CAJ | 학술논문

目的：探讨基层医院丙型肝炎筛查管理中存在的缺陷及对策。方法以问卷形式随机调查我院医生、护士100名（医生70名，护士30名）；调查我院门诊普通患者100例（与所患疾病种类无关）。结果基层医院医患双方存在丙型肝炎知识匮乏，认识到丙型肝炎能治愈的医患人数分别仅为9和8（P>0.05），知道丙肝标识物的医患人数仅为6和5（P>0.05）；危险因素认识不足：认识高危性行为是丙型肝炎高危因素的医患人数为50和36（P>0.05），认识纹身、穿孔、针灸为其高危因素的医患人数为39和28（P>0.05）；并发症认识不足：认识丙肝可并发腹泻的医患人数分别为8和4（P>0.05），认识丙肝可并发感染的医患人数仅为22和13（P>0.05）；医生存在检测不到位，医患认识肝功异常是丙肝危险因素的人数分别为45和78（P<0.05）。结论基层医院医患双方丙肝知识的匮乏，是造成丙型肝炎患者不能及时诊断，延误规范化治疗的主要原因。健康教育对丙型肝炎的筛查管理起着关键作用。
목적：탐토기층의원병형간염사사관리중존재적결함급대책。방법이문권형식수궤조사아원의생、호사100명（의생70명，호사30명）；조사아원문진보통환자100례（여소환질병충류무관）。결과기층의원의환쌍방존재병형간염지식궤핍，인식도병형간염능치유적의환인수분별부위9화8（P>0.05），지도병간표식물적의환인수부위6화5（P>0.05）；위험인소인식불족：인식고위성행위시병형간염고위인소적의환인수위50화36（P>0.05），인식문신、천공、침구위기고위인소적의환인수위39화28（P>0.05）；병발증인식불족：인식병간가병발복사적의환인수분별위8화4（P>0.05），인식병간가병발감염적의환인수부위22화13（P>0.05）；의생존재검측불도위，의환인식간공이상시병간위험인소적인수분별위45화78（P<0.05）。결론기층의원의환쌍방병간지식적궤핍，시조성병형간염환자불능급시진단，연오규범화치료적주요원인。건강교육대병형간염적사사관리기착관건작용。
Objective To investigate the defects and their correction of hepatitis C screening management in primary hospital. Methods There was a random survey with questionnaire among patients and nurses in our hospital, 70 doctors,30 nurses,and 100 patients regardless of the type of the illness were included in our survey. Results Lack of basic knowledge of hepatitis C in primary hospital among doctors,, nurses and patients::the number between doctors and patients who can recognize that hepatitis C can cure was 9 and 8(P>0.05),the number of people know HCV markers between doctors and patients was 6 and 5 (P>0.05);Lack knowledge of risk factors: the number of awareness of high-risk sexual behavior between doctors and patient was 50 and 36(P>0.05),the number between doctors and patients who recognizing that tattoos, piercing,acupuncture may induce people infected with HCV was 39 and 28(P>0.05);Lack awareness of complications:the number of awareness of hepatitis C may be complicated by diarrhea between doctor and patient was 8 and 4 (P>0.05),number of awareness of hepatitis C infection may be complicated between the doctor and patient was 22 and 13 (P>0.05);Clinical examination is not enough,, the number of doctors and patients who recognize that abnormal liver function is the risk factors for hepatitis C was 45 and 78 (P<0.05).Conclusion Both doctors and patients have poor knowledge of hepatitis C in our hospital, which causes patients with hepatitis C undiagnosed in time, and then make a delay in receiving the standardization treatment. Education may play a key role in the screening management of Hepatitis C.