摘要
目的了解深圳市龙华新区社区健康服务中心（简称“社康”）结核病宣传志愿者对疑似肺结核患者转诊的相关知识、信念和行为（简称“知信行”）类题目的知晓情况，为开展有针对性的志愿者健康教育提供依据。方法通过便利抽样的方法，采用自行设计的调查问卷，调查2015年4月至2016年4月结核病防治人员对社康季度督导时在工作岗位上的社康结核病宣传志愿者，了解其对3道知识类、2道信念类、3道行为意向类题目的知晓情况。结果在纳入调查的266名志愿者中，对结核病“知信行”题目总体知晓率为96．57％[2056／（266×8）]，78．20％（208／266）的志愿者答对全部8道题目；知识类、信念类、行为意向类题目的知晓率分别为98．37％[785／（266×3）]、97．74％[520／（266×2）]、93．98％[750／（266×3）]，全部答对该类题目者分别占95．11％（253／266）、95．86％（255／266）和82．71％（220／266）。汉族志愿者中对总题目、信念类、行为意向类题目均知晓者所占比率分别为79．53％（202／254）、96．46％（245／254）、84．25％（214／254），均高于少数民族的50．00％（6／12）、83．33％（10／12）、50．00％（6／12），（总题目x2=9．850，P=0．043；信念类x2=6．939，P=0．031；行为类x2=8．830，P=0．012）；大学及以上学历者对上述3个比率分别为81．44％（136／167）、98．20％（164／167）、85．63％（143／167），大专学历者分别为73．75％（59／80）、93．75％（75／80）、80．00％（64／so），中专及以下学历者分别为68．42％（13／19）、84．210o（16／19）、68．42％（13／19），随文化程度升高，均知晓者所占比率增加（总题目）（x2趋势=8．182，P=0．004；信念类x2趋势=11．195，P=0．001；行为意向类x2趋势=4．472，P=0．034）。结论社康志愿者对疑似肺结核患者转诊相关“知信行”问题总体知晓程度较高；少数民族、文化程度偏低者中均知晓者所占比率略低，是以后对结核病宣传志愿者进行结核病防治知识培训的重点人群。
Objective To investigate the awareness of knowledge, attitudes and practices （KAP） regarding referral of suspected TB cases among volunteers of Community Health Service Centers in order to provide evidence to develop effective health education among volunteers. Methods Through convenience sampling, adopting the self-designed questionnaires, we investigated the volunteers who were working in the Community Health Service Centers when tuberculosis staff quarterly supervised the Community Health Service Centers from Apr 2015 to Apt 2016, and accepted the awareness of 3 questions of knowledge, 2 questions of attitudes and 3 questions of practices regarding referral of suspected tuberculosis cases. Results The overall awareness rate of TB KAP among 266 volun- teers was 96.57% （2055/2128）, and 78. 20% （208/266） volunteers correctly answered all 8 questions. The awareness rate of knowledge, attitude and practice was 98.37%（785/798）, 97.74% （520/532） and 93. 98% （750/798）, respectively; the proportion of volunteers correctly answered all 3 knowledge, 2 attitude and 3 practice questions was 95.11% （253/266）, 95.86%（255/266） and 82.71% （220/266）, respectively. The proportion of volunteers correctly answered overall, attitude and practice questions in Chinese character was 79.53% （202/254）, 96.46% （245/254）, 84. 25% （214/254）, respectively; that in China＇s Ethnic Minorities was 50.00% （6/12）, 83.33% （10/12）, 50.00% （6/12）, respectively. The proportion in Chinese character was higher than that in China＇ s Ethnic Minorities （overall χ2 = 9. 850, P = 0. 043% attitude： Z2 = 6. 939, P = 0. 031% and practice.χ2 = 8. 830, P=0. 012）. The above proportion in volunteers with university education was 81.44% （136/167）, 98. 20% （164/167）, and 85.63%（143/167）, respectively that in junior college educational was 73.75% （59/80）, 93. 75%（75/80）, 80.00% （64/80）, respectively that in vocational secondary schools and lower education levels was 68.42% （13/19）, 84.21% （16/19）, 68.42% （13/19）, respectively. The proportion in volunteer with higher-edu- 2 --8 cared volunteers was higher （overall： linear ）trend =182, P = 0. 004% attitude., linear χ2trend = 11. 195 P = 0.001 and practice： linear 2 --4 χ2trend-- 4.472, P=0. 034）. Conclusion There was a high awareness rate of KAP tuberculosis among the volunteers working in Community Health Service Center. The proportion of volunteers correctly answered overall, attitude and practice questions in China＇ s Ethnic Minorities＇ volunteers and the lower educated volunteers were lower. The Chinas Ethnic Minorities＇ volunteers and the lower educated volunteers would be the important population that need to pay more attention in the health education activities in the future.
出处
《结核病与肺部健康杂志》
2016年第2期83-92,共10页
Journal of Tuberculosis and Lung Health
关键词
结核
志愿者计划
健康教育
健康知识
信念
行为
问卷调查
Tuberculosis
Voluntary programs
Health education
Health Knowledge, attitudes, practice
Questionnaires
