社区医务人员糖尿病规范化培训健康教育模式现况调查

Survey of diabetes standardized training mode on health education in community health workers

目的了解社区医务人员糖尿病相关知识知晓情况及糖尿病规范化培训对糖尿病教育干预态度、行为的影响。方法2015年5—7月随机对本市四家社区卫生服务中心130名医务人员进行统一问卷调查,有效回收122份,有效回收率为93.85%。调查内容包括糖尿病相关知识考核、糖尿病干预的态度及干预行为。根据是否接受过糖尿病规范化治疗培训分为接受培训组73例及未接受培训组49例。记录并比较两组糖尿病相关知识考核得分及对糖尿病干预行为的独立性。计量资料采用t检验或方差分析,计数资料采用χ2检验,等级资料采用秩和检验,P<0.05为差异有统计学意义。结果不同学历医务人员糖尿病相关理论知识、药物指导及健康教育等项目得分比较差异均有统计学意义(均P<0.05)。不同年龄医务人员糖尿病理论知识得分比较差异有统计学意义(P<0.05)。接受培训组主动开展健康教育活动率为93.15%,高于未接受培训组的10.20%,差异有统计学意义(P<0.05)。接受培训组饮食指导、运动指导、药物指导、自我监测、健康教育得分分别为(57.58±21.56)、(96.97±10.05)、(62.34±19.45)、(80.00±17.89)、(80.00±17.89)分,均高于未接受培训组的(34.43±27.07)、(78.38±27.94)、(48.00±21.17)、(65.59±20.92)、(64.86±21.10)分,差异均有统计学意义(均P<0.05)。接受培训组糖尿病干预行为独立性强于未接受培训组,差异均有统计学意义(均P<0.05)。结论普及社区医务人员糖尿病规范化治疗培训,并根据学历和年龄开展个体化培训,规范糖尿病治疗和教育行为可有效促进社区医疗卫生服务中心良性发展。

Objective To survey the diabetes knowledge and the effects of diabetes education intervention attitude and behavior after diabetes standardization training in community health workers. In order to carry out community diabetes health education, and promote the diabetes patients blood sugar stably. Methods 130 questionnaires were distributed randomly to community health workers from May to July 2015. 122（93.85%） questionnaires were valid collection. The questionnaire included diabetes theory, attitude and behavior intervention of diabetes intervention. The staffs were divided into training group（n=73） and non-training group（n=49） according to whether diabetes standardized treatment trained or not. We recorded and compared the two groups of diabetes related knowledge examination score and the independence of the diabetes interventions. Measurement data use t test or ANOVA, count data use chi square test, P〈0.05 was considered statistically significant Results The diabetes theory, medication guidance and health instruction project scores varied with different qualifications, the differences were statistically significant（all P〈0.05）. And the scores of diabetes theory varied with different age, the difference was statistically significant（P〈0.05）. The training group（93.15%） conducted more diabetic health education activities than the non-training group（67.35%）, the difference was statistically significant （P〈0.05）.The scores of diet guidance, exercise guidance, medication guidance, self-monitoring, health education in training group were （57.58 ± 21.56）, （96.97 ± 10.05）, （62.34 ± 19.45）, （80.00 ± 17.89）, （80.00 ± 17.89）points, higher than the non-training group[（34.43±27.07）, （78.38±27.94）,（48.00±21.17）,（65.59±20.92）,（64.86±21.10）points], the differences were statistically significant（all P〈0.05）. The diabetes interventions were more independence than the non-training group as well, the difference was statistically significant（P〈0.05）.Conclusion Popularize the training normalization treatment for diabetes and give the individualized training according to their degrees and age can promote diabetes treatment and education behavior. Tbe community health Center could develop benign.