摘要
目的:了解山东省5市医务人员对乙型肝炎病毒(hepatitis B virus,HBV)母婴传播阻断措施知识掌握情况,为今后开展专项培训提供了参考.方法:选择2013-05和2013-09聊城市人民医院主办的2次肝病和妇产科学术会议参会人员以及本人委托其他地市的熟人现场问卷作为研究对象,发放《医务人员对HBV母婴传播阻断措施知晓情况调查表》.调查参会医务人员相关预防知识知晓率.结果:回收有效问卷520份,问卷回收率为95.4%.调查对象以聊城市为主,占51.9%,其次分别是济南市、德州市、东营市和潍坊市.以医疗机构为主,占84.0%.医疗机构中以二级医院为主,占43.3%.医务人员一般性的预防知识掌握较好,但"孕晚期注射乙型肝炎免疫球蛋白(hepatitis B hyper-immune globulin,H B I G)"、"乙型肝炎表面抗原(hepatitis B surface antigen,HBs Ag)阳性孕妇应用核苷类药物可阻断传播"、"剖宫产可以阻断母婴传播"以及"人工喂养可以阻断母婴传播"的知晓率明显不足,分别为41.7%、35.7%、51.0%和40.5%.济南宫内阻断措施知晓率最高(χ2=16.239,P=0.003),二级医院分娩阻断措施知晓率最高(χ2=7.820,P=0.020).结论:山东省5市医务人员HBV母婴传播阻断措施基础知识较好,但也存在认识误区.为经济欠发达地区以及一级医院创造更多培训和交流学习的机会,加强网底能力建设,可有效的阻断HBV母婴传播途径.
AIM： To investigate the awareness of measures blocking mother-to-child hepatitis B virus （HBV） transmission by medical staff in five cities of Shandong Province.
METHODS： Attendees of conferences in May and September 2013, hosted by Liaocheng People＇s Hospital were asked to complete a questionnaire of measures blocking mother-to-child HBV transmission. The rates of awareness of these measures were compared among different cities.
RESULTS： A total of 520 questionnaires were returned, with a response rate of 95.4%. About 51.9% of the respondents were from Liaocheng, followed by Ji’nan, Dezhou, Dongying, and Weifang. Participants from medical institutions accounted for 84.0%, and about 43.3% of the medical institutions were secondary hospitals. The awareness rate of general prevention measures was good, but the rates of awareness of ＂inject HBIG at late stage of pregnancy＂, ＂apply nucleoside drugs for HBsAg positive women＂, ＂cesarean delivery can block mother-to-child transmission＂ and ＂artificial feeding can block mother-to-child transmission＂ were only 41.7%, 35.7%, 51.0% and 35.7%, respectively. Participants from Ji’nan had the highest rate of awareness of intrauterine blocking measures （χ^2 = 16.239, P = 0.003）, and participants from secondary hospitals had the highest rate of awareness of childbirth block measures （χ^2 = 7.820, P = 0.020）.
CONCLUSION： The medical staff’s basic knowledge regarding measures blocking mother-to-child HBV transmission in the five cities of Shandong Province is good, but there are also some insufficiencies. Improving the medical staff’s awareness of the measures blocking mother-to-child HBV transmission can help effectively block mother-to-child HBV transmission.
出处
《世界华人消化杂志》
CAS
北大核心
2014年第35期5510-5515,共6页
World Chinese Journal of Digestology
关键词
医务人员
母婴传播
阻断
乙型肝炎病毒
Medical staff
Mother-to-child transmission
Block
Hepatitis B virus
