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目的了解南昌市东湖区社区卫生服务(community health service,CHS)人员高血压相关知识与技能等现状,以了解社区医疗队伍对高血压的综合防治能力,为东湖区高血压综合防控措施的制定提供参考依据。方法采用普查法,对东湖区24家CHS机构的390名工作人员进行相关调查,并对调查结果进行统计分析。结果东湖区CHS机构390名工作人员中,医护人员占74.36%(290名),学历以专科为主,占68.46%;职称以初级为主,占47.95%,每千人拥有社区医生0.30人,医护比为1.34∶1。医护人员高血压防治培训率为87.59%,省级以上培训率为25.98%;高血压药物、危险因素、预防、治疗、并发症、测量、随访7个方面的知识知晓率分别为43.79%、80.69%、87.24%、53.10%、90.69%、96.90%、78.62%;高血压防治工作、建档、随访、自我管理小组指导参与率分别为93.10%、85.52%、53.79%、20.69%;不同医护人员高血压相关知识的知晓率及相关工作的参与率差别均具有统计学意义(均有P<0.05);高血压治疗和预防工作满意率分别为31.04%、32.41%。结论 CHS人力资源配置需优化;宜采取相关措施,提高医护人员的高血压防控工作能力、参与度及满意度。
Objective To understand the current status of hypertension related knowledge and skills among community health service (CHS) staff in East Lake District, Nanchang, so as to understand the comprehensive prevention and control ability of community medical team for hypertension and to develop the comprehensive prevention and control measures for hypertension in East Lake District Provide a reference basis. Methods The census method was used to investigate 390 workers from 24 CHS institutions in Donghu District and to make statistical analysis on the survey results. Results Of the 390 employees in CHS institutions in East Lake District, 74.36% (290) were health care workers, with academic background mainly accounting for 68.46%, 47.95% mainly for beginners, 0.30 community doctors per 1,000 people, Health care ratio of 1.34: 1. The training rate of hypertension prevention and treatment for medical staff was 87.59% and that for provincial level was 25.98%. The awareness rate of hypertension medicine, risk factors, prevention, treatment, complications, measurement and follow-up was 43.79% and 80.69 %, 87.24%, 53.10%, 90.69%, 96.90% and 78.62% respectively. The participation rate of hypertension prevention and control work, filing, follow-up and self-management groups was 93.10%, 85.52%, 53.79% and 20.69% The awareness rate of hypertension-related knowledge and the participation rate of related work were statistically significant (both P <0.05). The satisfaction rates of hypertension treatment and prevention were 31.04% and 32.41% respectively. Conclusion The human resource allocation in CHS needs to be optimized. Relevant measures should be taken to improve the ability of hypertension prevention and control, participation and satisfaction of medical staff.