玉树藏区学校保健社工医疗健康素养调查  

Investigation on Health Literacy Level of Healthcare Social Workers at Tibetan Schools in Yushu Area

作　　者：王俊男 宋佳亮 高野 刘青 张海兵 陈达双 刘旭 WANG Junnan;SONG Jialiang;GAO Ye;LIU Qing;ZHANG Haibing;CHEN Dashuang;LIU Xu(Faculty of Basic Medicine,Naval Medical University,Shanghai 200433;State Taxation Bu-reau of Taizhou,Taizhou 318000;Indigo Public Welfare and Services Association of TaiZhou,Taizhou 3]8000;Department of Neurosurgery,No.]00 Hospital of PLA,Suzhou 2]5007;Department of Military Health Service,Faculty of Military Health Service,Naval Medical University,Shanghai 200433)

机构地区：[1]海军军医大学基础医学院,上海200433 [2]台州市国税局,台州318000 [3]台州市青公益服务协会,台州318000 [4]解放军第100医院神经外科,苏州215007 [5]海军军医大学卫生勤务学系卫生勤务学教研室,上海200433

出　　处：《解放军医院管理杂志》2018年第6期576-580,共5页Hospital Administration Journal of Chinese People's Liberation Army

基　　金：国家自然科学基金(71774166;71303249);"古咕丁"医疗知识普及计划

摘　　要：目的保健社工是藏区学校日常医疗保健工作的主要承担者。该研究目的在于调查青海玉树藏区学校医疗社工的医疗健康素养水平及医学继续教育需求,并对相关影响因素进行探究。方法发放问卷对来自青海省玉树州的调查组18名保健社工和对照组15名普通授课教师进行调查。问卷采用自制量表和中国健康素养监测问卷(2012)。调查结果利用Excel 2016和SPSS 21.0软件进行汇总及统计分析。结果社工群体的医疗健康素养得分较低,远低于西部地区平均水平,但与普通授课教师群体水平相比无统计学差异。其中经受经常性固定医疗培训的社工得分高于未经受者,差异有统计学意义。在继续教育方面,社工群体对常见病基础理论和传染病防控的学习需求较强。另外基金会等机构举办的短期医疗知识培训是接受度最高的教育形式。结论青海玉树藏区学校的保健社工群体医疗健康素养较低,可能与其年轻化、女性多、学历低的从业特点相关。开展经常性短期医疗知识培训符合主观需求,是行之有效的主要途径。Objective Healthcare social workers are the main undertakers of daily health care service at Tibetan schools. This study aims at investigating the health literacy level of and needs for continuing medical education for health social workers at Tibetan schools in Yushu Area of Qinghai Province and exploring possible influencing factors. Methods A questionnaire survey was conducted among 18 health social workers set as the study group and 15 common teachers set as the control group in Yushu,Qinghai Province. The questionnaire was based on a self-designed scale and the Chinese health literacy questionnaire（2012）. The results were summarized and analyzed with Excel 2016 software and SPSS 21. 0 software. Results The scores of health literacy level in the study group were lower than the average level in the western China. Moreover,the difference of the two groups was not statistically significant. The health literacy scores of healthcare social workers who have received regular medical training were higher than those of the ones who haven＇t,and the difference was statistically significant. In terms of continuing education,healthcare social workers expressed a strong desire for the basic theory of common diseases and the prevention and control of infectious diseases. In addition,short-term medical knowledge training organized by foundations was the most widely accepted form for continuing education. Conclusion The health literacy level of the healthcare social workers is relatively low,probably due to the features of healthcare social workers： relatively lower ages,more women than men,and being less educated. Therefore,short-term regular medical training could be an effective way for improvement.

关 键 词：玉树藏区 保健社工 医疗素养调查 医学继续教育 影响因素 儿童健康 

分 类 号：R197.32[医药卫生—卫生事业管理]