南昌市东湖区社区卫生服务人员高血压防控能力现状

Current situation concerning community health service worker knowledge and management of prevention and control of hypertension in Donghu District of Nanchang City

目的了解南昌市东湖区社区卫生服务(community health service,CHS)人员高血压相关知识与技能等现状,以了解社区医疗队伍对高血压的综合防治能力,为东湖区高血压综合防控措施的制定提供参考依据。方法采用普查法,对东湖区24家CHS机构的390名工作人员进行相关调查,并对调查结果进行统计分析。结果东湖区CHS机构390名工作人员中,医护人员占74.36%(290名),学历以专科为主,占68.46%;职称以初级为主,占47.95%,每千人拥有社区医生0.30人,医护比为1.34∶1。医护人员高血压防治培训率为87.59%,省级以上培训率为25.98%;高血压药物、危险因素、预防、治疗、并发症、测量、随访7个方面的知识知晓率分别为43.79%、80.69%、87.24%、53.10%、90.69%、96.90%、78.62%;高血压防治工作、建档、随访、自我管理小组指导参与率分别为93.10%、85.52%、53.79%、20.69%;不同医护人员高血压相关知识的知晓率及相关工作的参与率差别均具有统计学意义(均有P<0.05);高血压治疗和预防工作满意率分别为31.04%、32.41%。结论 CHS人力资源配置需优化;宜采取相关措施,提高医护人员的高血压防控工作能力、参与度及满意度。

Objective To assess the current situation of hypertension related knowledge and management by community health workers in Donghu District and to provide the basis to optimize prevention and control of hypertension in Donghu District.Methods Using the census method,390 workers from 24 community health service institutions in Donghu District were investigated,and the results were analyzed statistically.Results There were total 390 workers from community health service institutions investigated in Donghu District,among which 290 were medical staff,accounting for 74.36%,with a ratio of 1.34 nurses per physician.Health workers with associated degree or with primary title accounted for 68.46% and 47.95% respectively.There were 0.30 community doctors per 1 000 residents.The training rate of prevention and treatment of hypertension among medical staff was 87.59%,which provincial training or above was 25.98%.The awareness rate of hypertension drugs,risk factors,prevention,treatment,complications and measurement was 43.79%,80.69%,87.24%,53.10%,90.69%,96.90% and 78.62%,respectively.The participation rate of hypertension prevention,filing,follow-up and self-management group guidance was 93.10%,85.52%,53.79% and 20.69%,respectively.The awareness rate of hypertension related knowledge and the participation rate of related work were different among different medical staff （all P 〈0.05）.The satisfaction rate of hypertension treatment and prevention was 31.04%and 32.41% respectively.Conclusions The human resource allocation of community health service needs to be optimized.Measures should be taken to improve the ability,participation and satisfaction of hypertension prevention and control among medical staff.