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目的探讨7岁以下流动儿童保健服务现状及对儿童保健的需求。方法选取2014年10月至2015年10月在本市三个较大社区的800名7岁以下流动儿童和800名常住儿童进行观察,对所有儿童的保健服务现状进行调查,针对儿童保健中的不足采取针对性处理措施,满足流动儿童对儿童保健服务的需求。结果通过调查结果显示,800名7岁以下流动儿童中,有556名建立儿童保健档案(69.50%);体检次数达标有385名(48.13%);出现贫血、腹泻、咳嗽等疾病有160名(20.00%),家庭月收入低于1000元的有395名(49.38%);800名7岁以下常住儿童中,有786名建立儿童保健档案(98.25%);体检次数达标有692名(86.50%);疾病(贫血、腹泻、咳嗽)发生率有33名(4.13%),家庭月收入低于1000元的有203名(25.37%)。流动儿童的保健状况与长住儿童有明显差异(P<0.05)。结论 7岁以下流动儿童在儿童保健方面还存在明显的不足,社区卫生保健部门应提高重视,完善流动儿童保健管理制度,对流动儿童家长进行儿童保健知识宣讲,提升流动儿童保健水平。
Objective To explore the status quo of health services for migrant children under 7 years of age and their needs for child health care. Methods A total of 800 migrant children under 7 years old and 800 resident children in three large communities in the city from October 2014 to October 2015 were selected for observation. The status quo of all children’s health services was surveyed, Insufficient to take targeted measures to meet the needs of migrant children for child health services. Results According to the survey results, out of 800 migrant children under 7 years old, 556 children’s health files (69.50%) were established; 385 (48.13%) were physical examinations; 160 (anemia, diarrhea and cough) (49.38%) with monthly family income less than 1,000 yuan; 786 children’s health records (98.25%) were set up among 800 children under 7 years of age; 692 (86.50% ). There were 33 (4.13%) cases of diseases (anemia, diarrhea and cough) and 203 (25.37%) with family monthly incomes below 1000 yuan. Migrant children’s health status and long-term children were significantly different (P <0.05). Conclusions There are still obvious deficiencies in child health care for migrant children under 7 years of age. Community health care departments should pay more attention to improving the health care management system for migrant children, giving prenatal care knowledge to migrant children and raising the standard of care for migrant children.