重庆地区乡村医生肺结核病防治知识调查分析

摘要

目的 了解重庆地区乡村医生肺结核病防治知识及相关政策知晓情况,为制定相应措施、提高乡村医生在结核病防治工作的作用提供依据.方法 采用现况调查,对100名乡村医生进行结核病防治知识及相关政策问卷调查,总分为15分.结果 100例乡村医生肺结核病相关知识平均得分仅(9.74±2.52)分,其中防治知识得分(6.96±0.18)分,相关政策得分(2.78±0.10)分.乡村医生的肺结核综合防治知识与年龄、从医年限有关,低年龄组的乡村医生肺结核病相关知识较高年龄组的乡村医生得分高.97例转诊到位疑似肺结核患者有51.55%在出现症状后首先去村卫生室就诊,仅5.15%被村医生怀疑患肺结核,选择在村卫生室首诊的患者确诊延迟率高于在乡镇卫生院和县及以上医疗机构首诊的肺结核患者;仅7.80%的疑似肺结核患者患病前获得医生的宣传教育.追踪到位的34例患者仅12%(4例)有村医生告知需到结核病防治机构复查.结论 重庆市乡村医生对肺结核防治知识的知晓率较低,应加强培训力度,提高乡村医生的业务素质,进一步发挥乡村医生在结核病防治工作中的作用.%Objective To investigate the knowledge of rural doctors on tuberculosis prevention and control knowledge,and provide evidence for relative measures in order to improve the effect of rural doctors in tuberculosis prevention and control. Methods A cross sectional study was conducted. 100 rural doctors were investigated about tuberculosis prevention and control knowledge and relative policy by structured questionnaires, and the total score was 15. Results The scores of tuberculosis related knowledge in these 100 rural doctors were inadequate,and the average was only (9.74±2.52). Of this total,the scores of tuberculosis prevention and control knowledge was (6.96±0.18) ,and the scores of relative policy was (2.78±0.10). The scores of tuberculosis related knowledge was closely related to the age and time of work of rural doctors. The rural doctors of younger age group get a higher score than that of older age group. 51.55 ％ of the 97 visiting tuberculosis patients transferred to the hospital chose village clinics as their first preference,and 5.15％ of them were suspected of tuberculosis patients by rural doctors. These tuberculosis patients who chose village clinics as their first preference had a higher rate of delayed diagnosis than these who chose township hospitals or medical facilities above county level as their first preference. Only 7.80 ％ suspected tuberculosis patients acquire publicity and education about tuberculosis related knowledge from rural doctors. Only 4 cases (12％) of these 34 visiting tuberculosis patients traced to the hospital was informed to review in tuberculosis prevention and control professionals by rural doctors. Conclusion The knowledge of rural doctors on tuberculosis prevention and control is still unsatisfactory. It's necessary to reinforce the strength of training,enhance the professional competence of country doctor. The knowledge on tuberculosis control and prevention and the detection of tuberculosis patient should also be improved,in order to the effect of country doctor in tuberculosis prevention and control.