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目的了解沧州市运河区大中小学校传染病防治工作现状,为加强学校传染病防治工作提供参考。方法采用整群随机抽样方法,从沧州市运河区管辖的6个办事处及1乡1镇抽取学校52所,分别为大中专院校4所、中学14所、小学34所。按调查表设计的内容,进行现场调查,询问有关人员并填写调查表,然后进行统计分析。结果所调查的52所学校中23所学校设有传染病管理领导小组,占44.2%。各学校均未制定2012年传染病防治计划,传染病预防控制相关制度基本健全的学校有35所,占67.3%;从制度健全情况看,大中专院校优于小学及中学(χ2=9.29,P<0.01)。传染病管理工作水平有待提高,小、中、大中专院校晨午检率分别为57.7%、64.2%和0;疫苗接种证查验记录资料完整的学校32家,占61.5%;小、中、大中专院校查验完整率分别为94.1%、0、0,小学校优于中学及大中专院校;52所学校中,有15所学校设置卫生室,占28.8%;专职校医37名,大中专院校卫生人员及设备的配置情况总体优于中学及小学。卫生人员对传染病理论知识掌握程度较差,小学尤甚。结论沧州市运河区各类学校传染病防治工作现状较差,其中辖区内小学均无配置校医,大中专院校及中学均无接种证查验,卫生人员对传染病知识的掌握程度较低,难以应对传染性疾病等突发性公共卫生事件的发生。必须采取有效措施,加强培训,有侧重地对各级各类学校进行督导检查,提高运河区学校传染病预防控制工作水平和卫生保健人员素质。
Objective To understand the status quo of infectious disease prevention and treatment in schools in Cangzhou Canal, and to provide reference for strengthening the prevention and control of infectious diseases in schools. Methods A cluster random sampling method was used to collect 52 schools from 6 offices and 1 township and 1 town under the jurisdiction of Canal District of Cangzhou City, including 4 colleges and universities, 14 middle schools and 34 primary schools respectively. According to the contents of the questionnaire design, conduct on-site investigation, ask the relevant personnel and fill out the questionnaire, and then conduct statistical analysis. Results 23 of the 52 schools surveyed had a leading group on infectious disease management, accounting for 44.2%. Each school did not formulate a plan for the prevention and control of infectious diseases in 2012, and 35 were basically sound institutions for the prevention and control of communicable diseases, accounting for 67.3%. According to the sound system, colleges and universities are superior to primary and secondary schools (χ2 = 9.29 , P <0.01). The level of infectious disease management needs to be improved, and the morning, afternoon and morning graduation rates for primary, secondary and tertiary institutions are 57.7% and 64.2%, respectively; and 32 schools with a complete record of the examination of vaccination certificates, accounting for 61.5% of the total, are small and medium , Check the complete rate of college and college were 94.1%, 0,0, primary school better than secondary schools and colleges; 52 schools, 15 schools set up clinics, accounting for 28.8%; 37 full-time school doctors The allocation of health personnel and equipment in colleges and universities is generally better than that of secondary schools and primary schools. Health personnel have a poor grasp of infectious disease theory, especially in primary schools. Conclusion The current situation of prevention and treatment of infectious diseases in Canal Schools in Cangzhou City is poor. There are no school doctors in primary schools in the area, no vaccination certificate test in colleges, secondary schools and secondary schools. The level of mastery of infectious diseases among health workers is low, Difficult to deal with unexpected public health emergencies such as infectious diseases. Effective measures must be taken to strengthen training and supervision and inspection of all kinds of schools at all levels with a view to improving the quality of prevention and control of infectious diseases and the quality of health care workers in schools in the Canal District.