CAJ | 학술논문

目的：了解湖南省3个县乡村医生对新发传染病认知水平，为农村新发传染病防治提供科学依据。方法应用自行设计的调查表，采用多级抽样的方法，抽取湖南省3个县（长沙县、平江县、邵东县）9个乡卫生院的乡村医生共209名作为调查对象，了解乡村医生基本情况、对新发传染病相关知识的知晓情况、对几种常见和不常见新发传染病知识知晓情况、对新发传染病政策相关知识知晓情况、新发传染病知识知晓主要途径等。结果本组调查对象对严重急性呼吸综合征（severe acute respiratory syndromes, SARS）、甲型H1N1流感等常见新发传染病的相关知识有一定程度的了解，尤其是SARS和甲型H1N1流感的传播途径知晓率达80.9%；对不常见的新发传染病，如埃博拉出血热病毒、莱姆病的相关知识知晓率偏低；对于新发传染病政策相关知识正确率较低，最低的是“甲类传染病未实行网络直报报告时间”一项，知晓率仅为4.3%。对新发传染病知识知晓途径通过培训获得的仅占5.3%。结论应加大乡村医生新发传染病防治相关知识、政策及操作技能的培训力度，扩大培训方式，提高其新发传染病防治能力。
목적：료해호남성3개현향촌의생대신발전염병인지수평，위농촌신발전염병방치제공과학의거。방법응용자행설계적조사표，채용다급추양적방법，추취호남성3개현（장사현、평강현、소동현）9개향위생원적향촌의생공209명작위조사대상，료해향촌의생기본정황、대신발전염병상관지식적지효정황、대궤충상견화불상견신발전염병지식지효정황、대신발전염병정책상관지식지효정황、신발전염병지식지효주요도경등。결과본조조사대상대엄중급성호흡종합정（severe acute respiratory syndromes, SARS）、갑형H1N1류감등상견신발전염병적상관지식유일정정도적료해，우기시SARS화갑형H1N1류감적전파도경지효솔체80.9%；대불상견적신발전염병，여애박랍출혈열병독、래모병적상관지식지효솔편저；대우신발전염병정책상관지식정학솔교저，최저적시“갑류전염병미실행망락직보보고시간”일항，지효솔부위4.3%。대신발전염병지식지효도경통과배훈획득적부점5.3%。결론응가대향촌의생신발전염병방치상관지식、정책급조작기능적배훈력도，확대배훈방식，제고기신발전염병방치능력。
Objective To understand the cognition on emerging infectious diseases of rural doctors in Hunan province, to provide a scientific basis for preventing emerging infectious diseases in rural areas. Methods With multistage sampling, totally 209 doctors from rural hospitals in 9 towns of 3 counties (Changsha County, Pingjiang County, Shaodong County) in Hunan Province were investigated by self-designed questionnaires to understand the basic information of rural doctors, their basic knowledge on emerging infectious diseases, the understanding of the policies regarding emerging infectious diseases, the way to know emerging infectious diseases, etc. Results Most of the respondents knew much on SARS and human avian influenza (human being infected by highly pathogenic avian influenza) related knowledge, especially SARS and bird flu, the accuracy of understanding on transmission route and prevention of which reached 80.9%. The rural doctors were relatively highly aware of the common emerging infectious diseases but their awareness of rare emerging infectious diseases remained low. Only 5.3% of the respondents knew the transmission route of emerging infectious diseases by training. Conclusion It is necessary to provide more training with diversified training approaches for rural doctors regarding the related knowledge, policies and operating skills on the prevention and cure of emerging infectious diseases so as to improve the prevention and cure of emerging infectious diseases.