石河子市幼儿园保育员手足口病知识知晓率及其影响因素研究

A study on the knowledge and influence factors about HFMD of the child-care workers in kindergartens in Shihezi

目的了解幼儿园保育员对手足口病相关知识知晓情况,为政府相关部门开展手足口病健康教育工作提供依据。方法按公、私立分层整群抽样方法,抽取幼儿园保育员,采用问卷调查方式,对其手足口病的基础知识、流行环节、预防措施等内容进行调查。结果选择石河子市公立幼儿园2所42人,私立幼儿园4所78人,共120人。保育员试卷平均得分(79.63±6.11)分,平均及格率(≥70分)为66.67%;公立幼儿园保育员在12个问题上的正确率高于私立幼儿园;公立幼儿园保育员得分(82.82±6.01)分,及格率为83.33%分,高于私立幼儿园保育员得分(77.91±5.64)分(t=4.454,P<0.001)、及格率57.69%(χ2=8.077,P=0.004);有孩子的保育员得分(84.62±5.51)分高于无孩子的保育员(77.70±6.12)分(t=6.037,P<0.001),其及格率77.78%高于无孩子的保育员60.00%(χ2=4.000,P=0.046)。专科以上学历保育员的得分、及格率与专科及以下人员差异无统计学意义;采用logistic回归模型分析显示,公立幼儿园的保育员手足口病知识及格率高于私立幼儿园保育员OR=3.227,95%CI(1.413,7.371)。结论石河子市幼儿园保育员的手足口病知识知晓率不高,应加强对私立幼儿园、专科以下学历以及无孩子的保育员进行重点培训。

Objective To know the level of the knowledge about hand foot mouth disease （HFMD） of the child-care workers is to supply with the reference for the government′s health education .Methods The stratified cluster sampling was used to get the subjects according to the stratify of public and private kin-dergarten .Then we did questionnaire survey on the child-care workers .The questionnaire mainly included the contents of basic knowledge ,epidemic links and preventive measures .Results We collected totally 120 child-care workers from 2 public kindergartens and 4 private ones .The average score of the questionnaire was （79 6.3 ± 6 1.1） ,and the pass rate （≥70） is 66 6.7% .The correct rate of the child-care workers from public kindergartens were higher than those from private ones on 12 questions of the questionnaire .There＆amp;nbsp;was no significant difference on the score and pass rate of the child-care workers with the academic certifi-cate between the above and below junior college .However ,the score （84 6.2 ± 5 5.1） and pass rate77 7.8% of the child-care workers with their own child were significantly higher than that of those with no child （77 7.0 ± 6 1.2） （t =6 0.37 ,P 〈0.001） ,60.00% （χ2 =4 0.00 ,P =0.046）respectively .And ,there were significant difference between the score （82 8.2 ± 6 0.1） and pass rate 83 3.3% of the child-care workers from public kin-dergarten＆#39;s and that of those from private ones ,（77 9.1 ± 5 6.4） （t=4 4.54 ,P 〈0.001） ,57 6.9% （χ2 =8 0.77 , P =0.004） .The result of the Logistic regression model showed the child-care workers with her own child were helpful to improve the level of the knowledge OR =3 2.77 ,95% CI （1 4.13 ,7 3.71） .Conclusion The level of HFMD knowledge of the child-care workers in Shihezi was not high enough .The health education measures should be strengthened on the child-care workers in private kindergartens ,those without child and those with low educational background .