安徽省医护人员新型冠状病毒肺炎认知水平调查

郑涛; 何欣然; 原洪旭; 荣健; 陈贵梅; 陈任; 王丽; 徐王权; 丁宏

doi:10.16462/j.cnki.zhjbkz.2021.04.011

安徽省医护人员新型冠状病毒肺炎认知水平调查

doi: 10.16462/j.cnki.zhjbkz.2021.04.011

郑涛¹,
何欣然²,
原洪旭¹,
荣健²,
陈贵梅²,
陈任²,
王丽²,
徐王权³,
丁宏^2, ,

1.
230022 合肥，安徽省胸科医院医务部
2.
230032 合肥，安徽医科大学卫生管理学院卫生管理系
3.
230032 合肥，安徽医科大学卫生管理学院卫生信息系

基金项目:

安徽省卫生健康委员会科研计划项目 2020XK001

详细信息

通讯作者:
丁宏，E-mail: dinghong_cn2003@163.com

中图分类号: R181
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- 被引次数: 0
出版历程
- 收稿日期: 2020-07-23
- 修回日期: 2020-12-02
- 网络出版日期: 2021-05-11
- 刊出日期: 2021-04-10

Investigation on cognitive level of COVID-19 of medical staffs in Anhui Province

1.
Medical Department, Anhui Chest Hospital, Hefei 230022, China
2.
Department of Health Service Management, School of Health Service Management, Anhui Medical University, Hefei 230032, China
3.
Department of Health Information, School of Health Service Management, Anhui Medical University, Hefei 230032, China

Funds:

Scientific Research Project from Health Commission of Anhui Province 2020XK001

More Information

Corresponding author: DING Hong. E-mail: dinghong_cn2003@163.com

摘要

摘要: 目的分析COVID-19疫情期间，安徽省医护人员对COVID-19的诊断、治疗及院感知识的认知水平并探讨影响医护人员COVID-19知识认知水平的因素。方法采用自制问卷于2020年2月12日-2020年3月4日期间，对安徽省医护人员COVID-19相关知识掌握情况进行评估，共获得有效问卷15 342份。采用SPSS 17.0软件进行描述性分析、t检验、方差分析和多因素线性回归分析等方法分析医护人员COVID-19相关知识水平及影响因素。结果安徽省医护人员COVID-19相关知识总分为(6.95±2.67)分，其中诊断知识得分为(2.58±1.74)分，治疗知识得分为(1.53±1.03)分，院感知识得分为(2.84±1.01)分。医生和护士在COVID-19诊断知识、院感知识及总分得分上差异均有统计学意义(均有P < 0.05)。多因素线性回归分析结果显示：医生组高级和中级职称组得分均高于初级职称组；硕士及以上和本科学历组得分均高于专科及以下学历组；市级、县级医院和基层医疗机构及民营医疗机构组得分均低于省级医院组；30~＜40岁和≥40岁组得分均低于＜30岁组；护士组高级和中级职称组得分均高于初级职称组；市级、县级医院和基层医疗机构及民营医疗机构组得分均低于省级医院组；30~＜40岁和≥40岁得分均低于＜30岁组，本科学历护士比专科及以下学历护士得分高(均有P < 0.05)。结论安徽省医护人员COVID-19相关知识得分偏低，应对医护人员进行系统培训。在筛选和培训抗疫医护人员时应注意职称、学历、年龄、医院类型等因素的影响。
- 安徽省 /
- 医护人员 /
- COVID-19知识 /
- 影响因素
Abstract: Objective During the COVID-19 epidemic period, we investigated the cognitive level of COVID-19 knowledge of medical staffs in Anhui Province and analyzed the influencing factors of cognitive level of COVID-19 knowledge. Methods From February 12, 2020 to March 4, 2020, a self-made questionnaire was used to evaluate the knowledge of COVID-19 among medical staff in Anhui Province. A total of 15 342 valid questionnaires were obtained. By SPSS 17.0 statistical software, and descriptive analysis, t-test, ANOVA analysis, and multiple linear regression were used to analyze the cognitive level of COVID-19 knowledge of medical staffs and the influencing factors. Results The total score of COVID-19 knowledge of medical staffs in Anhui Province was (6.95±2.67) points, the average score of diagnosis knowledge was (2.58±1.74) points, the average score of treatment knowledge was (1.53±1.03) points, and the score of nosocomial infections knowledge was (2.84±1.01) points. There were significant differences in COVID-19 diagnosis knowledge, nosocomial infections knowledge and total score between doctors and nurses (all P < 0.05). Multivariate linear regression analysis showed that the scores in senior and intermediate professional title groups were higher than those in primary professional title group; the scores in master′s degree group and above and undergraduate education group were higher than those in junior college education group; the knowledge scores in municipal, county-level hospitals, primary medical institutions and private medical institutions were lower than those in provincial hospital group; the scores in patients aged 30~ years and ≥40 years were lower than those in group < 30 years. The scores in senior and intermediate professional title groups were higher than those in junior professional title group; the scores in municipal, county-level hospitals, primary medical institutions and private medical institutions were lower than those in provincial hospitals; the scores of 30~ years old and ≥40 years old were lower than those of < 30 years old group, and the scores of nurses with bachelor′s degree were higher than junior college degree or below (all P < 0.05). Conclusions The score of COVID-19 knowledge of medical staffs in Anhui Province is low, so we should train them COVID-19 knowledge systematically. We should pay attention to the influencing factors like occupation, title, education background, age and hospital rank when selecting and training anti-epidemic medical staffs.
- Anhui Province /
- Medical staff /
- COVID-19 knowledge /
- Influencing factors

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表 1 调查对象一般人口学特征[n(%)]

Table 1. General demographic characteristics of survey subjects [n(%)]

变量	总体(N=15 342)	医生(n=6 946)	护士(n=8 396)	χ²值	P值
性别				5 219.498	< 0.001
男	4 328(28.2)	3 964(57.1)	364(4.3)
女	11 014(71.8)	2 982(42.9)	8 032(95.7)
职称				951.361	< 0.001
初级	9 812(64.0)	3 750(54.0)	6 062(72.2)
中级	4 607(30.0)	2 385(34.3)	2 222(26.5)
高级	923(6.0)	811(11.7)	112(1.3)
学历				1 415.138	< 0.001
专科及以下	6 372(41.5)	2 126(30.6)	4 246(50.6)
本科	7 989(52.1)	3 879(55.8)	4 110(49.0)
硕士及以上	981(6.4)	941(13.5)	40(0.5)
年龄(岁)				1 322.800	< 0.001
< 30	4 998(32.5)	1 328(19.9)	3 606(42.9)
30~＜40	6 193(40.4)	2 830(40.7)	3 363(40.1)
≥40	4 161(27.1)	2 734(39.4)	1 427(17.0)
医院类型				375.912	< 0.001
省级	2 120(13.8)	877(12.6)	1 243(14.8)
市级	3 387(22.1)	1 597(23.0)	1 790(21.3)
县级	4 883(31.8)	2 051(29.5)	2 832(33.7)
基层^a	3 174(20.7)	1 848(26.6)	1 326(15.8)
民营^b	1 778(11.6)	573(8.2)	1 205(14.4)
注：^a基层医院类型包括：乡镇卫生院、村卫生室、社区卫生服务中心；^b民营医院类型包括：民营医院、私人诊所及其它医疗卫生机构。

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表 2 安徽省医护人员COVID-19相关知识得分(x±s)

Table 2. COVID-19 knowledge scores of medical staff in Anhui Province (x±s)

知识维度	医护人员(n=15 342)	医生(n=6 946)	护士(n=8 396)	t值^a	P值^a
诊断知识(分)	2.58±1.74	2.70±1.74	2.48±1.74	7.877	< 0.001
治疗知识(分)	1.53±1.03	1.53±0.99	1.53±1.06	0.087	0.931
院感知识(分)	2.84±1.01	2.86±1.01	2.81±1.02	2.227	0.026
注：^a此处统计量为调整性别、年龄、学历、职称和医院类型后的统计量。

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表 3 安徽省医护人员COVID-19相关知识得分差异分析(x±s)

Table 3. Analysis on the difference of COVID-19 related knowledge scores among medical staff in Anhui Province (x±s)

变量	医生(n=6 946)			护士(n=8 396)
变量	得分	t/F值	P值	得分	t/F值	P值
性别		-1.649	0.099		-5.809	< 0.001
男	7.05±2.53			6.01±2.55
女	7.16±2.62			6.86±2.74
职称		67.860	< 0.001		17.389	< 0.001
初级	6.79±2.63			6.74±2.79
中级	7.35±2.47			6.98±2.56
高级	7.77±2.35			8.04±2.96
学历		247.237	< 0.001		116.064	< 0.001
专科及以下	6.18±2.48			6.38±2.68
本科	7.34±2.50			7.27±2.72
硕士及以上	8.14±2.40			7.55±2.52
年龄(岁)		63.293	< 0.001		15.025	< 0.001
< 30	7.33±2.58			6.91±2.79
30~＜40	7.40±2.54			6.88±2.67
≥40	6.67±2.53			6.46±2.74
医院类型		168.465	< 0.001		232.648	< 0.001
省级	8.57±2.72			8.70±3.41
市级	7.42±2.28			6.98±2.28
县级	7.16±2.44			6.48±2.43
基层	6.06±2.49			5.77±2.64
民营	7.09±2.40			6.62±2.41

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表 4 安徽省医护人员COVID-19相关知识得分影响因素线性回归分析

Table 4. Linear regression analysis on influencing factors of COVID-19 knowledge in Anhui Province

变量	医生(n=6 946)					护士(n=8 396)
变量	非标准化β (95% CI)值	s_x值	标准化β值	t值	P值	非标准化β (95% CI)值	s_x值	标准化β值	t值	P值
性别
男			1.000					1.000
女	0.015(-0.102~0.132)	0.060	0.003	0.250	0.802	0.462(0.186~0.738)	0.141	0.034	3.281	0.001
职称
初级			1.000					1.000
中级	0.482(0.336~0.628)	0.075	0.089	6.471	< 0.001	0.216(0.064~0.369)	0.078	0.035	2.779	0.005
高级	0.786(0.559~1.014)	0.116	0.098	6.777	< 0.001	1.304(0.799~1.810)	0.258	0.055	5.055	< 0.001
学历
专科及以下			1.000					1.000
本科	0.519(0.358~0.679)	0.082	0.100	6.338	< 0.001	0.415(0.288~0.541)	0.065	0.076	6.407	< 0.001
硕士及以上	0.623(0.374~0.872)	0.127	0.083	4.909	< 0.001	0.093(-0.720~0.906)	0.415	0.002	0.224	0.823
年龄(岁)
< 30			1.000					1.000
30~＜40	-0.286(-0.457~-0.114)	0.087	-0.055	-3.269	0.001	-0.239(-0.374~-0.103)	0.069	-0.043	-3.445	0.001
≥40	-0.577(-0.779~-0.375)	0.103	-0.110	-5.596	< 0.001	-0.257(-0.452~0.062)	0.100	-0.035	-2.581	0.010
医院类型
省级			1.000					1.000
市级	-1.064(-1.276~-0.852)	0.108	-0.174	-9.834	< 0.001	-1.672(-1.861~-1.484)	0.096	-0.250	-17.391	< 0.001
县级	-1.197(-1.417~-0.977)	0.112	-0.213	-10.680	< 0.001	-2.100(-2.276~-1.924)	0.090	-0.363	-23.406	< 0.001
基层	-1.762(-2.009~-1.514)	0.126	-0.303	-13.959	< 0.001	-2.626(-2.841~-2.411)	0.110	-0.350	-23.938	< 0.001
民营	-1.003(-1.286~-0.719)	0.145	-0.107	-6.935	< 0.001	-1.899(-2.111~-1.688)	0.108	-0.243	-17.604	< 0.001
常数	7.938(7.610~8.265)	0.167		47.539	< 0.001	7.532(6.962~8.102)	0.291		25.907	< 0.001

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参考文献(11)

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变量	总体(N=15 342)	医生(n=6 946)	护士(n=8 396)	χ²值	P值
性别				5 219.498	< 0.001
男	4 328(28.2)	3 964(57.1)	364(4.3)
女	11 014(71.8)	2 982(42.9)	8 032(95.7)
职称				951.361	< 0.001
初级	9 812(64.0)	3 750(54.0)	6 062(72.2)
中级	4 607(30.0)	2 385(34.3)	2 222(26.5)
高级	923(6.0)	811(11.7)	112(1.3)
学历				1 415.138	< 0.001
专科及以下	6 372(41.5)	2 126(30.6)	4 246(50.6)
本科	7 989(52.1)	3 879(55.8)	4 110(49.0)
硕士及以上	981(6.4)	941(13.5)	40(0.5)
年龄(岁)				1 322.800	< 0.001
< 30	4 998(32.5)	1 328(19.9)	3 606(42.9)
30~＜40	6 193(40.4)	2 830(40.7)	3 363(40.1)
≥40	4 161(27.1)	2 734(39.4)	1 427(17.0)
医院类型				375.912	< 0.001
省级	2 120(13.8)	877(12.6)	1 243(14.8)
市级	3 387(22.1)	1 597(23.0)	1 790(21.3)
县级	4 883(31.8)	2 051(29.5)	2 832(33.7)
基层^a	3 174(20.7)	1 848(26.6)	1 326(15.8)
民营^b	1 778(11.6)	573(8.2)	1 205(14.4)
注：^a基层医院类型包括：乡镇卫生院、村卫生室、社区卫生服务中心；^b民营医院类型包括：民营医院、私人诊所及其它医疗卫生机构。

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安徽省医护人员新型冠状病毒肺炎认知水平调查

doi: 10.16462/j.cnki.zhjbkz.2021.04.011

通讯作者:
丁宏，E-mail: dinghong_cn2003@163.com

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Investigation on cognitive level of COVID-19 of medical staffs in Anhui Province

Corresponding author: DING Hong. E-mail: dinghong_cn2003@163.com

计量

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留言板

安徽省医护人员新型冠状病毒肺炎认知水平调查

doi: 10.16462/j.cnki.zhjbkz.2021.04.011

通讯作者: 丁宏，E-mail: dinghong_cn2003@163.com

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出版历程

Investigation on cognitive level of COVID-19 of medical staffs in Anhui Province

Corresponding author: DING Hong. E-mail: dinghong_cn2003@163.com

计量

出版历程

目录

通讯作者:
丁宏，E-mail: dinghong_cn2003@163.com