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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。
Objective To understand the prevention and treatment of diarrhea among travelers inbound and outbound travelers in frontline medical personnel in Shanghai and to analyze the status quo and possible influencing factors of medical staffs’knowledge behavior and travel, and to observe the education and training of traveler diarrhea professional knowledge and clinical application Credit line changes. Methods According to the difference of post and specialty, sixty-five branch offices of Shanghai Entry-Exit Inspection and Quarantine Bureau and 89 health workers were randomly selected. From January to June 2015, we conducted interventions on traveler’s diarrhea-related knowledge reserve and mission awareness. A second survey was conducted in July-October 2015. Results Before intervention, the average cognitive score was 13.01 ± 1.56, with a total response rate of 86.74%. The relevant behavior average score was 7.69 ± 1.01 with a total response rate of 85.39%. People aged> 50 years and working years> 20 years old had poor knowledge of the patients, high scores of 20-30 years and 31-40 years old, 1 to 5 years of service, 6 to 10 years, and 11 to 15 years of higher behavioral scores . There was a positive correlation between academic record and cognitive score, and a negative correlation between length of service and cognitive score (P <0.01). There was a positive correlation between academic record and behavioral score and a negative correlation between professional and behavioral score (P <0.01). After intervention, respondents significantly improved knowledge of travelers’ diarrhea and prevention and treatment measures. The majority of medical staff got full marks. The answer rate of knowledge-related questions was 99.75% and that of behavior-related questions was 99.73%. The differences of scores before and after intervention were statistically significant (P <0.01). Conclusion The levels of travelers with diarrhea related to medical travelers in Shanghai Ports need to be improved. Comprehensive interventions have a positive effect on promoting knowledge and behavior of travelers with diarrhea on medical staffs at ports.