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目的:为了解影响大棚蔬菜种植农民就诊的因素。方法:在进行职业性健康问题流行病学调查的基础上,采用整群随机抽样方法,调查过去一年至少发生一次职业性病损的农民572人,调查内容是病损后影响其就诊的因素,同时对农民所在村诊所和乡镇卫生院负责人进行结构式访谈。结果:显示随着年龄和经济收入的增加就诊率下降,病损后家人的关心可提高就诊率,病损越严重就诊率越高。该地卫生机构开展的针对性卫生服务项目有限,但愿意接受相关防控知识培训。结论:大棚蔬菜种植农民病损后未就诊率与农民空闲时间少和健康问题没有有效的治疗措施有关,应对该地卫生人员进行主要职业性病损防控知识培训。
Objective: To understand the factors influencing the treatment of peasant vegetable in vegetable sheds. Methods: Based on the epidemiological investigation of occupational health problems, a cluster random sampling method was used to investigate 572 peasants who had at least one occupational lesion in the past year. The contents of the survey were the factors influencing their treatment after the lesion. At the same time, we conducted structured interviews with the village clinic of the peasant village and the person in charge of the township health center. Results: The rates of visits declined with increasing age and economic income. Family members’ concerns increased after treatment and the more severe the disease was, the higher the rate was. Health services in the area targeted health services are limited, but are willing to receive training in prevention and control knowledge. CONCLUSION: The unaccepted rate of peasants suffering from vegetable planting in greenhouses is related to the lack of free time for farmers and the lack of effective treatment measures for health problems. Knowledgeable training on prevention and control of major occupational diseases should be trained in this area.