对居家养老服务员进行高血压、糖尿病相关知识和测量技术培训的效果观察

Effect observation on training in hypertension,diabetes-related knowledge and measurement technique for home-based care service for the aged

目的了解对居家养老服务员进行高血压、糖尿病相关知识和测量技术培训的效果。方法对上海市浦东新区万祥社区95名居家养老服务员进行2次高血压、糖尿病相关知识和血压、血糖测量技术的培训,采用自制调查问卷进行评估和考核,观察培训前后评分的变化。结果居家养老服务员高血压、糖尿病相关知识和血压、血糖测量操作技术的评分与文化程度均有关,初中及以上学历者平均分高于小学文化者。居家养老服务员年龄与高血压知识和血压、血糖测量操作评分无关,与糖尿病知识得分有关,年龄≤50岁者的得分较高。居家养老服务员高血压、糖尿病相关知识每次培训后平均得分和及格率均有提高。第2次培训前平均得分低于第1次培训后,第2次培训后平均得分高于第1次培训后。2次培训后血压、血糖测量技术评分也均有提高,第2次培训前平均评分高于第1次培训后,第2次培训后平均评分高于第1次培训后。结论居家养老服务员的糖尿病、高血压相关知识和血压、血糖测量操作能力与学历有关,学历高者掌握程度较高;年龄的影响不明显。对居家养老服务员开展相关知识教育和操作技能培训有明显的效果,重复培训能进一步提高学员的知识水平和操作能力。

Objective To investigate the outcome of training service personnel in their home-based care for the aged in hypertension,diabetes-related knowledge and measurement technique. Methods A group of 95 home care personnel in Wanxiang community of Shanghai were trained twice in hypertension,diabetes-related knowledge and skills measuring blood pressure and blood sugar. Then by means of selfdesigned questionnaires they were examined for assessment and evaluation,and changes of the scores they obtained were observed before and after the training. Results The scores obtained by the home care personnel in the related knowledge of blood hypertension,diabetes-related and the skills of measuring blood pressure and blood sugar were associated with their educational levels. The average scores obtained by those from junior high schools and above were higher than the scores by those from primary schools.However,their ages were related to the scores in diabetes knowledge but unrelated to the scores in hypertension knowledge and blood pressure,blood sugar measurement. Those at the age of 50 or less obtained higher scores than those over 50 years. Their average scores and pass rates were increased after each training in hypertension,diabetes-related knowledge. Before the second training the scores in the knowledge of hypertension and diabetes were lower than those obtained after the first training; and the average scores after the 2nd training were higher than those after 1st training. After two training sessions,scores in blood pressure,blood sugar measurement were increased. Before the 2nd training,the average scores were higher than those after the 1st training and the average scores after the 2nd training were higher than those after the 1st training. Conclusion The knowledge of hypertension or diabetes and skills of measuring blood pressure or blood sugar in home-based care servers are related to their educational background. The higher educational level they have,the better they can master the knowledge and skills. Age effects are not apparent in this regard. Obvious results can be surely achieved in carrying out related knowledge education and the operation skills training,and repeated training can further improve the educational level and operation skills for home-based care personnel.