CAJ | 학술논문

【目的】了解发热门诊医务人员对埃博拉病毒病（EVD）的掌握情况，提高医务人员对埃博拉病毒（EB‐O V ）的认知，为今后发热门诊医务人员培训工作提供依据和参考。【方法】以2014年11月10～21日上海市某区发热门诊上班的医务人员作为研究对象，采取分层抽样方法，抽取三级医院发热门诊3家、二级医院发热门诊5家，一级医院4家。针对医务人员参加EVD培训情况以及对EBOV病原学特征和流行病学特征等知识掌握情况，采用独立自填式问卷及现场进行防护服穿脱实践进行调查。【结果】92名被调查者中，61人（66．30％）参加过EVD培训，医生的培训率高于医技人员（χ2＝24．506， P ＜0．001），护士的培训率高于医技人员（χ2＝26．542， P＜0．001）。副高以上职称人员参加培训率高于初级职称人员（χ2＝9．382，P ＝0．002），中级职称人员参加培训率高于初级职称人员（χ2＝6．582，P ＝0．01）。参加过培训的人员对EVD 的流行病学特征知晓率高于未参加过培训人员（χ2＝70．867，P ＜0．01）。参加过培训的人员对个人防护的要求知晓率高于未参加过培训的人员（χ2＝10．136， P ＝0．001）。经过培训的10名人员中，防护服穿脱顺序完全正确的仅5人，其中4名护士，1名医生，医技人员无人完全正确。【结论】需要加强发热门诊内医技人员EVD相关知识的培训，多给予初级职称人员培训机会，要做到发热门诊内医务人员全员培训，需要增加防护服的穿脱流程等实践课程作为培训内容。
【목적】료해발열문진의무인원대애박랍병독병（EVD）적장악정황，제고의무인원대애박랍병독（EB‐O V ）적인지，위금후발열문진의무인원배훈공작제공의거화삼고。【방법】이2014년11월10～21일상해시모구발열문진상반적의무인원작위연구대상，채취분층추양방법，추취삼급의원발열문진3가、이급의원발열문진5가，일급의원4가。침대의무인원삼가EVD배훈정황이급대EBOV병원학특정화류행병학특정등지식장악정황，채용독립자전식문권급현장진행방호복천탈실천진행조사。【결과】92명피조사자중，61인（66．30％）삼가과EVD배훈，의생적배훈솔고우의기인원（χ2＝24．506， P ＜0．001），호사적배훈솔고우의기인원（χ2＝26．542， P＜0．001）。부고이상직칭인원삼가배훈솔고우초급직칭인원（χ2＝9．382，P ＝0．002），중급직칭인원삼가배훈솔고우초급직칭인원（χ2＝6．582，P ＝0．01）。삼가과배훈적인원대EVD 적류행병학특정지효솔고우미삼가과배훈인원（χ2＝70．867，P ＜0．01）。삼가과배훈적인원대개인방호적요구지효솔고우미삼가과배훈적인원（χ2＝10．136， P ＝0．001）。경과배훈적10명인원중，방호복천탈순서완전정학적부5인，기중4명호사，1명의생，의기인원무인완전정학。【결론】수요가강발열문진내의기인원EVD상관지식적배훈，다급여초급직칭인원배훈궤회，요주도발열문진내의무인원전원배훈，수요증가방호복적천탈류정등실천과정작위배훈내용。
[Objective] To learn about the knowledge status of crew about Ebola virus disease (EVD) at fever outpatient clinics and raise their cognition on Ebola virus (EBOV ) so as to provide rationales for advanced training in the future .[Methods] The crew working at fever outpatient clinics were recruited from a certain district in Shanghai during November 10 ,2014 to November 21 ,2014 .Three 3A ,5 2A and 4 1A hospitals were randomly selected .Based on crew training of EVD and how they know about the etiologic and epidemic features of EBOV , the study was carried out by means of independent questionnaire and on‐site practice of wearing on and off protec‐tive clothes .[Results] Among 92 respondents ,61 crew (66 .3% ) have attended the training of EVD .There were more doctors than medical technicians (χ2 = 24 .506 ,P < 0 .001) ,more nurses than medical technicians (χ2 =26 .542 ,P<0 .001) ,more crew with secondary senior positions than those with primary positions (χ2 =9 .382 ,P=0 .002) ,more crew with intermediate positions than those with primary positions (χ2 =6 .582 ,P =0 .01) have attended the training .The trained crew obviously knew more about the etiologic characteristics of EBOV than those who had not attended it (χ2 =70 .867 ,P <0 .01) .In addition ,the trained crew knew more about personal protection than their untrained counterparts (χ2 =10 .136 ,P =0 .001) .Among 10 trained crew ,only 5 of them had the correct order of wearing on and off protective clothes .And there were 4 nurses and 1 doctor .[Conclusion]More training on EVD should be enhanced for medical technicians at fever outpatient clinics .And more chances are to be offered for crew with primary positions .Thus universal training may be achieved for all crew .Furthermore , the correct order of wearing on and off protective clothes should be taught .