【摘要】 目的了解上海口岸一线医务人员对出入境人员旅行者腹泻的防治、管理情况,分析医务人员的知信行现况及其可能的影响因素,观察开展旅行者腹泻专业知识和临床应用的教育培训后知信行变化情况。方法根据岗位和专业的不同,随机抽取上海出入境检验检疫局6个分支局及保健中心89名医务人员。于2015年1-6月开展旅行者腹泻相关知识储备和宣教意识的干预,2015年7月-10月进行第二轮调查。结果干预前相关认知平均分13.01±1.56,总答对率86.74%;相关行为平均分7.69±1.01,总答对率85.39%。年龄>50岁和工龄>20年人员对知识掌握较差,20~30岁和31~40岁行为得分较高,工龄1~5年、6~10年、11~15年组行为得分较高。学历与认知得分呈正相关,工龄与认知得分呈负相关(P<0.01);学历与行为得分呈正相关,工龄与行为得分呈负相关(P<0.01)。干预后被调查者对旅行者腹泻知识和预防治疗措施掌握情况大幅提升,大部分医务人员获得满分,知识相关问题答对率99.75%,行为相关问题答对率99.73%。干预前后得分差异比较有统计学意义(P<0.01)。结论上海口岸医务人员旅行者腹泻相关知信行水平有待提高,综合干预措施对提升口岸医务人员旅行者腹泻相关知识和行为水平具有积极的促进作用。更多还原

【Abstract】 Objective To understand the management and control of traveler’s diarrhea among medical personnel at Shanghai port,and analyze the current status of "Knowledge-Attitude-Behavior"(KAP) and the possible influencing factors,and to further observe the changes of KAP after professional training of knowledge and education. Methods89 medical staffs were randomly selected from 6 entry-exit inspection and Quarantine bureaus and Shanghai International Travel Healthcare Center. The first period of the survey was carried out from January to April in 2015.From May to June 2015,the educational intervention activities were carried out in order to strengthen the knowledge education and interactive teaching. The second period of the survey was carried out from July to October,2015.Results The average score of Knowledge before education was 13.01±1.56 with a total correct answer rate of 86.74%.The average score of Behavior before education was 7.69±1.01 with a total correct answer rate of 85.39%. Single factor analysis showed that those age above 50 and working length more than 20 years had poor knowledge sore,those age between 20-30 and 31-40 years old or working length between 1-15 years had relevant high behavior score(P < 0.01).Multi factor regression analysis showed that educational background had positive correlation with knowledge score,while working length had negative correlation(P < 0.01),educational background had positive correlation with behavior score,while working length had negative correlation(P < 0.01). It showed that most of them had full marks,total correct answer rate of Knowledge and Behavior was 99.75% and 99.73% after intervention. The change of scores had statistical significance(P < 0.01). Conclusion The status of KAP on traveler’s diarrhea among medical staffs at Shanghai port need to be improved. Comprehensive intervention could play a positive role in promoting KAP on traveler’s diarrhea among medical personnel at ports.更多还原