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目的了解常州市消除疟疾行动初期各级卫生机构疟疾镜检人员的现状,为全市实现消除疟疾目标提供参考依据。方法采用问卷调查、疟疾理论知识和镜检操作考试的形式,对常州市各级医疗机构和疾病预防控制中心疟疾镜检人员进行现状调查,并对所得数据进行统计学分析。结果共调查95名疟疾镜检人员,其中大专、本科及以上学历分别占40.0%和45.3%;从事检验工作年限1年以内的占18.9%,2~5年的占40.0%,6~10年的占18.9%,10年以上的占22.1%;上一年度参加省(市)级、区(县)级和单位内培训的人均次数分别为0.57、0.59次和0.14次;工作中有发现疟原虫经历的人数占18.9%;认为疟疾血检工作非常有必要和有必要的占97.9%;认为疟疾镜检工作增加工作负荷、增加工作难度的分别占57.9%和8.4%;培训前后的疟疾相关知识平均正解率分别为72.5%和91.6%,差异有统计学意义(χ2=314.3,P<0.05);疟疾镜检操作考试平均分为25.3分(满分50分),及格(≥30分)率为58.9%。结论常州市医疗机构的疟疾镜检人员岗位培训工作不到位,工作经验相对薄弱,需进一步加强培训,以提高疟疾镜检的实际操作能力。
Objective To understand the status of malaria inspectors in health institutions at all levels in the early stage of Changzhou malaria elimination maneuver, and to provide reference for the city to achieve the goal of eliminating malaria. Methods Based on questionnaires, theoretical knowledge of malaria and examination of microscopic examination, the current situation of malaria examination staff in medical institutions and CDC of Changzhou was surveyed and the data were statistically analyzed. Results A total of 95 malaria examination staff were surveyed, of whom 40.0% and 45.3% were majored in college, bachelor degree or above, 18.9% in one year of examination, 40.0% in 2-5 years and 6-10 years Accounting for 18.9% of the total, accounting for 22.1% over 10 years; the average number of people who attended training at provincial (city) level, district (county) level and within the previous year was 0.57, 0.59 times and 0.14 times respectively; Protozoan experienced 18.9% of the number of people; that malaria blood tests are necessary and necessary 97.9%; that malaria mirror work to increase the workload and increase the difficulty of work accounted for 57.9% and 8.4% respectively; before and after training in malaria-related The average correct rate of knowledge was 72.5% and 91.6%, respectively, with significant difference (χ2 = 314.3, P <0.05). The malaria examination score averaged 25.3 points (out of 50) For 58.9%. Conclusion The post-training of malaria inspection staff in medical institutions in Changzhou is not in place and the working experience is relatively weak. Further training is needed to improve the practical ability of malaria inspection.