重庆市基层医疗机构营养工作能力现状调查

Status quo survey of nutrition work ability in primary medical institutions of Chongqing City

目的 了解重庆市基层医疗机构营养工作能力现状。方法 在重庆市39个区县各随机抽取3个基层医疗机构,采用“基层营养服务能力调查表”在“营养工作能力调查系统”开展问卷调查,分析调查结果。结果 共调查117家基层医疗机构,其中86家(73.50%)基层医疗机构承担过营养工作。单位从事营养专职工作人数为0(0,0)人。营养工作人员中30~<40岁164人(48.38%),初级职称180人(53.10%),学士学位232人(68.44%),具有医学相关背景287人(84.66%),但具有营养相关专业背景仅2人(0.59%)。开展孕产妇、0~6岁儿童、老年人营养健康管理的基层医疗机构分别有57家(48.72%)、75家(64.10%)、77家(65.81%),开展营养监测的有34家(29.10%),有临床营养工作能力的有17家(14.50%)。与乡镇比较,城区基层医疗机构0~6岁儿童开展血常规项目和老年人开展血红蛋白、血常规和尿常规项目比例更高,发布营养类科普作品更多,差异有统计学意义(P<0.05)。结论 重庆市基层医疗机构营养工作体系暂不完善、专业人员尚缺乏,营养健康服务水平需要进一步加强。

Objective To understand the status quo of nutrition working ability in primary medical and health institutions of Chongqing City.Methods Three primary medical institutions were randomly extracted from each of 39 districts and counties of Chongqing City,and Primary Nutrition Service Capacity Survey Form and Nutrition Work Capacity Survey System were adopted to conduct the questionnaire survey.Then the survey results were analyzed.Results A total of 117 primary medical institutions were surveyed,in which 86 institutions(73.50%) undertook the nutritional work.The number of engaging the nutrition full-time work in the units was 0(0,0).Among the nutritional staff,the age in 164 persons was 30-<40 years old,accounting for 48.38%,180 persons(53.10%) had the primary title,232 persons(68.44%) had the bachelor degree,287 persons(84.66%) had the medical related background,but only 2 persons had the nutritional related professional background.There were 57(48.72%),75(64.10%),77(65.81%) primary medical institutions in carrying out the nutrition and health management of pregnant women,children aged 0-6 years old and elderly people,34 institutions(29.10%) in carrying out nutritional monitoring,and 17 institutions(14.50%) had the clinical nutrition work ability.Compared with the villages and towns,the proportion of urban area primary medical institutions in carrying out the blood routine items in children aged 0-6 years old,hemoglobin,blood routine and urine routine items in elderly people was higher,the number of published popular science works on nutrition was more,and the differences were statistically significant(P<0.05).Conclusion The nutrition work system of primary medical institutions in Chongqing City is temporarily imperfect,the specialized persons still lack and the nutritional health service level needs to be further strengthened.