首页> 中文期刊> 《中国妇幼健康研究》 >北京部分医院生殖道感染服务及患者知信行调查

北京部分医院生殖道感染服务及患者知信行调查

         

摘要

Objective To investigate the service status of genital tract infection in medical institutes level II and under in Beijing, and to study the prevention knowledge, attitude and behavior ( KAB) of women, so as to provide evidence for further prevention and control of genital tract infection. Methods A questionnaire survey was conducted in 36 medical institutes in Beijing, and 360 women with genital tract infection were enrolled in the survey randomly. Results Testing of clean degree, trichomonas, candida, BV and syphilis were available in all involved hospitals, and hospitals in each functional area of Beijing could identify diplococcus, HIV, mycoplasma, chlamydia and HPV. Cervical physical therapy, colposcopy and LEEP were also available in these hospitals. There were no significant differences among them (all P>0. 05). Among doctors working in obstetrics and gynecology department, 95. 48% had college degree or above, and 33. 33% of them could answer all of the questions on professional knowledge about diagnosis and treatment of genital tract infections. There were 98. 89% female patients willing to learn knowledge about genital tract infection. In various propaganda ways, the most acceptable one was individual explanation or consulting of doctors. Conclusion The equipments and staff for diagnosis and treatment of genital tract infection in Beijing are funded well, but the doctors show lack of professional knowledge. The diagnosis and treatment ability of doctors are needed to standardize and improve to meet the needs of patients on knowledge about genital tract infection.%目的:了解北京市部分二级及以下医疗机构生殖道感染服务现状,了解患病妇女的防治知识、态度、行为,为进一步规范生殖道感染的防治工作提供依据。方法对北京市各个区县36家医疗机构进行问卷调查,并随机抽取360名因生殖道感染而就诊的妇女开展问卷调查。结果被调查医院全部能够开展清洁度、滴虫、假丝酵母菌、细菌性阴道病和梅毒的检测,北京市各功能区域都能开展淋球菌、人类免疫缺陷病毒抗体、梅毒、支原体、衣原体、人乳头瘤病毒等检查项目,及宫颈物理治疗、阴道镜检查、宫颈电刀环切手术等治疗项目,经比较均无显著性差异(均P>0.05);妇产科医生中95.48%为大专以上学历,有33.33%的妇产科医生全部答对生殖道感染诊治专业的知识答卷;有98.89%的患者愿意了解生殖道感染知识;各种宣教方式中,最被认可的是“医生个别讲解或咨询”。结论北京市生殖道感染诊治工作在硬件设备和人员配备方面均具有一定的基础,但医生专业知识明显欠缺,还需规范和提高医生的诊治能力,以应对患者“生殖道感染性疾病相关知识”的需求。

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