在中国西部的初级卫生机构,结核病医护人员的知识,实践和担忧:一项多中心横截面研究
Jiani Zhou1, Jian Wang2, Qingning Huang1
1Department of Social Medicine and Health Service Management, Army Medical University (Third Military Medical University), Shapingba District, Chongqing Municipality, 400038, China.
Infectious diseases of poverty
|December 5, 2025
概括
中国西部的结核病医疗保健工作者在实施国家结核病控制计划时表现出知识不足和不理想的做法. 有针对性的培训和改进的支持对于有效控制结核病至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 医疗保健工作者培训培训
背景情况:
- 结核病 (结核病) 构成了全球严重的健康负担,中国在全球排名第三.
- 初级医疗保健 (PHC) 机构及其结核病医疗保健工作者 (TB-HCW) 对国家结核病控制计划 (TCP) 至关重要.
- 这项研究解决了中国西部结核病-高危人群的知识差距和实践挑战.
研究的目的:
- 为TB-HCWs开发和验证结核病知识评估问卷.
- 评估TB-HCWs关于在中国西部实施TCP的当前知识,实践和关切.
- 确定影响TB-HCWs有效实施TCP的因素.
主要方法:
- 开发并验证了30项结核病知识问卷.
- 从2022年2月到2023年7月进行了一项多中心横截面研究.
- 多阶段分层随机抽样包括来自重庆,贵州和西的2807个TB-HCW,通过结构化调查和多层次物流回归进行评估.
主要成果:
- 结核病-高危人群中的结核病总体知识低 (38.4%),结核病治疗得分特别低 (25.1%).
- TCP实践的实施总体上低于国家标准,城市和农村环境之间存在差异.
- 积极的工作态度和满意度与更高的实施有关,而农村环境和不频繁的培训是负面预测因素.
结论:
- 在中国西部的TB-HCW之间存在显著的知识和实践差距,阻碍了基于PHC的有效TCP交付.
- 干预措施应侧重于有针对性的,频繁的培训,以患者为中心的策略,加强机构支持和社区参与.
- 建议进行纵向研究,以评估干预措施对实现国家和全球结核病终结目标的影响.
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