公共卫生标准追踪评价项目《钩虫病的诊断》(WS 439-2013)实施效果评价

EVALUATION FOR THE IMPLEMENTATION IMPACT OF THE PUBLIC HEALTH CRITERION-“DIAGNOSIS OF HOOKWORM DISEASE” (WS 439-2013)

评价市县疾控系统、基础卫生医疗机构了解、掌控及使用《钩虫病的诊断》(WS439-2013),以及流行区居民掌握钩虫病相关知识的情况。选择安徽省市、县疾控系统人员80人,乡村医生70人,流行区居民100人作为评价对象。使用统一问卷进行评价,采用卡方分析和t检验比较培训前后,以及不同调查对象钩虫病诊断知识得分和钩虫病的诊断标准使用情况的差异。27.8%的疾控系统人员和7.4%的乡村医生在开展工作中使用过标准,两者的差异有统计学意义(χ~2=8.521,P=0.004)。疾控系统人员培训前钩虫病知识平均得分为7.04±1.71分,培训后为10.20±1.41分,差异具有统计学意义(t=12.296,P<0.001)。乡村医生培训前钩虫病知识平均得分为4.07±2.00分,培训后为7.78±2.04分,差异具有统计学意义(t=10.736,P<0.001)。关于"钩虫病确诊病例的条件"的知识点,疾控系统人员和乡村医生经过培训后均无显著提升(P>0.05)。72.37%的疾控系统人员和46.88%的乡村医生未接受过宣贯,两者的差异有统计学意义(χ~2=10.060,P=0.002)。参与调查的流行区居民中,仅2%的正确回答钩虫感染的主要危害,且无人正确回答构成的感染途径和预防知识。未来出现钩虫病的相关临床症状后,仅有10.10%的居民选择去县医院接受正规治疗,并且有6.06%的居民选择不治疗。疾控和医疗系统对钩虫病诊断标准的了解不清楚,通过宣教大幅度提升了他们对钩虫感染的诊断知识。

To evaluate the status of understanding,control and usage of "Diagnosis of hookworm disease".(WS 439-2013) among CDC personnel,rural doctors and people from endemic areas in Anhui province.Eighty stuff from CDC,70doctors from rural hospital and 100 residents from endemic areas were selected as the evaluation subjects.The unified questionnaire was used to assess the implementation impact.Chi-square analysis and t-test were employed to compare the differences on the knowledge and usage of "Diagnosis of hookworm disease"(WS 439-2013)before and after training as well as between different evaluation subjects.Total of 27.8% CDC stuff,while only 7.4% of rural doctors worked in accordance with the criteria of "Diagnosis of hookworm disease"(WS 439-2013)in their daily work.The average score on the knowledge of hookworm disease among CDC stuff was 7.04±1.71 before training and 10.20±1.41 after training,showing significant difference,and among rural doctors was 4.07±2.00before training and 7.78±2.04after training,showing also significant difference (t =10.736,P <0.001).Regarding the knowledge "conditions for diagnosis of hookworm disease",there was no significant increase in both CDC stuff and rural doctors after training (P >0.05).Total of 72.37% CDC stuff and 46.88%rural doctors did not attend a publicity and training activity (X^2=10.060,P =0.002).Of the residents from endemic areas,only 2%.knew the major harm of hookworm infection,and no people can tell the infective route and prevention strategies.Once the clinical symptoms of hookworm disease appeared in the future,only 10.10% of persons from endemic areas would go to hospital receiving formal therapy,and 6.06% would take no therapy.Both the CDC stuff and rural doctors only know a little about the "Diagnosis of hookworm disease"(WS 439-2013),while their knowledge about the diagnosis of hookworm disease infection has greatly increased after comprehensive publicity and training.