CAJ | 학술논문

目的了解上海社区卫生服务机构健康教育现况,探讨我国城市社区的健康教育模式.方法对5个社区卫生服务中心的200名卫生服务人员进行健康教育知识问卷调查.结果 96.5%(193/200)受调查者认同健康教育的重要意义,98.0%(196/200)能进行健康宣教;仅60.5%(121/200)接受过正规的培训课程,85.5%(171/200)认为仍需接受定期培训;对问卷中健康教育认知情况、健康生活方式及常见慢性病健康教育知识3项内容的回答正确率,分别为94.0%(752/800)、47.0%(1046/2200)和33.6%(806/2400);不同年龄、社区正确率差异有统计学意义(χ2=17.663和82.376,P<0.001和0.000);不同性别、职称差异无统计学意义(χ2=0.015和2.406,均P>0.05);开展健康教育的主要影响因素为诊病时间不足(48.5%)、患者依从性差(33.0%)和缺乏相关知识(15.0%).结论社区医务人员已认识健康教育的重要性,但对理论知识和技能掌握不够.应建立社区卫生服务人员健康教育干预指南,健全行政督导、考核和奖惩机制,促进健康教育工作的开展.
목적 료해상해사구위생복무궤구건강교육현황,탐토아국성시사구적건강교육모식.방법 대5개사구위생복무중심적200명위생복무인원진행건강교육지식문권조사.결과 96.5%(193/200)수조사자인동건강교육적중요의의,98.0%(196/200)능진행건강선교;부60.5%(121/200)접수과정규적배훈과정,85.5%(171/200)인위잉수접수정기배훈;대문권중건강교육인지정황、건강생활방식급상견만성병건강교육지식3항내용적회답정학솔,분별위94.0%(752/800)、47.0%(1046/2200)화33.6%(806/2400);불동년령、사구정학솔차이유통계학의의(χ2=17.663화82.376,P<0.001화0.000);불동성별、직칭차이무통계학의의(χ2=0.015화2.406,균P>0.05);개전건강교육적주요영향인소위진병시간불족(48.5%)、환자의종성차(33.0%)화결핍상관지식(15.0%).결론 사구의무인원이인식건강교육적중요성,단대이론지식화기능장악불구.응건립사구위생복무인원건강교육간예지남,건전행정독도、고핵화장징궤제,촉진건강교육공작적개전.
Objective To study current status of health education and explore its pattern in community health-care service(CHS)in Shanghai.Methods A total of 200 health-care workers(HCWs)from five CHS centers in Shanghai were investigated by questionnaire of health education knowledge.Results Among 200 HCWs investigated,96.5%(193/200)of them have recognized importance of health education,98.0%(196/200)could undertake health education in their clinical work,only 60.5%(121/200)had receired regular training on it,and 85.5%(171/200)thought they should be further trained regularly.Correct awareness of knowledge was 94.O%.47.0%and 33.6%for health education perception,healthy life-style and health education knowledge for chronic disease.respectively in them.There was very significant difference in correct awareness of knowledge between HCWs with varied ages and districts(χ2=17.663 and 82.376,P=0.001 and 0.000,respectively),but no significant difierence was found between men and women and those with varied professional titles(χ2=0.015 and 2.406,P=0.903 and 0.300.respectively).Short of time(48.5%),lack of relevant knowledge(15.0%)in HCWs and poor compliance of patients(33.0%)were main factors influencing their implementation of health education.Conclusions HCWs in CHS have already recognized importance of health education.but have not known enough its theoretical knowledge and skills.It is necessary to set guidelines of health education intervention for HCWs in CHS,and perfect monitoring and evaluation.as well as mechanism for rewards and penalties to promote development of health education in CHS.