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北京市石景山区托幼机构卫生保健人员配备及专业知识现况分析

Analysis on awareness of professional knowledge among health care workers in kindergartens at Shijingshan District, Beijing

  • 摘要:
    目的 了解北京市石景山区托幼机构基本情况、卫生保健人员配备现况及专业知识水平, 为有效开展托幼机构卫生保健工作提供依据。
    方法 于2019年6月1 — 30日, 由经过培训的妇幼保健院工作人员通过现场询问的方式调查北京市石景山区已注册的所有托幼机构的基本情况, 并采用现场问卷考核的方式完成托幼机构卫生保健人员基本情况和专业知识储备情况的调查。
    结果 截至2019年6月30日, 北京市石景山区注册托幼机构共58所, 其中公办托幼机构23所, 民办托幼机构35所。全区注册托幼机构在册儿童12 888人, 卫生保健人员(专职加兼职)141人, 托幼机构儿童与卫生保健人员比例约为91∶1。公办托幼机构与民办托幼机构的专职卫生保健人员配备率分别为90.91%和61.63%, 差异有统计学意义(χ2 = 14.610, P = 0.017);卫生保健人员的医学专业学历占比分别为81.82%和32.56%, 差异有统计学意义(χ2 = 32.602, P = 0.021)。公办托幼机构卫生保健人员在一日生活管理、常见病防治、传染病防控、定期健康管理、合理膳食5个方面的专业知识正确率均高于民办托幼机构卫生保健人员(均P < 0.05)。所有托幼机构卫生保健人员在传染病防控知识方面的总正确率仅为60.71%, 而其他4个方面的正确率均达到90.00%以上。
    结论 民办托幼机构在卫生保健人员的专职配备、医学专业背景知识储备等方面仍需加强;应进一步提高所有托幼机构卫生保健人员传染病防控知识的储备能力, 不断提高卫生保健工作质量。

     

    Abstract:
    Objective To investigate the basic situation of kindergartens at Shijingshan District and the awareness of professional knowledge among health care workers, so as to provide evidence for effective health care.
    Methods Trained maternal & child health care hospital staff were interviewed through questionnaire survey to investigate all registered kindergartens in Shijingshan District, and health care workers in kindergartens were tested to investigate their basic situation and awareness of professional knowledge from June 1st to 30th, 2019.
    Results There had been 58 registered kindergartens in Shijingshan District, among which 23 were public and 35 were private until June 30th, 2019. 12 888 children and 141 health care workers (full-time or part-time) were registered in these kindergartens. The ratio of children to health care workers was about 91∶1. 90.91% public kindergartens had full-time health workers and 81.82% had medical education background, while those number for private kindergartens were 61.63% (χ2 = 14.610, P = 0.017) and 32.56%(χ2 = 32.602, P = 0.021), respectively. The awareness rate of professional knowledge in terms of daily life management, prevention and treatment of common diseases, prevention and control of infectious diseases, regular health management and rational diet among health care workers in public kindergartens was higher than those in private kindergartens (all P < 0.05). The awareness rate of knowledge about infectious disease prevention and control was only 60.71%, while the number of other four aspects was more than 90.00% among all health workers.
    Conclusion Full-time health care personnel with medical knowledge needs to be increased in private kindergartens. All health care workers' ability of infectious diseases prevention and control needs to be strengthened in order to improve the quality of health care.

     

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