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目的了解中西部乡镇卫生院公共卫生人员专业知识技能掌握情况,为乡镇卫生院公共卫生人员的专业教育提供参考。方法 2015年7—2016年3月,采用多阶段整群随机抽样方法抽取重庆、贵州、湖北、河南273名乡镇卫生院专职公共卫生人员作为调查对象,使用自编试卷对其公共卫生知识技能进行现场测试。结果公共卫生人员基本知识技能平均得分为(7.20±1.38)分(满分10分);核心知识技能平均掌握度(0.65±0.13);“中医体质辨识”、“现场急救原则”、“脐炎预防注意事项”和“传染病疫点处理”等题项正确率较高,分别为100%(51/51)、100%(41/41)、98.59%(70/71)和97.56%(40/41),“认知功能初筛”、“新生儿健康指导”、“足背动脉搏动”、“运动功能检查”等题项正确率较低,分别为7.29%(7/96)、12.68%(9/71)、13.48%(12/89)和17.05%(22/129)。结论中西部地区乡镇卫生院公共卫生人员的专业知识与技能掌握情况整体较差;建议有针对性的加强乡镇卫生院公卫人员的专业培训,提高其专业技能。
Objective To understand the mastery of professional knowledge and skills of public health workers in township hospitals in central and western regions and to provide reference for the professional education of public health personnel in township hospitals. Methods From July 2015 to March 2016, a total of 273 township hospitals in Chongqing, Guizhou, Hubei and Henan were recruited as multinomial stochastic cluster sampling method to investigate their public health knowledge and skills testing on the spot. Results The average scores of basic knowledge and skills of public health workers were (7.20 ± 1.38) points (out of 10), the average mastery of core knowledge and skills (0.65 ± 0.13), “TCM constitution identification”, “ The correct rate was 100% (51/51), 100% (41/41) and 98.59% (70/71), respectively, and the items such as ”Precautions for prevention of omphalitis“ and ”Treatment of infectious diseases“ ) And 97.56% (40/41), ”cognitive function screening“, ”newborn health guidance“, ”dorsalis pedis artery pulsation“, ”motor function test" and other items correct rate Lower, 7.29% (7/96), 12.68% (9/71), 13.48% (12/89) and 17.05% (22/129) respectively. Conclusion The expertise and skills of public health workers in township hospitals in the central and western regions are generally poor. It is suggested that the public health professionals in township hospitals should be professionally trained and their professional skills should be improved.