目的 调查基层结防人员对结核病防治知识和政策的知晓情况,探讨影响知晓率的因素。方法 根据2015年国家制定的针对医务人员的3条核心信息,结合本地实际,自行设计调查表,对合肥市各县区所有社区卫生服务中心/乡镇卫生院的155名结防人员调查结核病相关知识知晓率。结果 基层结防人员对3条核心信息的知晓率为80.0%,对所有调查信息的总知晓率为83.6%;不同性别、不同年龄、不同职称和不同地区间的结防人员知晓率差异无统计学意义(P＞0.05);但不同学历、从事结防工作年限不同,知晓率差异有统计学意义(P＜0.05),从事结防工作3~5年结防人员知晓率最高,为87.9%,从事结防工作不到2年的知晓率最低,为80.4%;所有调查对象中,社区结防人员从事结防工作不到2年的人数最多(占46.8%),在乡镇从事结防工作超过10年的人数最多(占37.6％);男性从事结防工作超过10年的人数最多(占37.2%),女性从事结防工作不到2年的人数最多(占42.6％)。结论 合肥市基层结防人员结核病防治知识和政策知晓率偏低,且社区中的结防人员和女性结防人员更换频繁,不利于结核病防控工作,必然影响对病人的服务质量。

Objective To investigate the awareness of TB prevention and control knowledge and policy,and analyze the factors that affect the awareness rate. Methods According to the three core information formulated by the state in 2015 and combined with local conditions, a self-designed questionnaire was used to investigate the awareness rate of tuberculosis-related knowledge among 155 TB prevention and control personnel in all community health service centers/township health centers in various counties and districts of Hefei City. Results The awareness rate of the 3 core information was 80%, of all survey information, the total awareness rate was 83.6%; There was no significant difference in the rate of awareness among people of different genders, ages, titles and different areas,(P> 0.05); However, there are significant differences in the awareness rate between different academic qualifications and working years, (P< 0.05); In the period of 3-5 years, the awareness rate was 87.9%, and the lowest awareness rate was less than 2 years, which was less than 80.4%; All subjects in the community, proportion of the staff in the community engaged in TB control and prevention work less than 2 years was the highest (46.8%), proportion of the staff in villages and towns engaged inTB control and prevention work for more than 10 years was the highest (37.6%);The proportion of male staff who worked for more than 10 years was the highest (accounting for about 37.2%),and the proportion of female staff who worked less than 2 years was the highest (up to 42.6%). Conclusion Awareness rate of TB prevention and control knowledge and policy among grassroots TB prevention workers was low in Hefei. The staff in community and female staff changed frequently, which was not conducive to TB control and prevention and, and would affect service quality for the patients.