2013-2017年深圳市光明新区托幼机构卫生保健状况分析

Analysis on health care status in kindergartens of Guangming District,Shenzhen,from 2013 to 2017

目的了解近5年广东省深圳市光明新区托幼机构卫生保健状况和存在的问题,以提高辖区托幼机构卫生保健质量。方法收集深圳市光明新区2013-2017年托幼机构卫生保健年度评估检查结果及报表,进行统计分析。结果2013-2017年,光明区托幼机构省市级评审、卫生保健评估合格率、A食堂通过率、保健医生持证上岗率分别从24.14%、82.75%、13.79%、67.69%显著提升至54.17%、91.67%、75%、92.47%,保健医生与幼儿比从1∶294显著下降至1∶234;各学年幼儿及教职工体检完成率100%,且幼儿心理筛查率逐年增加,其增加趋势具有统计学意义(线性关联检验:F=44 162,P<0.001);幼儿贫血(F=202.34,P<0.001)、视力异常(F=18.67,P<0.001)逐年显著降低,年生长合格(F=254.29,P<0.001)逐年显著增加。结论继续加强托幼机构经费投入与人员、设施设备配置,改善办园条件;加强托幼机构卫生保健管理,落实各项卫生保健制度,是有效提高托幼机构卫生保健整体水平,促进幼儿身心健康发展的关键。

Objective To explore the current situation of health care in kindergartens of Guangming District,Shenzhen in recent 5 years and improve the quality of health care.Method The results of annual assessment and examination of health care from 2013 to2017 were collected and analyzed.Results In 2013-2017,the percentage of acquiring the qualification report of provincial or municipal level,the pass rates of health care assessment the proportion of Grade A in cafeteria of kindergartens,and the proportion of health doctors with qualification certificatewere increased from 24.14%,82.75%,13.79%,67.69%to 54.17%,91.67%,75%,92.47%,respectively.The ratio of health care doctors to children was decreased from 1∶294 to 1∶234.The completion rate of physical examination for children and teachers in each school year was 100%,and the psychological screening of children increased year by year(linear correlation test:F=44 162,P<0.001).The incidences of children’s anemia(F=202.34,P<0.001)and abnormal vision(F=18.67,P<0.001)decreased,while the annual growth qualified rate(F=254.29,P<0.001)was increased year by year.Conclusions Kindergartens should continue to strengthen the investment of funds,personnel input and equipment allocation,improve the education conditions,enhance the health care management and implement various health care systems,which is the key to effectively improve the overall level of health care in kindergartens and promote the physical and mental health of children.