Chronic Bronchitis Health Literacy and Influencing Factors among Primary Health Care Workers

doi:10.12114/j.issn.1007-9572.2019.00.390

Abstract

Abstract: Background　Medical personnel are the main popularizers and instructors of health education and health promotion，and their health literacy level is of great significance to the health of the population.The results of the universal health examination in Xinjiang in 2016 showed that bronchitis ranked the top five.Therefore，it is very important to accurately evaluate the health literacy of chronic bronchitis and its influencing factors among primary health care workers.Objective　To investigate the chronic bronchitis health literacy and influencing factors in primary health care workers in Hetian Area.Methods　From September to November 2018，170 primary health care workers in county and sub-county health service centers in Hetian were selected by multi-stage sampling.A self-designed questionnaire was used to investigate the cognitive status of chronic bronchitis among the medical staff.163 valid questionnaires were collected，and the response rate of the questionnaire survey was 95.9%.Results　Among the 163 respondents，121（74.2%） had adequate level of chronic bronchitis health literacy，and 42（25.8%） had not.There were significant differences in age，working time，length of service，department，title of medical staff，qualification certificate，registration，prescribing right and work unit level between those with adequate level of chronic bronchitis and those without（P<0.05）．Multivariate logistic regression analysis showed that the title，registration and prescribing right were the influencing factors of chronic bronchitis health literacy of the respondents（P<0.05）.Conclusion　The chronic bronchitis health literacy level of primary health care workers in county- and sub-county level health service centers in Hetian Area is generally high.In the future，medical staff can be further urged to learn theoretical knowledge and improve operational skills，so as to optimize the title level of medical staff as a whole and improve the registration rate of qualification certificates.

Key words: Bronchitis, chronic；Health literacy；Root cause analysis；Primary medical institutions；Xinjiang

摘要： 背景　医务人员是健康教育和健康促进的主要普及者与指导者，其健康素养水平对人群健康意义重大。2016年新疆全民健康体检结果显示，支气管炎排名前5位。因此，准确评估基层医护人员慢性支气管炎健康素养及其影响因素在临床中极为重要。目的　了解和田地区基层医护人员健康素养状况，并分析其相关影响因素。方法　于2018年9—11月，采用多阶段抽样法抽取和田地区县级和县级以下医疗机构基层医护人员170例为调查对象。自行设计医护人员对慢性支气管炎认知情况调查量表进行问卷调查，回收有效问卷163份，问卷有效回收率为95.9%。结果　163例参加调查的基层医护人员中，121例（74.2%）健康素养合格；42例（25.8%）健康素养不合格。健康素养合格组与健康素养不合格组患者年龄、工作时间、工龄、所在科室、医护人员职称、是否具有资格证、是否注册、是否有处方权、工作单位级别比较，差异均有统计学意义（P<0.05）。多因素Logistic回归分析结果显示，医护人员职称、是否注册、是否具有处方权是医护人员慢性支气管炎健康素养的影响因素（P<0.05）。结论　和田地区县级及县级以下医疗机构基层医护人员慢性支气管炎健康素养水平总体较高。未来可进一步督促医护人员学习理论知识、提高操作技能，从而整体优化医护人员职称，提高资格证注册率。

关键词: 支气管炎, 慢性；健康素养；影响因素分析；基层医疗机构；新疆

CHEN Yuhu,WU Yun,BUZUKELA?Abuduaini, et al. Chronic Bronchitis Health Literacy and Influencing Factors among Primary Health Care Workers　[J]. Chinese General Practice, 2019, 22(28): 3523-3526. DOI: 10.12114/j.issn.1007-9572.2019.00.390.
陈玉虎,武云,布祖克拉?阿布都艾尼等. 基层医护人员慢性支气管炎健康素养调查及影响因素研究[J]. 中国全科医学, 2019, 22(28): 3523-3526. DOI: 10.12114/j.issn.1007-9572.2019.00.390.

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