CAJ | 학술논문

目的：了解天津市生殖健康相关专业医务人员对艾滋病等性传播疾病(STD)的知识、态度和行为(KAP)现状及相关知识需求情况。方法分层整群随机抽样方法抽取天津市各级医疗机构的生殖健康相关专业医务人员507例，采用自填式性传播疾病KAP问卷进行调查，调查内容包括：一般情况、艾滋病等STD基本知识知晓情况、对艾滋病和梅毒患者的接诊态度、自身职业暴露发生情况、相关知识培训需求等。结果二级医疗机构被调查者的STD知识得分为（75.59±12.15）分，高于三级（70.11±10.07）和一级（67.62±12.20），差异有统计学意义（F=15.817，P＜0.001）。多因素分析显示妇产科及妇保专业者STD认知水平较高（β=-3.765，P=0.048）。86.34%的医务人员担心因职业暴露而感染HIV或梅毒，仅25.88%愿意为艾滋病和梅毒患者提供医疗服务。60.46%的被调查者自身发生过职业暴露，仅13.04%熟知发生职业暴露后的紧急处理及上报程序，94.62%有相关知识培训需求。结论今后应通过一系列干预措施进一步提高该专业医务人员的STD认知水平、改善相关态度、增强职业防护能力，使其更好地为患者和大众服务。
목적：료해천진시생식건강상관전업의무인원대애자병등성전파질병(STD)적지식、태도화행위(KAP)현상급상관지식수구정황。방법분층정군수궤추양방법추취천진시각급의료궤구적생식건강상관전업의무인원507례，채용자전식성전파질병KAP문권진행조사，조사내용포괄：일반정황、애자병등STD기본지식지효정황、대애자병화매독환자적접진태도、자신직업폭로발생정황、상관지식배훈수구등。결과이급의료궤구피조사자적STD지식득분위（75.59±12.15）분，고우삼급（70.11±10.07）화일급（67.62±12.20），차이유통계학의의（F=15.817，P＜0.001）。다인소분석현시부산과급부보전업자STD인지수평교고（β=-3.765，P=0.048）。86.34%적의무인원담심인직업폭로이감염HIV혹매독，부25.88%원의위애자병화매독환자제공의료복무。60.46%적피조사자자신발생과직업폭로，부13.04%숙지발생직업폭로후적긴급처리급상보정서，94.62%유상관지식배훈수구。결론금후응통과일계렬간예조시진일보제고해전업의무인원적STD인지수평、개선상관태도、증강직업방호능력，사기경호지위환자화대음복무。
Objective To understand the knowledge, attitudes, practices (KAP) and relative training demand of AIDS and other sexually transmitted diseases (STDs) in reproductive health-related medical professionals in Tianjin. Meth-ods By using random, stratified and clustered sampling approach, 507 reproductive health-related medical professionals were selected in Tianjin area. A self-administered KAP questionnaire on AIDS and other STDs was used to collect the data included in the general condition, understanding of AIDS and other STDs knowledge, attitudes to AIDS and syphilis patients, occupational exposure of medical staffs and request of continuing education. Results The score of STD knowledge was (75.59±12.15) in respondents coming from the secondary medical institutions, which was significantly higher than that of ter-tiary medical institutions (70.11±10.07) and primary health care institutions (67.62±12.20,F=15.817,P<0.001). Multiple-factor analysis showed that there was a higher cognitive level for STD in professionals working in the department of obstetrics and gynecology and women’s health care (β=-3.765,P=0.048). A total of 86.34%respondents worried about HIV or syphilis infection due to occupational exposure. Only 25.88% respondents expressed a willingness to provide medical services for AIDS and syphilis patients. About 60.46%medical staffs experienced occupational exposure. Only 13.04%respondents were familiar with emergency treatment and reporting procedures while occupational exposure occurring. The 94.62%medical per-sonnel showed demand on relative training. Conclusion It’s necessary to perform continuing education to medical staffs via different intervention, so as to improve their cognitive level and attitudes to AIDS and other STDs, and help them provid-ing better service to the patients and the public.