医学生志愿者参与社区糖尿病教育的现状调查

Benefits and challenges of medical student volunteer involvement in community diabetes educa- tion

目的探讨社区糖尿病教育大学生志愿服务队伍建设的作用及目前存在的问题，为今后发展提供依据。方法采用自编问卷对东南大学社区健康教育志愿团成员进行调查和访谈，了解志愿者一般情况、参与志愿服务的初衷及收获、主要服务内容、动力以及糖尿病知识获得、培训情况等。用Excel2003软件建立数据库，并利用SPSS17．0软件进行数据分析，结果用百分比进行描述。结果专业性工作是大多数志愿者（88．04％）最感兴趣的，实际工作中69．56％的志愿者服务内容为非专业性工作；66．30％的志愿者参加志愿服务的初衷是“包装履历”，将“提升道德素养”作为志愿服务最大收获的比例（36．96％）高于将其作为初衷的比例（4．89％）；获得“社会、学校认可”是志愿服务的主要动力（46．20％）。访谈和调查还发现，通过培训和志愿服务实践，志愿者对糖尿病知识的掌握程度得到提高；对临床专业认同感、病患需求的理解得到加强；临床职业自信心得到提升。但对于技能培训仍有很大需求。结论大学生志愿者参与社区糖尿病教育是提升大学生道德修养、充实社区健康教育队伍的双赢过程，然而目前志愿者服务队伍建设仍有待进一步优化。

Objective To investigate the benefits and challenges of medical student volunteers＇ involvement in community diabetes education and to provide evidence for future development and sugges- tions. Methods Self- made questionnaire survey and interview were conducted among members of com- munity health education volunteer in Southeast University. Data concerning basic group composition, ma- jor service contents, intention and gain, sources of motivation, knowledge acquisition and skill training were analyzed. Results 88.04% volunteers chose professional work as the kind of work they were most interested in, in contrast, 69.56% did nonprofessional work in reality. Initial intention of 66.30% volun- teers was ＇to beautify curriculum vitae＇. ＇Morality promotion＇ was taken as major gain by most vol- unteers （ 36.96% ） while ＇morality promotion＇ was the initial intention of only 4.89% volunteers. 46.20% volunteers thought that their sources of motivation came from ＇recognition of society and university＇. Through training and voluntary service, it was evident that volunteers gained increased diabetes knowl-edge, stronger professional identity and confidence as well as deeper understanding of patients＇ needs, but there were real demand for training in education and clinical skills. Conclusions The introduction of medical student voluntary service into community diabetes education is a win-win cooperation, which can cultivate college students＇ high morality as well as strengthen the community health education team. However, we still face challenges in volunteer team building and management.