| Research Background:In March 2009 a novel influenza A subtype H1N1 virus emerged firstly in Mexico, composed of segments from avian, swine, and human viruses. Because of large antigenic variation of viruses and the lack of immunity of people, the virus can spread widely.The epidemic spread rapidly.More than one month later, the flu quickly swept around the world,and lot's identified cases and death cases appeared. The flu did great harm to economy and people" s health in each country. Because of high population density, undeveloped economy and universal absence of knowledge of protection and cure, the situation of prevention and treatment in our country was crucial. In 2009 autumn and winter, several large outbreaks of epidemic ring alarm bells for us.Research Objective:This study by a questionnaire-based survey attempted to get the basal information and psychological state of fever patients, and to grasp their cognition of Influenza A(H1N1).and to understand their attitude and behavior about Influenza A(H1N1) epidemic and patients, and to analyze factors that affect fever patients'cognition towards Influenza A(H1N1). Over the background, this research proposed suggestions for government's strategy to improve people's cognition to novel infectious diseases such as Influenza A(H1N1).Materials and Methods:A convenience sampling is used, some fever outpatients of some hospital of Grade III Level A of Shandong Province were investigated by an anonymous questionnaire. Basic information and psychological state of fever outpatients were surveyed. The surveying content also concluded congnition, attitude and action to Influenza A(H1N1).The original data was coded and then entered into an Excel database, SPSS 16.0 was used to analyze the data. Statistical description andχ2-test and Logistic regression were adopted, which objectively examined factors that affect fever patients'congnition towards Influenza A(H1N1). Quality control were carried out.Main Results:Descriptive analysis:Among the fever outpatients who answered the questionnaire, 8.2%got scores of 30-50 of K10 in psychological state, which was higher than that of common population. Overall cognition on Influenza A(H1N1) of fever outpatients wasn't comprehensive. The rates of total cognition of prevention and treatment were (76.17±17.02)%. The result showed high level of cognition, but only 14 (4.1%) people gave all right answers about the prevention and treatment of influenza A(H1N1), so the results showed their cognition was not comprehensive. The cognition of fever outpatients to typical symptoms of influenza A(H1 NI) such as vomiting and abdominal pain and diarrhea was lower. The prevalence of cognition about the presence of a young susceptible population was 15.5%, which showed incomprehensive. Only 27.0%considered fat people as the high-risk population of influenza A(H1N1). the cognition was not enough.94.1%thought the high-risk population should see a doctor to second-class or third-class hospital as quickly as possible after being sick, but the deterioration of the background diseases was negligent.20.2% didn't know the duration of isolation.94.7% were optimistic, they believe the Influenza A(H1N1) is curable.81.5% concerned the spread of influenza A(H1N1)and propaganda of protection.19.4% think Influenza A(H1N1) Epidemic affected daily life greatly.Analysis of affective factors:Different population know about Influenza A(H1N1) in different ways。Statistically significant differences in Individuals with different education levels were observed as for the difference of the number of learning channels. The knowledge of perceptions of the influenza A(H1N1) was not significantly different according to gender. People (15-45 years) knew about influenza A(H1N1) comprehensively. People (45-60years) who had low cognitive scores were the target population that health education should be given to. The lower people's education level, the less cognition to Influenza A(H1N1). More cognition would be accompanied by increases in educational attainment levels. Cognitions of agricultural labor to every kinds of knowledge was low, next was workers'. Mental health conditions influenced people's cognition and attitudes and behaviors of Influenza A(H1N1) greatly. Patients with moderate mental health conditions had a more comprehensive of influenza A(H1N1). Accordingly, patients with good mental health conditions pay more attention to the propaganda of the epidemic and protection knowledge. They thought H1N1 flu was eminently curable, and didn't impact life obviously. Cognition to Influenza A(H1N1) influenced attitudes and behaviors of patients. The more perception patients have, the more prevalence of which they believed H1N1 flu was curable. The more perception patients have, the more concerned they are about the propaganda of the epidemic and protection knowledge, and they thought influenza A(H1N1) didn't have a negative impact in their lives, and they would see a doctor timely after symptoms appeared. Countermeasure and suggestion:The government should establish a sense of crisis and build an emergency management system in order to coping with various types of public health affairs outbreak. Infectious disease control measures in school should be strengthened. Multiform health education with multiple channel according to different populations should be launched. Fever outpatients need a further related knowledge education and psychological guidance. An information distribution system in an exact,timely and open manner should be established to make information net works well. |
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