宁波市45家医院医护人员对性病就诊者开展HIV、梅毒检测的认知调查

发布时间：2019-05-08 04:38

【摘要】：目的了解宁波市临床医护人员对性病就诊者开展艾滋病病毒(HIV)和梅毒检测咨询的认知情况,探索提高性病就诊者HIV和梅毒检测服务质量的措施。方法对45家医院性病就诊者相关科室的临床医护人员开展现场问卷调查。结果调查对象艾滋病基础知识知晓率较高(98.9%),84人(95.5%)知晓本市已开展性病就诊者HIV和梅毒筛查工作,并有71人(80.7%)接受过关于性病诊断标准与报告要求的培训,88名(100.0%)医护人员愿意主动推荐性病就诊者开展HIV、梅毒检测,其中85人(96.6%)曾主动推荐过性病就诊者开展HIV和梅毒检测。不同科室接受过相关培训的差异有统计学意义(χ2=7.701,P=0.001)。调查对象报告,促进HIV和梅毒相关检测存在困难较多的原因包括就诊者太多没有时间做思想疏导、就诊者自愿检测意识不足等。结论临床医护人员知晓本地性病就诊者HIV、梅毒检测政策,并愿意主动推荐就诊者开展HIV和梅毒检测,但目前仍存在就诊者自愿检测意识不足、相关科室技术培训范围不一等问题,应在性病就诊者中扩大自愿检测,加强其他科室医护人员相关培训,以构建良好的就医环境。
[Abstract]:Objective to investigate the cognition of HIV (HIV) and syphilis testing among STD patients in Ningbo, and to explore the measures to improve the service quality of HIV and syphilis testing in STD patients. Methods A questionnaire survey was conducted among clinical doctors and nurses in related departments of STD patients in 45 hospitals. Results the awareness rate of AIDS basic knowledge was high (98.9%), 84 people (95.5%) knew that HIV and syphilis screening work had been carried out in this city. Among them, 71 (80.7%) received training on diagnostic criteria and reporting requirements for STDs, and 88 (100.0%) health care workers were willing to actively recommend STD patients for HIV, syphilis testing. Eighty-five (96. 6%) of them had recommended STD patients for HIV and syphilis testing. There was a significant difference in the training received by different departments (蠂 2 = 7.701, P < 0.001). The survey subjects reported that there were more difficulties in promoting HIV and syphilis-related testing, including too many patients who did not have time for thought guidance, and patients who volunteered to test for lack of consciousness, and so on. Conclusion the clinical doctors and nurses are aware of the policy of HIV, syphilis testing for local STD patients and are willing to recommend the patients to carry out HIV and syphilis testing on their own initiative, but at present there is still a lack of awareness of voluntary testing among the patients who visit the venereal diseases. In order to construct a good environment for seeking medical treatment, we should expand voluntary testing among STD patients and strengthen relevant training of medical staff in other departments in order to construct a good environment for seeking medical treatment in order to improve the scope of technical training in related departments.
【作者单位】：宁波市第一医院;宁波大学医学院;宁波市疾病预防控制中心;
【分类号】：R512.91;R759.1

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