NHU CAU VA

Y HOC VIET NAM THANG 12 - SO 2/2011

THUC TRANG NHU CAU VA KHA NANG CUNG CAP DICH VU KHAM CHFFA BENH NOI TRU CUA BENH VIEN DA KHOA HUYEN KIM BOI VA TAN LAC

TINH HOA BINH (2006-2008)

Trudng Qu]^ Dudng*, Oang OUc Phu*

TOM TAT

Nghien cuTu, phan tfch toan bp hd sO benh an cua benh nhan vao dieu tri npi tru tai BVDK huyen Kim Boi, Tan Lac va hd sd benh an chuyen tuyen tCr hai benh vien nay len BVDK tinh Hoa Binh trong 3 nam (2006- 2008), ket hdp phan tfch cac bao cao ket qua hoat dpng chuyen mon cua hai benh vien da xac djnh dUdc:

td'ng so lUdt benh nhan dieu tn npi tru n3m sau cao hOn nam trUdc, trung binh/n§m la 9191 (BVDK Kim Bdi) va 7.192 (BVDK Tan Lac). Oa so BN la ngUdi dan tdc MUdng (78,4 - 86,42%), trong dd tudi lao dong tiT 16-59 tuoi (61,0-66,9%), BN cd the BHYT (54,14- 57,20%), BN ngheo chiem da sd (74,2-75%). Ty le BN chuyen tuyen trung binh/nam tCr 5,17% (Tan Lac) va 10,2% (Kim Boi). Kha nang cung clip djch vu KCB: Ve nhan lUc, ca 2 BV chi dat 50% djnh mCfc bien che lam viec theo gid hanh chinh theo quy djnh; Ve hoat dong chuyen mon, cong suat sir dung giUdng, trung binh 124,6%/nam va 143,5%; thdi gian dieu tri binh quan la 5,03 ngay va 5,5 ngay. Td'ng so xet nghiem, phau thuat, thu thuat, cha'n doan hinh anh nam sau cao hdn nam trUdc 6 ca hai benh vien.

TCr khoa: Benh vien da khoa, Hoa Binh, Kim Boi, Tan Lac.

ABSTRACT

The fact of the inpatient needs and the inpatient service supplying capacities in the General Hospitals of Kim Boi and Tan Lac Districts - Hoa

Binh Province (2006-2008)

This study aims at studying and analysing both the inpatient documents in General Hospitals of Kim Boi and Tan Lac and the patient transfer documents of these hospitals to Hoa Binh General Hospital during the three years (2006 - 2008). Based on the analysing the annual reports of these hospitals, we identified the numbers of inpatients in the following years is higher than the previous years, the average number of inpatient in Kim Boi General Hospital is 9,191 per year and in Tan Lac General Hospital is 7,192 per year.

Most of the patients belong to Muong minority (about 78.4% to 86.42%), the patients are at the age of 16 to 59 estimated at 6 1 % to 66.9%, the numbers of patient who has health insurance cards is about 54.14% to 57.20%, the poor patients are at the highest rate, which figure of 74.2% to 75%. The

average percentage of transfer patients of each year is about 5.17% each year in Tan Lac General Hospital and 10.2% each year in Kim Boi General Hospital. The hospital service supplying capacities of these two hospitals are: The staff are at the rate of 50% of the full time staff requirement; the percentage of using the beds in the hospitals is about 124.6% and 143.5%

each year; the time of inpatient treatment is about 5.03 to 5.5 days. The numbers of testing, operating, diagnosing of the following years is usually higher than the previous years.

Key words: General Hospital, Hoa Binh, Kim Boi

I.

OAT VAN OE

6 Viet Nam, he thdng benh vien (BV) dddc td chu'c theo he thdng hanh ehi'nh theo 3 tuyen:

Tuyen quan/huyen, tuyen tinh/thanh phd va tuyen trung Udng. Benh vien huyen la tuyen tiep nhan dieu tn ndi tru vdi eie ky thuat ed bin, giii quyet mdt sd cap eCTu va benh tat thdng thUdng [2], ddng thdi la tuyen dau tien de ngUdi dan tCr cdng ddng cd the sdm tiep can vdi he thdng dieu trj benh nhan ndi tru vdi cie ky thuat cd ban, thiet yeu va tdi kha'n cap. Tuy nhien, hien nay van ehUa ed quy djnh ve sU lien thdng giu'a cic tuyen trong pham vi tinh hay vung. Ben canh dd chat lUdng cic benh vien trong eung tuyen khdng ddng deu ve ed sd vat chat ky thuat, nhin lUc va khi nnang ehuyen mdn, nhat la d BV tuyen huyen. D i y la nguyen nhan ehinh dan den tinh trang vUdt tuyen dieu trj, g i y q u i tai tai eie benh vien tuyen tinh va BV tuyen trung Udng, nhat la cic tuyen chuyen khoa nhU: phau thuat than kinh, tim mach, chan thUdng chinh hinh, m i t , sd sinh, nhi khoa [5], [7],

Benh vien da khoa (BVDK) huyen Kim Bdi va T i n Lae la hai trong 11 BVDK tuyen huyen thude khu vUe mien nCii cua tinh Hoa Binh - ndi ed ty le ngUdi d i n la ddng bao cie d i n tdc thieu sd chiem ty le chu yeu (khoing 80%) trong dan sd va ty le hd ngheo chiem khoang 22-28% (nim 2009), ty le tram y te xa cd bie sT khoang 60%

(2010), Day la hai BV ed ty le ehuyen tuyen khic

* Benh vien tinh Hoa Binh; ** Vien Ve sinh djch te TW

Y HQC VigT NAM

THANG

12 •

S 6

2/2011 nhau (cao ddi vdi BVDK huyen Kim Bdi va thap

ddi vdi BVDK huyen Tan Lac) [4], Ciing vdi viec trien khai de an 1816 eua Bd Y te, Nganh Y te tinh Hoa Binh da cd chu trUdng thdng qua hoat ddng ehi dao tuyen xay dUng eae gial phap dao tao nhim nang cao ning lUc khim chu'a benh eho benh vien tuyen huyen dap Crng tdt hdn nhu eau khim chii'a benh eua nhin din tren dia.

Chung tdi tien hanhi nghien eCTu "ThUc trang nhu eau va kha ning cung cap dich vu KCB ndi tru cua BVDK huyen Kim Bdi va Tan Lac" vdi cie mue tieu:

1. Mo ta thdc trang nhu cau kham chita benh noi tni tai binh vien da khoa huyen Kim Boi

va Tan Lac (2006-2008)

2. Xac dmh kha ning cung cap dich vu kham chu'a binh cua hai benh vien da khoa Kim Boi va Tan Lac.

II. OOI TU0NG VA PHUONG

PHAP

NGHIEN COU 1. Ooi turpng nghiSn cu'u:

Hd sd benh i n eua benh nhan vao dieu hi noi tru tai BVDK Kim Bdi va Tan Lac tiT nim 2006 - 2(X}8.

Hd sd benh an eua benh nhan ehuyen tuyen tiT BVDK Kim Bdi va Tan Lac len BVDK tinh Hoa Binh trong 3 nim (2006-2008),

Cic bao ve dieu tri ndi tru va boat ddng chuyen mdn hang nim cua BVDK Kim Bdi va Tin Lac (2006, 2007 v i 2008),

2. Thdi gian, dja diem nghien cutJ can thiep:

Tir 01/2006 din thing 12/2008, tai 2 BVDK huyen Kim Bdi va Tin Lac; BVDK tinh Hoi Binh,

3. Phu'dng ph^p nghien cu'u: Quan sat trUe tiep, md ta, phan tich sd lieu thur cap,

Y.d ly sd lieu bing phUdng phip thdng ke y sinh hpc thdng thUdng,

III. KET QUA NGHIEN CCfU VA BAN LUAN

1, Thuc trang nhu c i u kham chGra benh noi tru tai BV huyen

Bingl. Nhu cau ve dieu trj ndi tru tai hai BVDK hiiyen, tinh Hoa Binh (2006-2008)

Nam

2006 2007 2008

Chi so danh Td'ng so lUdt BN diieu tri npi tru tai BVDK huyen Sd lUdt BN dieu tri ndi tru trung binh/ngUdi dan/n3m Td'ng 50 lUdt BN dieu tn npi tru tai BVDK huyen So lUdt BN dieu tr[ npijtru trung binh/ngUdi dan/n3m Tong sd lUcft BN dieu tri npi tru tai BVDK huyen

Sd luot BN dieu trj npi frCi frung binh/ngUdi dan/n3m

Huyen Kim Boi

7.124 0,065 9.673 0,087 10.777

0,096

Tan L9C 6.359 0.082 6.357 0,084 8.859 0,116

So lUdt BN dieu trj ndi tru trung binh/ngUdi dan/nam trong 3 nim (2006-2008) dao ddng trong khoang tu'0,065 -0,096 (Kim Bdi) va tiT0,082-0,116 (Tan Lac).

I>v ihirimg

ChAn Ihinnig

Vi^nt p h ^ , ph^quin

Suy nhif^r ra ibi'

VKm d i iky, \k Iriini!

Itol kMn iKu h o i

Viem Amydal

SAI vi rni

VKiti phf quAn

U n R l l A

J 4,.wa

^ 4.52W

^ 4.I0«

J 4,.V)»

3,10%

] 2 . 9 9 »

7,:o»

• Nam 2007 D Nam 2008

10

— I —

12

—I

14

Bieu do 1. Mudi benh cd t^ le mic cao nhat trdn td'ng sd lUdt b§nh nhan dieu tri ndi trO tai BVDK

Kim Bdi (nam 2007. n=9.673; nam 2008, n=10.777)

Y HOC VIET NAM T H A N G 12 - SO 2/2011

Vl6m ph^l

TflnKllA

ChAn thucmg do IH1 nnn Mnnni[> lich

V]6m huntt. vICm nmydal

SAiCUNI)

NhllJm khudn dirtmg riit>t

l>c thirinitt

Cum

V \{>m ioil dti diiT, \A Irilnfi

V k m khOtpdnitKlhAp

(

• • ^ ^ ^ • J ^ ^

• • i H ^ i ^ a i.K7'>

• 3, 1

} 2

SIC*

4 « * 1

4 6

^^n^ff^^^

| M l l ' * 7

" ^ ft.hVOf

8

in.4v 4,.W%

• Nam 2007 D Nam 2008

10 12 14 16

S/eu d o 2. Mudi bdnh cd \^ Id m i c cao n h i t trdn td'ng sd luot BN dieu tri ndi tru tai BVDK T§n Lac (nam 2007, n=6.357 ; nam 2008, n=8.859)

Bang 2. Benh nhan dieu trj ndi trii tai BVDK huyenphfln theo dan tdc (2006-2008)

BVDK huyen Dan tdc

Kinh Mudng Khac Chung

Kim Boi SL

(%)

3.035 (11,01)

23.741 (86,42)

798 (2,57)

27.574 (100)

Tan Lac SL

(%)

4.638 (21.50)

16.914 (78.40)

23 (0,10)

21.575 (100)

Cong SL

j(%L

7.673 (15.61)

40,655 (82,72)

821 (1.67)

49.149 (100)

Benh nhan da sd la ngudi dan tdc MUdng (86,42% d BVDK Kim Bdi va 78,40% d BVDK Tan Lac) Bang 3. Benh nhan dieu trj ndi tru tai BVDK huyen. theo nhdm tud'i (2006-2008)

BVDK huyen

Tre em

Dudi 6 tuoi Tir 6-15 tuoi

TCr 16 den 59 tuoi

Tir 60 tuoi

troi len Chung Kim Boi

(%)

3.722 (13,50)

5.793 (21.01)

16.821 (61,00)

1.238 (4.49)

27.574 (100) Tan Lac

(%)"

2.395 (11,10)

4.229 (19,60)

14.434 (66,90)

517 (2.40)

21.575 (100) Cong

_(%L

6.117 (12.45)

10.022 (20.39)

31.255 (63,59)

1.755 (3.57)

49.149 (100)

Benh nhan da sd d nhdm tudi lao ddng tU 16-59 tud'i (66.90% d Tan Lac va 6 1 % 6 Kim Bdi);

nhdm tudi tre em tU 15 tuoi trd xudng (34.5% va 30,7%); nhdm tud'i tU 60 trd len (4.49% va 2,4%).

Bang 4. Benh nhan dieu trj ndi tru tai BVDK huy§n. theo the BHYT (2C BVDK huyen

Kim Boi (%) Tan Lac (%) Cpng (%)

Co the BHYT 15.723(57.02) 11.681 (54.14) 27.404155,76)

Khong BHYT 11.851 (42,98) 9.894 (45,86) 21.745 (44,24)

06-2008) Chung 27.574 (100) 21.575(100) 49.149 (100) T9 le benh nhan c d the BHYT (57.02% d Kim Bdi va 54.14% d Tan Lac).

Bang 5. Benh nhan dieu trj ndi tru theo hoan canh kinh te (2006-2008) BVDK huyen

Kim Boi (%) Tan Lac (%) Cpng(%)

Ngheo (da dUdc xac dinh) 20.678 (75,0) 15.793(73,2) 36.471 (74,20)

Khong thupc dien ngheo 6.896 (25,0) 5.782 (26,8) 12.678 (25.80)

Chung 27.574 (100) 21.575(100) 49.149 (100)

Y HQC VigT NAM T H A N G 12 • S 6 2/2011

Ty- le BN thudc dien ngh^o chid'm t9 Id 75% 6 Kim Bdi va 74,2% d TSn Lac).

Bing 6. Bdnh nhan chuyin tuyd'n tif BVDK Kim 86116n BVDK tinhHoa Binh (2006-2008)

Ch? so Nam

2006 2007 2008 Trung binh

Tong so lUdt BN dieu trj n6i tru 7.124 9.673 10.777 9.191

Tong so lUOt BN chuyen tuy§n 816 946 1369 1.044

Ty le (%) luot BN chuydn tuy6'n 10,28 8j91 ^{11,27 10,20}

T9 le lUdt BN chuydn tuyd'n tCr BVDK Kim Bdi Idn BVDK tinh Hoa Binh trung binh 10,2%/nam.

Bang 7. Benh nh3n chuyen tuyd'n tCr BVDK Tan Lac Idn BVDK tinh Hoa Binh (2006-2008)

Chi so Tong so lUOt BN dieu tri npi tru

NSm 2006

6.359

2007 6.357

2008 8.859

Trung binh 7.192

Tong so lUOt BN chuydn tuydn 232 371 572 392

Ty le (%) lUdt BN chuydn tuyd'n 3,50 5,50 6,07 5.17

T9 Id lUdt BN chuyen tuyen tir BVDK Tin Lac §n BVDK tinh Hoa Binh trung binh la 5,17%/nam. "

2. Khi ndng cung cap djch vu kham chCra benh cua hai BVDK huyen 2.1. Nhin li/c ciia b$nh vi$n

Bing 8. Djnh mCfc bifen ch^ iam vide theo gid hanh chfnh cOa BV huyen (2()07)

BVDK huyen Don vi tinh Lam viec theo gid hanh chinh

Thong tuso

08/2007rrTLT-BYT-BNV So vdi quy djnh

Kim Boi 0.54

Tan Lac ngUdi/giUdng bdnh

0.59 1.10-1.20

Thap (bing 50%)

ThSp (bang 50%)

Bing 9. T9 le cd cau bp phan. chuyen mdn cOa BVDK Kim Bdi va '

Cd cau BVDK

Kim Bdi

BVDK Tan Lac

ran Lac (2007)

Thong tu so 08/2007nTLT.BYT-BNV Cd cau bp phan

Lam Sang

Can lam sang va DUdc Quan 1^, hanh chinh

64,80 22,22 12.98

75.00 11.36 13,64

60-65%

22-15%

18-20%

Cd cau chuyen mon Bac sl/Dieu du9ng, ho sinh, y sT, KTV

DUdc sTdai hoc/Bac sT

DUdc sTdai hpc/DUdc sT trung hpc

1/2,25 0/13

0/2

1/3 1/3 1/0,5

1/3-1/3.5 1/8-1/15 1/2-1/2.5

So vdi djnh mCrc bien che tuye'n 1 : Cd sd KCB da khoa dat tieu chuan hang III quy dinh trong Thdng tU so 08/2007/TTLT-BYT-BNV ngay 05/6/2007 cOa lien bo Bo Y j e - Bo Noi vu hudng dan djnh mCrc bien che sU nghiep trong cac cd sd y te Nha nudc. c^ 2 B§nh vien chi dat 50% djnh mCfc so vdi quy dinh [3]

Ve cd cliu bo phan: cd c^u lam sing va cd cau can lam sang, dUdc: BVDK Kim Boi c6 cd cau dat ty' quy (Tmh theo Thong tu 08, BVDK Tan Lac c6 cd cau cao ddi vdi lam sang va tha'p ddi vdi can lam sang va dUdc; Cd cau

quin ly. hanh chinh ca hai BV deu th^p so vdi quy djnh.

- Ve cd cau chuyen mdn: T^ sd Bac sT/Dieu dudng, ho sinh, y sT, KTV. BVDK tan lac c6 cd cau dat t^ so' 1/3 theo quy djnh;

BBVDK Kim Boi c6 bac sT cao va cac thanh phan chuy§n mon khac lai thap (1/2,25); T^ so dUdc sT dai hoc/bCfc sT: BBVDK Kim Bdi khdng c6 DSDH. BVDK Tan Lac c6 bac sTthap (1/3):

T9 sd DSDH/DSTH cliua dat quy dinh, do BVDK Tan Lac chi c6 1 DSTH trong khf dd lai

CO 2 D S D H .

Y HQC VigT NAM

THANG

12 •

S 6

2/2011

2.2. Hoat ddng chuyen mdn ciia benh vien.

Bang 10. Hoat dpng chuyen mdn cOa BVDK Kim Bdi Chi sd

Sd giUdng benh ke hoach

Cdng suat sir dung giUdng benh (%) Tong sd lUcrt BN dieu trj npi tru Tdng sd ngay dieu tri npi tru Thdi gian dieu tri binh quan (ngay) Tdng sd xet nghiem

Tong sd phau thuat Tdng sd ca thu thuat

Tdng so XN chan doan hinh anh

2006 70 144,2 7.124 36.332

5,1 33.572

436 243 2.871

[2006-2008)

2007 100 134,3 9.673 48.365

5,0 36.721

512 291 3.248

2008 140 106,9 10.777 53.883 5,0 45.243

587 285 3.583

Trung binh 103 124,6 9.191 46.193

5,03 38.512

512 273 3.234 Bang 11. Hoat ddng chuyen mdn cOa BVDK Tan Lac (2006-2008)

Chi so So giUdng benh ke hoach

Cong suat su" dung giUdng benh (%) Tong sd lUcrt BN dieu trj npi tru Tong so ngay dieu frj ndi tru Thdi gian dieu tri binh quan (ngay) Tong sd xet nghiem

Tdng so phau thuat Tong sd ca thu thuat

Tdng so XN chan doan hinh anh

2006 70 151,4 6.359 31.795

6,0 45.362

597 219 3.056

2007 75 143,6 6.357 38.777 6.1 48.974

624 265 3.219

2008 85 159,2 8.859 48.724

5,5 52.187

679 287 3.427

Trung binh 77 143,5 7.192 39.765

5,5 48.841

633 257 3.234

Nhan xet bang 10 va 11: So sinh nam 2008 vdi 2006 thay: GiUdng ke hoach tang gap 2 lan (Kim Bdi) va 1,2 lan (Tan L^c); Cdng suat suf dung giUdng giam 37% va 15,6%; Tdng sd lUcrt

BN dieu tri noi tru tang 1,5 lan va 1,39 lan; Tong sd ngay dieu trj ndi tru tang 1,48 lan va 1,53 lan); Thdi gian dieu trj trung binh cho mdt BN la 5,03 ngay va 5,5 ngay; Tong so xet nghiem.

phiu thuat, thu thuat va XN chan doan hinh anh, nam sau tang hdn nam trUdc.

Qua bang 10 va 11 cdn cho thay, cdng suat su* dung giUdng cua tat ca cac nam deu cao d ca hai benh vien, tham chf con cao ngang bing vdi cic b§nh tuyen tinh va trung Udng [6], dieu nay phan anh thUc te nhu cau kham chQ'a benh ndi tru cua BV tuyen huyen la rat cao chCr khdng chi rieng benh vien tuyen tfnh va tuyen trung Udng, thur hai la sd giUdng ke hoach mac du hang nam cd ting, song van thap so vdi nhu cau khim chda benh ngay cang cao cua nhan dan, dnda ke la moi nim ting them 10% dan sd [6], [2]. Day la mdt thUc b^ng Chung cua ca nUdc ma nganh y te chda cd the giai quyet dUdc mot sdm mot chieu.

So lu'dt dieu trj npi tru trung binh/1 ngUdi dan/nam dao dong tCr 0.065 - 0.096 (Kim Boi) vatu'0.082-0,li6(TanLac).

Oa sd BN la ngudi dan tdc Mudng (78.40- 86,42%); Trong dd tudi lao ddng tCr 16-59 (61.0-66.90%); Cd the BHYT (54.14-57.02%);

BN ngheo chiem da sd (74,2-75%).

T;^ le luot BN chuyen tuyen trung binh 5,17%/nam (Tan Lac) va 10.2% (Kim Bdi). T^ le lUdt BN VUdt tuyen trung binh 4.88%/nam va 5.07%.

2. Kha nang cung cap dich vu kham chOa benh

^ - Nhan lite: Ca 2 BV chi dat 50% dinh mClt: bien che iam viec theo gid hanh chfnh so vdi quy dinh cOa Thdng tU 08/2007/Tn_T-BYT-BNV.

Hoat dong chuyen mdn: GiUdng benh ke hoach, trung binh 103 giUdng/nam (BVDK Kim Bdi) va 77 giUdng/nam (BVDK Tan Lac). Cdng suat sir dung glUdng, trung binh 124,6%/nam va

143,5%; Thdi gian dieu trj binh quan ngay, trung binh 5,03 ngay va 5,5 ngay. Tong sd xet nghiem, phau thuat, thu thuat, chan doin hinh inh nim sau cao hdn nam trUdc d ca hai benh vien.

IV. KET LUAN

1. Ve nhu cau kham chura benh noi tru trong tai BVDK huyen

TAI LIEU THAM

KHAO

1. Bo Y te (2008), Quyet dinh 1816/QD-BYT,

ngay 26/5/2008 cua Bo Y te ve viec phe

Y HQC VigT NAM T H A N G 12 - S6 2/2011

2.

3.

duyet Oe an "Cd can bg chuyen mon luan phien td benh vien tuyen tren ve ho trd cac benh vien tuyen dddi nham nang cao chat lu'dng kham chu'a benh"

B$ Y te' (2007), Bao cao y te' Viet Nam 2006: Cdng bing, hieu qua, phat bien bong tinh hinh mdi, Nha xuat ban Y hpc, fr 184-186.

Bp Y te Bo Npi vy (2007), Thong td sd 09/2007/rTLT-BYr-BNV, ngay 05/6/2007 cua lien Bg Y te va Bg Ngi vu Hddng din djnh mdc bien chesd nghiep trong cac cd sd y te.

4. B$nh vipn Da khoa tinh Hoa Binh (2009), Bao cio so lieu benh nhan chuyen tuyen den benh vien da khoa tinh trong 3 nim (2006-2008).

5. ChUdng trinh hdP t i c V i f t Nam Thuy dien (2006), Ddan thanh phan chdng tai nan thddng tich, Bao cio tifn dd 12/20060.

6. Dao VSn Dung (2011), "HUdng di nao de giam sU qua tai benh vien hien nay?", Tap chf Tuyen Giao, (5), fr 72-74.

7. Ly Ngpc Kinh, Pham Tri Dung va cs (2005), Tdng quan ve he thdng y te Viet Nam, Nha xuat ban Y hoc.

CAC YEU TO LIEN QUAN LAY NHIEM HBsAg, THAI DO THUD HANH CUA THUYEN VIEN DEN KHAM SUfC KHOE TAI VIEN Y HOC BIEN NAM 2010

Vu Oii-c LongV Vu Viet DuTc^

TOM T A T

Mpt so yeu td tang nguy cd lay nhiem HBV ddi vdi thuyen vien nhU quan he tinh due vdi gai mai dam, khong sir dung bao cao su khi quan he tinh due vdi gai mai dam, khong hieu biet hoac hieu biet chUa dung ve dudng lay truyen. Kien thUc cua da so thuyen vien ve benh viem gan B la tUdng ddi tot, tuy nhien van con mpt sd CO hanh vi khdng dung nhU xam trd, khdng dung bao cao su khi quan he tinh due vdi gai mai dam, dung chung dao cao rau, ban chii danh rang.

Tdkhoa: lay nhiem HBV, yeu tdnguy cd

SUMMARY

RISK FACTORS RELATED HBsAg CARRYING, KNOWLEDGE AND ATTITUDE OF CREW MEMBERS HAVING MEDICAL EXAMS IN VIETNAM NATIONAL INSTITUTE OF MARITIME

MEDICINE YEAR 2010

Several factors increase risk of Infection HBV, increase the rate of HBsAg in sailing crew as sex with prostitutes; do not use condoms when having sex with prostitutes; without knowledge or understanding is not correct about HBV transmission. Knowledge of the almost sailing crew for hepatitis B is relaively good, however there are still some bad behavior such as tattoo, do not use condoms when having sex with prostitutes, sharing knife shaver, toothbrush...

Key words: HBV infection, risk factor.

I.

D A T VAN

OE

Nam 2010, tai vien Y hpc bien Viet Nam qua khim su'c khde cho 500 thuyen vien cd thdi gian di bien tren 1 n i m da xac djnh dUdc ty le mang HBsAg d thuyen vien di bien la 14,6%, cao nhat d nhdm tudi 30-49, ngoai 50 tudi ty le ngUdi mang HBsAg giam dan. Ty le HBeAg (+) d thuyen vien mang HBsAg (-•-) la 32,9%.

Chung tdi tiep tuc tim hieu cic yeu td lien quan den tinh trang lay nhiem HBsAg d thuyen vien qua xet nghiem phat hien dau an HBsAg va tren cd sd cic phieu dieu tra bao gom cac yeu td lien quan den tinh trang lay nhiem nhU: quan he tinh due vdi g i i mai dam, khdng suT dung bao cao su, dung chung dao cao rau va ban chai danh ring, truylen mau va phau thuat, xam trd, hieu biet cua thuyen vien den kham su'c khde tai vien Y hoc bien nam 2010 ve viem gan B, con dUdng lay nhiem... thai do, thUc hanh cua thuyen vien lien quan den viem gan virus B.

II. Odi TUQNG VA PHUONG PHAP NGHIEN COU 1 . Ooi tu'dng nghien cuTu

500 thuyen vien cd thdi gian di bien tren 1 nim, den kham su'c khde tai vien Y hoc bien Viet Nam nam 2010, theo quy djnh trUdc khi di bien.

1. Tnfdng Cao dang Y tetial Phong; 2. Vien Y hgc bien Viet Nam Phan bien khoa hgc: GS.TS. Nguyin vkn Hieu