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目的了解医务人员对丙型病毒性肝炎(丙肝)防护方面的知识掌握情况,了解洛阳市医疗卫生机构丙肝相关防治工作人员丙肝病例诊断、治疗、疫情网络报告情况,为提高丙肝疫情报告质量提供依据。方法采用随机抽样、问卷调查方式,不记名。对洛阳市24所二级、三级综合医院240名医院人员进行丙肝相关知识认知调查分析。结果对丙肝诊断标准平均正确回答率为61.2%,对需要填写法定传染病报告卡进行网络报告的正确回答率仅为11.7%,认为丙肝易发展为肝硬化和肝癌的占66.7%,有12.5%错误地回答接种丙肝疫苗是丙肝防治的关键;有47.5%的人错误地认为“抗-HCV阳性,HCV-RNA阴性,ALT活力升高”需治疗。经检验,不同部门的正确报告率有显著差异,防保部门最高(27.1%),诊治部门次之(9.5%),检验科最低(4.5%)。82.3%的医务人员意识到了丙肝的职业暴露风险,但仅有63.4%的医务人员在诊疗过程中采取相应的防护措施。结论洛阳市医务人员丙肝防治知识正确率并不理想,医务人员对丙肝的知识掌握良莠不齐,对诊断和上报标准理解没有统一的标准,必须进一步加强培训学习,力争规范丙肝的报告。
Objective To understand the knowledge of medical staff on the protection of hepatitis C virus (HCV), understand the hepatitis C cases of hepatitis C in medical and health institutions in Luoyang and to provide a basis for improving the quality of hepatitis C reporting . Methods Random sampling, questionnaire survey, anonymous. A total of 240 hospitals in 24 secondary and tertiary general hospitals in Luoyang City were surveyed for cognition of hepatitis C related knowledge. Results The correct rate of correct diagnosis of hepatitis C was 61.2%. The correct answer rate of 11.7% for network reporting of notifiable infectious disease report cards was 66.7% for hepatitis C and 12.5% for liver cirrhosis and liver cancer. Inferior hepatitis C vaccination is the key to prevention and treatment of hepatitis C; 47.5% of people mistakenly believe that “anti-HCV-positive, HCV-RNA-negative, elevated ALT vitality” to be treated. After verification, there were significant differences in the correct reporting rates among different departments, with the highest protection department (27.1%), the second (9.5%) and the lowest (4.5%). 82.3% of medical staff were aware of the occupational exposure risk of hepatitis C, but only 63.4% of medical staff took corresponding protective measures during the treatment. Conclusion The correct rate of knowledge about prevention and treatment of hepatitis C in medical staffs in Luoyang is not satisfactory. The medical staff have a good knowledge of hepatitis C, there is no uniform standard for diagnosis and reporting standards, and training and learning must be further strengthened so as to standardize the report of hepatitis C.