| Objective: To study the knowledge about viral hepatitis and occupational safety and protection,and the relevant influencing factors of health school students who are going to clinical practice in Changzhi.To understand the attitude and awareness of the importance for occupational safety and protection of viral hepatitis.To understand student's educational demand for occupational protection of hepatitis,to provide the basis for occupational safety protection and the pre-employment training in hospital of viral hepatitis in health school.Methods: A questionnaire survey was conducted on 843 students who were at the end of the second grade and going to clinical practice,and the students had a risk of occupational exposure to viral hepatitis.The questionnaire included nursing,midwifery,agricultural medical,iconography,medical examination,stomatology and rehabilitation health care of Chinese medicine.The survey included the knowledge of viral hepatitis and occupational protection,awareness of the importance for occupational protection of viral hepatitis and the educational demand of students for occupational protection.The Rank Sum Test and the Chi-square Test were used to compare the differences between two groups.Logistic regression analysis was utilized to study the influencing factors of knowledge and occupational protection of viral hepatitis.The canonical correlation analysis was used to study the relationship between knowledge of viral hepatitis,occupational protection and importance of occupational protection.Results:1.In this survey,the number of 843 students got an 40 points average score of viral hepatitis knowledge and the average pass rate was 14.8%.Hepatitis danger,preventive measures,the transmission of hepatitis A and E got the top three correct overall.Agricultural and veterinary professional nursing knowledge,professional midwifery students pass the possibility of viral hepatitis were higher than the mouth,shadow,examination,students of Chinese medicine high 27.538 times and 5.035 times;the family has the possibility of hepatitis hepatitis patients than the students who passed the students is 2.607 times higher,than do not know whether the family has hepatitis students 3.89 times higher,the possibility of the students who passed the medical insurance than do not know whether they will have health care students 68.0%.2.The average score of the knowledge of viral hepatitis occupational protection was 56.3 and average pas rate was 48.3%.The accuracy of answers in the six dimension from high to low were wearing a mask(68.3%),standard protection(61.7%),health of hands(59.7%),wearing gloves(55.3%),sharp injury(46.5%),wearing isolation clothes(39.0%).The accuracy of the 16 entries in the six dimension of the top three were seven-step hand washing steps,the replacement time of disposable medical protective mask and the precautions of wearing gloves.Unconditional logistic regression analysis showed: The possibility of female occupation protection knowledge exam 1.333 times higher than boys;the possibility of students aged 16~18 in less than 81.9% of students under the age of 16;the possibility of professional,professional nursing and midwifery students passed the agriculture and medicine were 3.154 times and 2.952 times of other majors;five year science students pass the possibility of more than three years system there are 49.1% students;the students who passed the possibility of medical insurance than do not know whether they will have health insurance for students with low 32.3%;the possibility of unvaccinated students fail than not clear whether vaccination of 66.2% students with low viral hepatitis;knowledge of students passing the occupation protection knowledge also pass the possibility than knowledge of viral hepatitis in failing students 2.799 times.3.Students had an 4.32 average score in knowledge of importance for viral hepatitis and occupational protection.Students got the highest scores in the importance of standard protection in seven dimensions,followed by sharp injuries and wearing isolation clothes.54.6% of the students believed that when infected with hepatitis B virus,it was important for injection of high-cost hepatitis B immunoglobulin.51% of the students thought it was important to wash their hands after contacting the contaminant from hepatitis patients.However,29% of the students considered that it was important to understand the pathogen of viral hepatitis,and 33.2% of the students thought that it was significant to wash by a noncontact device in diagnosis and treatment of the patients.36.7% of the students believed that removed the mask immediately when finished instead of hanging toward the chest was important.4.The results of canonical correlation analysis showed: the more knowledge of viral hepatitis pathogens,vaccination,susceptible population and hazard of hepatitis they had,the higher degree of awareness for wearing gloves,protecting standard,wearing isolation clothes and mask they got.The higher scores of wearing mask and gloves,health of hands they got,the higher degree of awareness for sharp injuries,gloves wearing,health of hands,isolation clothes and mask wearing they paid.That is,the higher scores of knowledge of viral hepatitis and occupational protection they obtained,the higher degree of awareness of importance for the corresponding occupational protection they got.5.Training and willingness: among the 51.6% of the students who participated in occupational protection training for viral hepatitis,of which 92.8% were obtained through school study and 59.8% through TV.17.5% of the students had a strong willing to learn the knowledge of occupational protection of viral hepatitis.Students who hope to attend the school training before their internship and attend the courses containing the "Occupational Protection of Viral Hepatitis" were account for 21.2%.Conclusion:Students were less knowledgeable about intellectual of viral hepatitis,and the awareness of occupational protection for viral hepatitis were in general.However,their attitude and awareness of importance for occupational protection were fine.The students of agriculture medical,nursing,midwifery had a slightly higher awareness of viral hepatitis and occupational protection.The more knowledge of viral hepatitis and occupational protection they learned,the higher degree of awareness of importance for the corresponding occupational protection they got.Therefore,it is required to increase the effort of training in school and the relevant courses,moreover,the desire of students that getting relevant knowledge from school was intense. |
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