国际医学寄生虫病杂志
國際醫學寄生蟲病雜誌
국제의학기생충병잡지
INTERNATIONAL JOURNAL OF MEDICAL PARASITIC DISEASES
2012年
5期
318-320
,共3页
张京欣%郑余超%袁国平%金凯%褚国芳%蓝琳芳
張京訢%鄭餘超%袁國平%金凱%褚國芳%藍琳芳
장경흔%정여초%원국평%금개%저국방%람림방
疟疾%疟原虫%检验人员%调查
瘧疾%瘧原蟲%檢驗人員%調查
학질%학원충%검험인원%조사
Malaria%Plasmodium%Microscopic personnel%Survey
目的 了解上海市宝山区疟疾镜检人员的工作现状.方法 采用问卷调查、疟疾镜检知识测试和镜检操作考评的形式,对宝山区25家医疗机构疟疾镜检人员进行现况调查.建立Epidata数据库,运用Excel统计分析知识测试和问卷结果.结果 本次调查的25名疟疾镜检人员均由检验专业人员组成,专科学历占40％,本科占60％.从事检验工作年限在10年以内占56％.从事疟疾镜检年限≤1年者占32％,2～5年者占40％,≥10年者占28％.在职期间参加省市级、区县级和单位内人均培训次数分别为0.04、1.04、0.84.工作时有发现疟原虫经历的人数占28％(7/25人).认为疟疾血检工作有必要和非常有必要的占81％,认为疟疾镜检工作对日常检验工作是有一定影响的占66％,其主要影响由大到小依次为增加工作负荷、增加工作难度和增加工作差错.培训前后的疟疾镜检知识测试平均正解率(均值)分别为74.6％和92.0％,两者有差异有统计学意义(x2=225.0,P＜0.01),培训后各项成绩均有提高.疟疾镜检操作考评平均分为65.8分,及格率(＞60分)为68％.结论 上海市宝山区医疗机构的疟疾镜检人员理论知识、岗位培训、工作经验相对薄弱；尤其是疟疾镜检的实际操作能力和鉴别水平等方面需要进一步加强.
目的 瞭解上海市寶山區瘧疾鏡檢人員的工作現狀.方法 採用問捲調查、瘧疾鏡檢知識測試和鏡檢操作攷評的形式,對寶山區25傢醫療機構瘧疾鏡檢人員進行現況調查.建立Epidata數據庫,運用Excel統計分析知識測試和問捲結果.結果 本次調查的25名瘧疾鏡檢人員均由檢驗專業人員組成,專科學歷佔40％,本科佔60％.從事檢驗工作年限在10年以內佔56％.從事瘧疾鏡檢年限≤1年者佔32％,2～5年者佔40％,≥10年者佔28％.在職期間參加省市級、區縣級和單位內人均培訓次數分彆為0.04、1.04、0.84.工作時有髮現瘧原蟲經歷的人數佔28％(7/25人).認為瘧疾血檢工作有必要和非常有必要的佔81％,認為瘧疾鏡檢工作對日常檢驗工作是有一定影響的佔66％,其主要影響由大到小依次為增加工作負荷、增加工作難度和增加工作差錯.培訓前後的瘧疾鏡檢知識測試平均正解率(均值)分彆為74.6％和92.0％,兩者有差異有統計學意義(x2=225.0,P＜0.01),培訓後各項成績均有提高.瘧疾鏡檢操作攷評平均分為65.8分,及格率(＞60分)為68％.結論 上海市寶山區醫療機構的瘧疾鏡檢人員理論知識、崗位培訓、工作經驗相對薄弱；尤其是瘧疾鏡檢的實際操作能力和鑒彆水平等方麵需要進一步加彊.
목적 료해상해시보산구학질경검인원적공작현상.방법 채용문권조사、학질경검지식측시화경검조작고평적형식,대보산구25가의료궤구학질경검인원진행현황조사.건립Epidata수거고,운용Excel통계분석지식측시화문권결과.결과 본차조사적25명학질경검인원균유검험전업인원조성,전과학력점40％,본과점60％.종사검험공작년한재10년이내점56％.종사학질경검년한≤1년자점32％,2～5년자점40％,≥10년자점28％.재직기간삼가성시급、구현급화단위내인균배훈차수분별위0.04、1.04、0.84.공작시유발현학원충경력적인수점28％(7/25인).인위학질혈검공작유필요화비상유필요적점81％,인위학질경검공작대일상검험공작시유일정영향적점66％,기주요영향유대도소의차위증가공작부하、증가공작난도화증가공작차착.배훈전후적학질경검지식측시평균정해솔(균치)분별위74.6％화92.0％,량자유차이유통계학의의(x2=225.0,P＜0.01),배훈후각항성적균유제고.학질경검조작고평평균분위65.8분,급격솔(＞60분)위68％.결론 상해시보산구의료궤구적학질경검인원이론지식、강위배훈、공작경험상대박약；우기시학질경검적실제조작능력화감별수평등방면수요진일보가강.
Objective To investigate the working state of staff engaged in blood examination on malaria in Baoshan District Shanghai.Methods Personnels for Plasmodium microscopic examination were investigated from 25 medical institutions by questionnaire,microscopic theory and operation test.The Epidata database was established.The statistics and analysis on the results of questionnaire and test were performed by Excel.Results All the members investigated majored in inspection medicine,with 40％ college education,60％ university educated.56％ of members investigated have been engaged in inspection work within 10 years.32％ working on Plasmodium microscopic examination for less then 1 year,40％ for 2-5 years,28％ for more then 10 years.Per capita times of provincial and municipal training,district training and unit training were 0.04,1.04,0.84 respectively.28％ (7/25) of the members investigated have the experience of finding Plasmodium at work. 81％ of the members investigated considered it necessary or very necessary to do Plasmodium microscopy inspection 66％ of the members investigated considered Plasmodium microscopy examination having certain impact on daily inspection work.The main impacts from big to small were the increase of work load,difficulty and error. The average correct rates of knowledge test on Plasmodium microscopic examination before and after training were 74.6％ and 92.0％ respectively.There was significant difference between before and after training showing improved grades of all parts after training.Average grade and rate of pass the test ( ＞ 60 ) on Plasmodium microscopic theory knowledge were 65.8 and 68％.Conclusion The theory knowledge,working experience,on-job-training personnel for of Plasmodium microscopic examination from 25 medical institutions in Baoshan district were relatively weak and the ability to operate the microscopic examination and to identify Plasmodium by microscopy needs to be strengthened.
