上海宝山区疟疾镜检人员现况调查

Survey on personnels for Plasmodium microscopic examination in Baoshan District, Shanghai

目的了解上海市宝山区疟疾镜检人员的工作现状。方法采用问卷调查、疟疾镜检知识测试和镜检操作考评的形式，对宝山区25家医疗机构疟疾镜检人员进行现况调查。建立Epidata数据库，运用Excel统计分析知识测试和问卷结果。结果本次调查的25名疟疾镜检人员均由检验专业人员组成，专科学历占4｜D％，本科占60％。从事检验工作年限在10年以内占56％。从事疟疾镜检年限≤1年者占32％，2—5年者占40％，≥10年者占28％。在职期间参加省市级、区县级和单位内人均培训次数分别为0．04、1．04、0．84。工作时有发现疟原虫经历的人数占28％（7／25人）。认为疟疾血检工作有必要和非常有必要的占81％，认为疟疾镜检工作对日常检验工作是有一定影响的占66％，其主要影响由大到小依次为增加工作负荷、增加工作难度和增加工作差错。培训前后的疟疾镜检知识测试平均正解率（均值）分别为74．6％和92．O％，两者有差异有统计学意义（X2=225．0，P〈0．01），培训后各项成绩均有提高。疟疾镜检操作考评平均分为65．8分，及格率（〉60分）为68％。结论上海市宝山区医疗机构的疟疾镜检人员理论知识、岗位培训、工作经验相对薄弱；尤其是疟疾镜检的实际操作能力和鉴别水平等方面需要进一步加强。

Objective To investigate the working state of staff engaged in blood examination on malaria in Baoshan District Shanghai. Methods Personnels for Plasmodium microscopic examination were investigated from 25 medical institutions by questionnaire, microscopic theory and operation test. The Epidata database was established. The statistics and analysis on the results of questionnaire and test were performed by Excel. Results All the members investigated majored in inspection medicine, with 40% college education, 60% university educated. 56% of members investigated have been engaged in inspection work within 10 years. 32% working on Plasmodium microscopic examination for less then 1 year,40% for 2-5 years, 28% for more then 10 years. Per capita times of provincial and municipal training, district training and unit training were 0.04, 1.04, 0. 84 respectively. 28% （7/25） of the members investigated have the experience of finding Plasmodium at work. 81% of the members investigated considered it necessary or very necessary to do Plasmodium microscopy inspection 66% of the members investigated considered Plasmodium microscopy examination having certain impact on daily inspection work. The main impacts from big to small were the increase of work load, difficulty and error. The average correct rates of knowledge test on Plasmodium microscopic examination before and after training were 74.6% and 92.0% respectively. There was significant difference between before and after training showing improved grades of all parts after training. Average grade and rate of pass the test （ 〉 60）on Plasmodium microscopic theory knowledge were 65. 8 and 68%. Conclusion The theory knowledge, working experience, on-job-training personnel for of Plasmodium microscopic examination from 25 medical institutions in Baoshan district were relatively weak and the ability to operate the microscopic examination and to identify Plasmodium by microscopy needs to be strengthened.