| Object:This study investigated the current situation of cognition and behavior of clinicians in Xinjiang Production and Construction Corps on the monitoring and early warning of emerging infectious diseases and analyzed the factors that affect medical staff’s monitoring and early warning of emerging infectious diseases among medical staff level and carry out targeted training to provide data support.Methods:From October 15,2021 to November 15,2021,a questionnaire was conducted to investigate the current situation of EID monitoring and early warning of clinicians in Xinjiang Production and Construction Corps.Using a combination of convenience sampling and random sampling,the eighth and fourth divisions were selected in northern Xinjiang and the first and third divisions were selected in southern Xinjiang.Four groups were randomly selected under each division to investigate clinicians in all hospitals in the sampling area.Descriptive methods andX~2test were used to analyze the status and differences of clinicians’monitoring and early warning cognition and behavior with different demographic characteristics and an unconditional binary logistic regression model was used to analyze the main influencing factors of clinicians’monitoring and early warning cognition.Results:1.A total of 2572 questionnaires were collected in this study,of which 2497 were valid,with an effective rate of 97.08%.Among the 2497 clinicians surveyed,the total know of symptom monitoring and target disease identification was 79.12%and the total know of the top ten symptoms of COVID-19 was95.05%.Clinicians’awareness of monitoring responsibility for patients with fever and flu-like symptoms is significantly higher than that for patients with gastrointestinal diarrhea symptoms;among the factors affecting EID discovery,97.24%of doctors believe that the primary influencing factor is the doctor’s ability to diagnose infectious diseases,followed by It is the sensitivity and responsibility of diagnosing the condition and technique and the doctor.Among the main reasons for unreported pneumonia of unknown cause,76.47%of the doctors could not be sure that it was a sudden acute infectious disease,64.71%of the doctors were worried that there would be too much administrative intervention after the report and 55.89%of the doctors said that the reporting procedure was complicated and increased.Due to the workload,44.12%of the doctors suggested that the hospital should do pathogenic testing unconditionally.In terms of ways to improve monitoring and early warning capabilities,95.59%of doctors believe that training should be strengthened,followed by information construction and testing equipment.2.There are differences in the cognition of EID monitoring and early warning among clinicians with different characteristics.The survey respondents are doctors of different ages,professional titles,departments,regions,working years,hospital levels,whether they have received training,have participated in fever clinics and whether they have been in contact with suspected or confirmed COVID-19 patients.There were statistically significant differences in the passing rate of scores(P<0.05).Training experience,professional title,hospital level,department and region are the main influencing factors of doctors’monitoring and early warning cognition.Conclusion:1.Clinicians’awareness of EID monitoring still needs to be improved and insufficient awareness of symptom monitoring and target disease identification affects the early detection of EID.The inspection items carried out by most regiment-level hospital laboratories in Xinjiang Corps cannot meet the needs of EID monitoring,which affects the early diagnosis of EID.2.No training,primary professional title,secondary and tertiary hospitals,southern Xinjiang and non-related infectious disease departments are risk factors for the passing rate of clinicians’monitoring and early warning cognition score(P<0.05). |
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