长沙县农村基层卫生人员叶酸知晓情况现状分析  

Analysis on the current status of awareness regarding folic acid among primary health professionals in Changsha County

作　　者：黄彩练[1,2] 林茜[1] 李方 秦虹[1] 杨丽娜[1] 李明志[1] 

机构地区：[1]中南大学公共卫生学院,湖南长沙410078 [2]长沙县妇幼保健院 [3]长沙卫生职业学院

出　　处：《实用预防医学》2015年第5期627-629,共3页Practical Preventive Medicine

基　　金：中华医学基金会CMB 991项目

摘　　要：目的了解长沙县村医、村计划生育专干叶酸知晓情况,为促进增补叶酸预防神经管缺陷的项目实施提供参考。方法于2013年7月采用二阶段完全随机抽样方法对长沙县120名村医、村计划生育专干进行问卷调查,了解其叶酸知晓情况。对干预村60名村医、村计划生育专干进行叶酸知识培训,比较培训对于叶酸知识的影响。结果村医、村计划生育专干知晓叶酸是一种维生素者占38.7%,知晓叶酸可以减少神经管畸形者占95.8%,知晓神经管缺陷高危计划怀孕育龄妇女定义和正确补充剂量者分别仅55.5%和49.2%。经叶酸知识培训,村医、村计划生育专干对叶酸知识的各项认知得分及总分均有提高(P均=0.000)。结论长沙县村医、村计划生育专干对叶酸相关知识特别是神经管缺陷高危待孕妇女的相关知识掌握程度不高,叶酸知识培训可以有效提高其叶酸知识掌握程度。应加强对村医、村计划生育专干的专题培训,提高其对叶酸增补预防神经管缺陷的认知,确保增补叶酸预防神经管畸形项目的实施效果。Objective To investigate the level of awareness regarding folic acid among village doctors and pregnant planning officers in Changsha County so as to provide reference for implementing the program concerning promotion of folic acid supplementation and prevention of neural tube defects. Methods The two- stage random sampling method was used to select 120 village doctors and pregnant planning officers in Changsha County in July 2013,and then a questionnaire survey on the awareness of folic acid was conducted. 60 village doctors and pregnant planning officers of the intervention group received the folic acid education program and their knowledge concerning folic acid was tested before and after the training. Results Village doctors and pregnant planning officers who were aware of folic acid was one kind of vitamin accounted for 38. 7%,while those who knew folic acid would reduce neutral tube defects accounted for 95. 8%. The participants who correctly answered the concept of childbearing age women with high- risk neutral tube defects and the dose of folic acid to prevent neutral tube defects only accounted for 55. 5% and49. 2%,respectively. The participants＇ knowledge concerning folic acid had enriched after the folic acid education program（ all P= 0. 000）. Conclusions The knowledge regarding folic acid,especially the knowledge with respect to childbearing age women with high- risk neutral tube defects among the village doctors and pregnant planning officers in Changsha County is not enough,but the folic acid education program can effectively improve the condition. It is necessary to intensify the professional training among the village doctors and pregnant planning officers so as to improve their knowledge about prevention of neutral tube defects through folic acid supplementation and ensure the effectiveness of implementing the program concerning folic acid supplementation and neural tube defect prevention.

关 键 词：叶酸 知晓 基层卫生人员 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]