Chin J Schisto Control ›› 2018, Vol. 30 ›› Issue (4): 378-382,414.

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nvestigation on malaria rapid diagnostic testing (RDT)-related knowledge, attitude and practice in primary healthcare professionals of Jiangsu Province

JIN Jia-jie1| WANG Wei-ming2| CAO Yuan-yuan2| ZHU Guo-ding2| ZHOU Hua-yun2| HUANG Jia-yan1| CAO Jun2*   

  1. 1 School of Public Health| Fudan University| Key Laboratory of Health Technology Assessment| National Health Commission| Shanghai 200032| China; 2 Jiangsu Institute of Parasitic Diseases| Key Laboratory of National Health Commission on Parasitic Disease Control and Prevention| Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology| China
  • Online:2018-10-08 Published:2018-10-09
  • Contact: CAO Jun

江苏省基层专业技术人员疟疾快速诊断试纸条相关知识 态度 行为调查

金嘉杰1|王伟明2|曹园园2|朱国鼎2|周华云2|黄葭燕1|曹俊2*   

  1. 1 复旦大学公共卫生学院、国家卫生健康委员会卫生技术评估重点实验室(上海 200032);2 江苏省寄生虫病防治研究所、国家卫生健康委员会寄生虫病预防和控制技术重点实验室、江苏省寄生虫与媒介控制技术重点实验室
  • 通讯作者: 曹俊
  • 作者简介:金嘉杰|男|硕士研究生。研究方向:卫生技术评估及医院管理
  • 基金资助:
    江苏省科技厅能力提升项目(BM2015024);江苏省“科教强卫工程”项目;江苏省重点研发计划(BE2016631);江苏省卫生计生委医学科研课题(H2017029);江苏省无锡市卫生局科研课题(MS201528);江苏省无锡市科技创新与产业升级引导资金项目(CSE31N1620)

Abstract: Objective To investigate the malaria rapid diagnostic testing (RDT)?related knowledge, attitude, practice (KAP) of primary healthcare professionals in Jiangsu Province and analyze the corresponding influencing factors. Methods Four cities in Jiangsu Province were selected as the study sites by the typical sampling method to conduct a survey for the RDT?related KAP and work satisfaction of primary healthcare professionals, and the multiple logistic regression model was used to explore the relevant influencing factors. Results Totally 1 150 questionnaires were issued and 949 valid questionnaires were collected with the recovery rate of 82.52%. The valid questionnaires included 453 questionnaires from laboratory technicians, 466 from clinicians, and 30 from malaria prevention and control workers. Totally 83.98% of the surveyed professionals had a low mastering level of essential RDT?related knowledge. A total of 52.17% of the surveyed laboratory technicians recognized that the application of RDT technology could effectively improve the current primary?level microscopy work, and the degree of recognition of RDT technological advantage in the laboratory technicians was higher than that in the clinicians. Totally 79.25% of the surveyed laboratory technicians regarded themselves to be capable of conducting the standardized RDT operation, and 84.55% of the surveyed clinicians regarded themselves to be capable of conducting the qualified malaria clinical diagnostic practice. The key influencing factors of RDT?related KAP of primary healthcare professionals included the laboratory technicians’ gender, educational level, employer’s institutional level, professional title, and working years, and the employer’s institutional level of clinicians. Conclusions The primary healthcare professionals in Jiangsu Province exhibita good acceptability towards RDT technology. However, their essential knowledgeon RDT remains to be improved. Therefore, it is necessary to establish a specific training and educational system for primary healthcare professionals to better guarantee the advantageous impact of RDT technology on the consolidation of the malaria elimination work achievements.

Key words: Malaria; Rapid diagnostic testing (RDT); Knowledge, attitude, and practice (KAP); Jiangsu Province

摘要: 目的 了解江苏省基层专业技术人员快速诊断试纸条(RDT)相关知识、态度与行为(KAP)现状并分析其影响因素。方法 采用典型抽样方法,在江苏省选取4个设区市开展针对基层专业技术人员的RDT相关KAP及工作满意度调查,并采用多元logistic回归模型分析基层专业技术人员RDT相关KAP的影响因素。结果 共发放调查问卷1 150份,回收有效问卷949份,问卷总体有效回收率为82.52%;其中来自检验人员问卷453份,来自临床医师问卷466份,来自疾控机构疟疾防治人员30份。83.98%的受调查者对RDT技术基础知识掌握不够。52.17%的检验人员认为RDT技术的开展能够改善基层疟疾诊断工作,其对于RDT技术优势的认可程度高于临床医师;79.25%的检验人员自评能够规范完成RDT检测操作,84.55%的临床医师自评具有规范疟疾临床诊断行为。受调查检验人员性别、学历、所在单位级别、职称、从事镜检工作年限以及受调查临床医师单位级别是影响其RDT技术相关KAP的关键因素。结论 江苏省基层专业技术人员对疟疾RDT技术接受度较好,但RDT相关知识掌握程度相对不足。应进一步开展针对性培训和宣传,从而为更好地发挥RDT在消除疟疾工作中的作用提供保障。

关键词: 疟疾;快速诊断试纸条;知识、态度、行为;江苏省

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