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目的了解基层公共卫生工作者糖尿病综合防治能力及培训效果,为进一步提升基层糖尿病管理服务水平提供参考依据。方法在北京、上海、重庆、广东、浙江五省/直辖市的区县疾病预防控制中心、社区卫生服务中心(站)和综合医院范围内招募500名基层公共卫生工作者,进行为期2天的糖尿病综合防治能力培训。在培训前、后均进行问卷调查了解培训效果。结果基层公共卫生工作人员培训知识考评总分由培训前的(74.29±15.63)分提高到(85.84±11.50)分,差异有统计学意义(P<0.05);疾控系统人员培训后培训知识考评总分为(88.89±10.62),高于综合医院工作人员的(80.95±12.32)分,差异有统计学意义(P<0.05);基层公共卫生工作人员糖尿病流行的原因知晓率培训前后分别为97.7%和98.5%、2型糖尿病的危险因素分别为98.1%和97.3%;培训后控烟政策知晓率由12.6%上升至20.6%,胰岛素注射技巧知晓率由54.1%上升至72.8%,差异均有统计学意义(P<0.05);95.4%的调查对象对培训的总体评价为非常满意或满意。结论通过短期培训基层公共卫生工作者糖尿病综合防治知识和技能明显提高,疾控系统和社区卫生服务机构人员在社区糖尿病患者管理中的优势较突出。
Objective To understand the comprehensive prevention and treatment of diabetes among grassroots public health workers and the effect of training so as to provide reference for further improving the service level of grassroots diabetes management. Methods 500 grass-roots public health workers were recruited within the districts and counties CDC, community health centers (stations) and general hospitals in Beijing, Shanghai, Chongqing, Guangdong and Zhejiang provinces for 2 days of diabetes Comprehensive prevention and control training. In the training before and after the questionnaire to understand the training effect. Results The total score of training knowledge of grass-roots public health workers was increased from (74.29 ± 15.63) before training to (85.84 ± 11.50) points, the difference was statistically significant (P0.05) The total score was (88.89 ± 10.62), which was higher than that of general hospital staff (80.95 ± 12.32), the difference was statistically significant (P <0.05). The awareness rate of diabetes prevalence among public health workers at primary level was 97.7 % And 98.5% respectively. The risk factors for type 2 diabetes were 98.1% and 97.3% respectively. The awareness of tobacco control policy after training increased from 12.6% to 20.6%, and the awareness rate of insulin injections increased from 54.1% to 72.8% (P <0.05); 95.4% of the respondents were very satisfied or satisfied with the overall evaluation of training. Conclusion Through short-term training, the knowledge and skills of comprehensive prevention and treatment of diabetes among grass-roots public health workers have been significantly improved. The advantages of CDC and community health service personnel in the management of community-based diabetes patients are prominent.