公共卫生监测对传染病预防控制的影响评价

Evaluation of the Impact of Public Health Surveillance on the Prevention and Control of Infectious Diseases

目的研究公共卫生监测对传染病预防控制的影响。方法选取2019年1月至2020年12月前来我卫生院体检人员资料200例,按照是否开展公共卫生监测分为观察组(观察组卫生院体检人员开展传染病预防健康宣教,100例)和对照组(对照组卫生院体检人员开展常规健康宣教,100例),随访1年,对比两组卫生院体检人员的传染病发生情况、传染病知识评分、传染病知识掌握程度、负性心理情绪评分、公共卫生监测护理满意度、诊疗依从性、健康状况评分。结果观察组卫生院体检人员水痘、乙型肝炎、艾滋病、肺结核、流行性感冒、流行性腮腺炎各项传染病发生率低于对照组,两组卫生院体检人员传染病发生情况对比差异有统计学意义(P<0.05)。观察组卫生院体检人员传染病类型、发病原因、控制方法、预防措施各项传染病知识评分高于对照组,两组卫生院体检人员传染病知识评分对比差异有统计学意义(P<0.05)。观察组卫生院体检人员传染病知识掌握度高于对照组,两组卫生院体检人员传染病知识掌握程度对比差异有统计学意义(P<0.05)。观察组卫生院体检人员干预后焦虑、抑郁、敌对、恐怖、偏执评分低于对照组,两组卫生院体检人员负性心理情绪评分对比差异有统计学意义(P<0.05)。观察组卫生院体检人员公共卫生监测护理满意度高于对照组,两组卫生院体检人员公共卫生监测护理满意度对比差异有统计学意义(P<0.05)。观察组卫生院体检人员诊疗依从性高于对照组,两组卫生院体检人员诊疗依从性对比差异有统计学意义(P<0.05)。观察组卫生院体检人员干预后健康状况评分高于对照组,两组卫生院体检人员健康状况评分对比差异有统计学意义(P<0.05)。结论公共卫生监测对传染病预防控制具有积极的影响,开展公共卫生监测后卫生院体检人员在传染病预防健康宣教下传染病发生情况显著减少、传染病知识评分显著提高、传染病知识掌握程度显著提高、负性心理情绪显著减轻、公共卫生监测护理满意度显著提高、诊疗依从性显著提高、健康状况显著好转,因此公共卫生监测及传染病预防健康宣教在卫生院体检人员中更具推广价值。

Objective To study the impact of public health surveillance on the prevention and control of infectious diseases.Methods From January 2019 to December,200 cases of physical examination personnel who came to our health center 2020 were selected and divided into observation group(observation group:100 cases of physical examination personnel in the health center carried out health education on infectious disease prevention)and control group(control group:100 cases of physical examination personnel in the health center carried out routine health education).They were followed up for 1 year to compare the incidence of infectious diseases,infectious disease knowledge score Infectious disease knowledge mastery,negative psychological emotion score,public health monitoring nursing satisfaction,diagnosis and treatment compliance,health status score.Results The incidence of chicken pox,hepatitis B,AIDS,tuberculosis,influenza,mumps and other infectious diseases in the observation group was lower than that in the control group.There was a significant difference between the two groups(P<0.05).The score of infectious disease knowledge of the physical examination personnel in the observation group was higher than that in the control group in terms of infectious disease types,causes,control methods,preventive measures,etc.(P<0.05).The mastery of infectious disease knowledge of the physical examination personnel in the observation group was higher than that of the control group,and there was a significant difference between the two groups(P<0.05).The scores of anxiety,depression,hostility,phobia and paranoia of the physical examination personnel in the observation group after intervention were lower than those in the control group,and the results of the comparison of negative psychological emotion scores of the physical examination personnel in the two groups were significantly different(P<0.05).The satisfaction of health examination personnel in the observation group with public health monitoring and nursing was higher than that in the control group,and there was a significant difference between the two groups(P<0.05).The compliance of medical examination personnel in the observation group was higher than that in the control group,and there was a significant difference between the two groups(P<0.05).The health status scores of the physical examination personnel in the observation group were higher than those in the control group after intervention,and the comparison results of the health status scores of the physical examination personnel in the two groups were significantly different(P<0.05).Conclusion Public health monitoring has a positive impact on the prevention and control of infectious diseases.After public health monitoring,the incidence of infectious diseases of physical examination personnel in health centers has been significantly reduced,the score of infectious disease knowledge has been significantly improved,the mastery of infectious disease knowledge has been significantly improved,negative psychological emotions have been significantly reduced,the satisfaction of public health monitoring and nursing has been significantly improved,the compliance of diagnosis and treatment has been significantly improved The health status has improved significantly,so public health monitoring and infectious disease prevention health education are more valuable in health centers.