常州市疟疾镜检人员现状调查

Survey on status of staff for Plasmodium microscopy examinations in Changzhou City

目的了解常州市消除疟疾行动初期各级卫生机构疟疾镜检人员的现状，为全市实现消除疟疾目标提供参考依据。方法采用问卷调查、疟疾理论知识和镜检操作考试的形式，对常州市各级医疗机构和疾病预防控制中心疟疾镜检人员进行现状调查，并对所得数据进行统计学分析。结果共调查95名疟疾镜检人员，其中大专、本科及以上学历分别占40．O％和45．3％；从事检验工作年限1年以内的占18．9％，2～5年的占40．0％，6～10年的占18．9％，10年以上的占22．1％；上一年度参加省（市）级、区（县）级和单位内培训的人均次数分别为0．57、0．59次和0．14次；工作中有发现疟原虫经历的人数占18．9％；认为疟疾血检工作非常有必要和有必要的占97．9％；认为疟疾镜检工作增加工作负荷、增加工作难度的分别占57．9％和8．4％；培训前后的疟疾相关知识平均正解率分别为72．5％和91．6％，差异有统计学意义（X^2=314．3，P〈0．05）；疟疾镜检操作考试平均分为25．3分（满分50分），及格（≥30分）率为58．9％。结论常州市医疗机构的疟疾镜检人员岗位培训工作不到位，工作经验相对薄弱，需进一步加强培训，以提高疟疾镜检的实际操作能力。

Objective To understand the current state of staff for Plasmodium microscopy examinations in Changzhou City in the early stage of eliminating malaria action, so as to provide the evidence for achieving the target of malaria elimination. Methods The staff for Plasmodium microscopy examinations from medical institutions and centers for disease control and prevention at differ ent levels were investigated by questionnaires and tests of the malaria related theory and microscopic operation. Results Totally 95 people were investigated, and among them, 40.0% had college degree and 45.3% were university educated. There were 18.9% of them working on Plasmodium microscopy examinations for less than 1 year, 40.0% for 2-5 years, 18.9% for 6-10 years and 22.1% for more than 10 years. The numbers of person-time of provincial and municipal level training, district-level training, and unit-level training in the last year were 0.57, 0.59, and 0.14, respectively. Totally 18.9% of them had the experience of finding Plasmodium at work, and 97.9% of them considered it was necessary or very necessary to do Plasmodium microscopy examina tions. However, 57.9% and 8.4% of them considered Plasmodium microscopy examinations increased their work load and work dif ficulty, respectively. The average correct rates of knowledge tests on malaria before and after training were 72.5% and 91.6% re spectively （P 〈 0.05）. The average mark of Plasmodium microscopic tests was 25.3 points （full mark being 50 points）, and the passing rate （≥30 points） was 58.9%. Conclusion The working experience of staff for Plasmodium microscopy examinations in Changzhou City is relatively poor, and the related training should be enhanced.