社区开展麻风病线索调查效果分析

Analysis of leprosy clue surveys conducted by community health network

目的利用基层社区健康服务网络开展线索调查,分析实施效果。方法选择流动人口相对密集的社区,利用社区健康服务网络,在充分培训的基础上开展麻风病线索调查。并在调查前和调查结束后1周内,对社区人群进行麻风病知识问卷调查。结果2008年,在11个社区开展麻风病线索调查活动,培训社区健康服务中心医务人员57名,覆盖社区居民73800人,82人次咨询了麻风病相关问题,社区健康服务中心医务人员报告疑似麻风病病例19例,确诊病例0例。线索调查前、后,社区人群对麻风病基本知识及麻风病疑似症状的知晓率明显提高(P<0.01)。求医行为及对待麻风病人的态度行为明显改变(P=0.000<0.01)。结论在麻风病低流行的情况下,人口流动性大的城市中,利用基层社区健康服务中心网络,在培训好基层医务人员的基础上,充分调动他们参与的积极性,结合持久的健康教育开展麻风病线索调查是一种低成本、实用的麻风病主动发现方式。

Objective The result of leprosy clue survey conducted by community health network was analyzed.Methods The community having a large floating population was chosen,medical Staff of the community health center were well trained,and clue survey combined with health education to detect leprosy was carried out.Results Clue survey in 11 communities were developed,73 800 inhabitants were covered.19 suspects were reported by the medical staff of community health center,while zero case was confirmed.Through clue survey the understanding rate of leprosy had significantly increased,the elementary knowledge and recognition of leprosy had increased （P〈0.01）,and the behavior of consulting doctor and attitude to patients had changed significantly （P=0.000〈0.01）.Conclusions In the situation of the low prevalence of leprosy,and the city having a large floating population,clue survey is a practical and low-cost method,accompanied with health education,therefore,is quite applicable for the community health center.