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目的了解天津市和平区口腔医护人员诊疗歧视态度情况。方法通过专门设计的调查问卷,以和平区17所口腔专科医院、综合医院口腔门诊的524名医护人员为调查对象,采取匿名填写的方式,进行基础资料、口腔诊疗歧视态度情况的信息收集。结果收回有效问卷524份,其中医生278人(53.1%),护士246人(46.9%)。口腔医护人员感知感染危险程度的平均得分为(23.12±2.65)分,诊疗歧视态度的平均得分为(8.40±2.03)分。多因素非条件logistic回归分析显示,口腔医护人员歧视拒诊患者的意愿主要受医院性质和级别、感知危险得分和歧视态度得分的影响,其OR(95%CI)分别为0.253(0.080~0.800)、3.633(1.741~7.581)、1.373(1.236~1.525)和4.922(3.666~6.608)。结论口腔专科医院较综合医院口腔科,低级别医院较高级别医院的口腔医护人员更有歧视拒诊倾向,而感知危险和歧视态度调查得分高的受访者也更倾向于拒诊患者。应加强口腔医护人员关于感染防护知识及防护技能的培训,使其掌握标准操作规程及预防职业暴露,消除歧视与恐惧,以便更好地开展口腔诊疗活动。
Objective To understand the discrimination attitude of dental care workers in Heping District, Tianjin. Methods A questionnaire was designed to collect the information of basic information and attitude of discrimination in dental clinic by taking the anonymous fill-in method to 524 medical staff from 17 oral specialties hospitals and general hospital oral clinics in Heping District. Results A total of 524 valid questionnaires were retrieved, including 278 doctors (53.1%) and 246 nurses (46.9%). The average score of the perceived risk of infection among stomatologists was (23.12 ± 2.65) points, and the mean score of attitude toward discrimination on treatment was (8.40 ± 2.03) points. Multivariate non-conditional logistic regression analysis showed that the willingness of stomatological staff to discriminate against patients was mainly influenced by the nature and grade of hospital, perceived risk score and discriminatory attitude scores. The OR (95% CI) were 0.253 (0.080-0.800) , 3.633 (1.741 ~ 7.581), 1.373 (1.236 ~ 1.525) and 4.922 (3.666 ~ 6.608). Conclusion Oral specialist hospitals are more likely to discriminate against being rejected than their counterparts in higher level hospitals of general hospitals and lower level hospitals, while respondents who have higher perceived risk and discriminatory attitude tend to reject patients. The training of oral health care workers on infection protection and prevention skills should be strengthened so that they can master standard operating procedures and prevent occupational exposure and eliminate discrimination and fear in order to better carry out oral treatment activities.