某部卫生学兵细菌性痢疾知识态度干预效果评价  

Evaluation of the intervention effect on the knowledge and attitude towards bacillary dysentery among medical soldiers in a certain troop

作　　者：高秋菊[1] 谢佳新[1] 程可[1] 冯长龙[1] 周云[1] 贾庆军[1] 米裕[1] 张世勇[2] 

机构地区：[1]白求恩医务士官学校军事预防医学教研室,河北石家庄050081 [2]石家庄市疾病预防控制中心,河北石家庄050000

出　　处：《现代预防医学》2014年第16期2967-2969,2989,共4页Modern Preventive Medicine

基　　金：全军"十二五"重点项目(BWS11L047)

摘　　要：目的 评价卫生学兵细菌性痢疾（菌痢）相关知识态度的院校短期培训效果，为院校培训方式和内容确定提供科学依据。方法 采用流行病学现况研究方法，对某部卫生学兵1 498名进行菌痢相关知识态度的基线调查，后对其进行院校相关医学知识的短期培训干预，干预后对1 361名卫生学兵再进行知识态度现况调查，用SPSS16.0进行干预效果的统计分析。结果 （1）干预后卫生学兵对菌痢多数知识题的正确回答率、态度期望回答率较干预前明显提高（P＜0.05），但提高的程度尚不够理想，如细菌性痢疾的传染源干预前为16.29%，干预后为18.30%，菌痢的易感人群干预前为14.42%，干预后为30.20%，菌痢的高发季节干预前为8.21%，干预后为22.34%等。（2）干预后卫生学兵对细菌性痢疾相关知识、态度的得分较干预前明显提高（P＜0.01）。（3）细菌性痢疾知识方面，干预后～60分组的人数及百分构成较干预前明显减少，80分～的人数及百分构成较干预前明显增多（P＜0.01）；细菌性痢疾态度方面，干预后期望分值60～80分的人数及百分构成较干预前明显减少，80分～组的人数及百分构成较干预前明显增多（P＜0.01）。结论 通过院校培训，细菌性痢疾相关知识认知水平得以提高，态度得到正确引导，但尚需对其知识框架结构进行系统培训，以增强其防病能力和到基层部队的健康教育能力。Objective The aim of this study was to evaluate the effect of short-term in-institution training on the knowledge and attitude towards bacillary dysentery among the medical soldiers, and provide scientific basis for the determination of college training methodologies and contents. Methods Baseline survey on bacillary dysentery-related knowledge and attitude was first conducted among 1498 medical soldiers in a certain troop, followed by the short-term in-institution training of medical knowledge. And then the prevalence study on the knowledge and attitude among the 1361 medical soldiers was carried out again. Questionnaire survey on bacillary dysentery-related knowledge and attitude was conducted before and after the intervention, respectively. Statistical analysis of the intervention effect was done using SPSS 16.0 software. Results （1） The correct answer rate and expected attitude response rate towards most bacillary dysentery-related questions after intervention were significantly higher than the rates before the intervention among the medical soldiers, while the degree of improvement was not ideal. For instance, the knowledge about source of infection, the susceptible populations, and high-occurrence season for bacillary dysentery were 16.29%, 14.42%, and 8.21% before intervention, respectively, and 18.30%, 30.20%, and 22.34% after intervention, respectively. （2） The bacillary dysentery-related knowledge and attitude scores after intervention were significantly higher than those before intervention among the medical soldiers. （3） In the aspect of the knowledge about bacillary dysentery, the number and percentage of the medical soldiers scored below 60 significantly decreased, while those scored over 80 significantly increased after intervention, comparing with those before intervention （P〈0.01）. In the aspect of the attitude about bacillary dysentery, the number and percentage of the medical soldiers with the expected score of 60~80 significantly decreased, while those with the expected score

关 键 词：卫生学兵 细菌性痢疾 知识 态度 干预效果 

分 类 号：R193[医药卫生—卫生事业管理] R161.5[医药卫生—公共卫生与预防医学]