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目的评价卫生学兵细菌性痢疾(菌痢)相关知识态度的院校短期培训效果,为院校培训方式和内容确定提供科学依据。方法采用流行病学现况研究方法,对某部卫生学兵1 498名进行菌痢相关知识态度的基线调查,后对其进行院校相关医学知识的短期培训干预,干预后对1 361名卫生学兵再进行知识态度现况调查,用SPSS16.0进行干预效果的统计分析。结果 (1)干预后卫生学兵对菌痢多数知识题的正确回答率、态度期望回答率较干预前明显提高(P0.05),但提高的程度尚不够理想,如细菌性痢疾的传染源干预前为16.29%,干预后为18.30%,菌痢的易感人群干预前为14.42%,干预后为30.20%,菌痢的高发季节干预前为8.21%,干预后为22.34%等。(2)干预后卫生学兵对细菌性痢疾相关知识、态度的得分较干预前明显提高(P0.01)。(3)细菌性痢疾知识方面,干预后~60分组的人数及百分构成较干预前明显减少,80分~的人数及百分构成较干预前明显增多(P0.01);细菌性痢疾态度方面,干预后期望分值6080分的人数及百分构成较干预前明显减少,80分~组的人数及百分构成较干预前明显增多(P0.01)。结论通过院校培训,细菌性痢疾相关知识认知水平得以提高,态度得到正确引导,但尚需对其知识框架结构进行系统培训,以增强其防病能力和到基层部队的健康教育能力。
Objective To evaluate the effect of short-term training of institutions of higher learning about bacteric dysentery (bacillary dysentery) in hygienists, and provide a scientific basis for the establishment of training methods and content of institutions. Methods According to the research method of epidemiology, a baseline survey of 1 498 bacteriosis-related knowledge and attitudes was conducted in a ministry of health clinic. Short-term training interventions were carried out on relevant medical knowledge of institutions. After intervention, 1 361 health workers School soldiers and then conduct a survey of knowledge and attitude, using SPSS16.0 statistical analysis of the effect of intervention. Results (1) After the intervention, the correct response rate and the expected rate of attitude expectancy of hygienists on bacteriuria were significantly higher than those before intervention (P <0.05), but the degree of improvement was not satisfactory enough, such as the infectious source of bacillary dysentery 16.29% before intervention and 18.30% after intervention. Susceptible people with bacillary dysentery were 14.42% before intervention, 30.20% after intervention, 8.21% before dysentery and 22.34% after intervention. (2) After the intervention, the scores of health-related soldiers on bacillary dysentery knowledge and attitude were significantly higher than those before intervention (P <0.01). (3) In the knowledge of bacillary dysentery, the number and percentage of ~ 60 groups after intervention decreased significantly compared with those before intervention, and the number and percentage of those with scores of 80 were significantly higher than those before intervention (P <0.01); the rate of bacterial dysentery In terms of the number and percentage of expected scores of 6080 after intervention, the number and percentage of pre-intervention scores significantly decreased compared with those before the intervention. The number and percentage of patients with scores of 80 to 60% were significantly higher than those before the intervention (P <0.01). Conclusion Through the training of institutions, the knowledge level of bacillary dysentery can be improved and the attitude can be correctly guided. However, the system of knowledge framework needs to be systematically trained so as to enhance its disease prevention ability and health education capability of grassroots units.