机构人员对其在人/禽流感防治工作中应承担任务以及告知责任的认知良好；发生禽流感疫情时村民获取禽流感疫情信息和指导的 渠道主要有：电视媒体和广播、各级防疫部门、乡（镇）卫生院医务人员、各级 卫生行政部门。主要发现：通过调查发现，既往培训对推动样本县各类医疗卫生机构人员对人/禽 流感防控知识的掌握具有明显作用且培训次数与各类医疗卫生机构人员相应的信 息知晓程度呈正相关关系；应急演练作为培训的内容和提高应急反应能力的重要 手段需要在项目拟开展的活动中得到加强；各类卫生机构人员对其在禽流感防治 中的责任及对有不明原因肺炎或人/禽流感疑似病例发生时开展工作的程序认知 较好。建议：（1）加大培训力度，尤以县级卫生机构人员为主；（2）教材编写要贴近各 类医疗卫生机构人员的实际需要,增强针对性,实用性；（3）积极开展应急演练， 稳步提高县级卫生机构人员的应急实战能力；（4）依托村医人/禽流感知识储备良 好的优势，发挥村医在人/禽流感疫情的监测、呈报和技术处理方面的作用。关键词：禽流感 人流感 卫生技术人员 高致病性Prevalence Study on Awareness of Knowledge of Human / Avian Influenza Prevention and Control and Countermeasures among Rural Healthcare Workers of Anhui and Liaoning ProvinceAbstractBackground: Human avian influenza is an emerging threat to communities worldwide. Since 2003, there had been 38 human cases, and 25 deaths in Chinese mainland. The development of qualified and able healthcare workers has became a new urgency in building the AI prevention and control system. Although Chinese goverment had carried out a series of training programs to improve preparedness capability of healthcare workers in rural area since the outbreak began in 2003, it remains unclear, to the author’knowledge, if these training programs are feasible and effective in improving the preparedness capability.The purpose of this study was to investigate knowledge about AI among healthcare workers in rural area.Objective: To understand the level of awareness of Human Infection of Highly Pathogenic Avian Influenza among health technical personnel in rural health agency and past training (2006 ~ 2007) and training requirements; to provide basis for conducting training by all levels of