西藏自治区新生儿乙肝疫苗接种服务能力培训效果评价  

Effect of newborns hepatitis B vaccination service training program,Tibet

作　　者：张伟[1] 万咏梅 徐靓亮 孔庆福 王富珍[1] 张国民[1] 梁晓峰 ZHANG Wei;WAN Yong-mei;XU Liang-liang;KONG Qing-fu;WANG Fu-zhen;ZHANG Guo-min;LIANG Xiao-feng(Department of National Immunization Program,China Center for Disease Control and Prevention,Beijing,Beijing 100050,China)

机构地区：[1]中国疾病预防控制中心免疫规划中心,北京100050 [2]中华预防医学会,北京100021

出　　处：《现代预防医学》2020年第5期856-860,共5页Modern Preventive Medicine

摘　　要：目的评价西藏自治区新生儿乙肝疫苗(HepB)接种服务能力培训效果,为下一步开展技术支持提供依据。方法对西藏自治区7个地(市)疾控中心、医院等机构医务人员进行培训,在培训前后采用相同的调查问卷对培训对象进行测试,采用SPSS21.0根据测试得分对培训效果进行分析。结果培训前后总测试得分别为59.72分、79.17分;乙肝防控相关知识单元及免疫接种管理与服务两个知识单元培训前得分分别为62.50分、33.33分,培训后为87.50分、50.00分,两知识单元培训前后分别提高了25.00分(Z=-10.179,P<0.001)、16.67分(Z=-7.686,P<0.001)。培训前后,HepB特殊接种人群、产科接种单位设立原则、社区/乡镇预防接种门诊管理规范、接种服务对象管理、预防接种过程注意事项五题的正确率均<60%。培训前,不同单位类别、文化程度之间的得分的差异具有统计学意义(Z=-4.918,P<0.001;χ^2=9.710,P=0.021);培训后,不同地区、单位类别、职称之间的得分的差异具有统计学意义(χ^2=26.808,P<0.001;Z=2.150,P=0.032;χ^2=11.840,P=0.008)。结论本次培训效果显著,不同题目培训后正确率均有提高,但西藏自治区基层医务人员乙肝防控及免疫服务知识水平总体仍较为薄弱,需针对免疫接种管理与服务方面知识、针对低学历、初级职称医务人员进一步加强培训。Objective To evaluate the effect of newboms hepatitis B vaccination service training program,and to provide evidence for further technical support.Methods The training was conducted for medical staff of CDC,hospitals and other medical institutions from 7 cities of Tibet.The subjects were tested with the same questionnaire before and after the training,and the training effect was evaluated according to the knowledge scores with SPSS21.0.Results The total test scores before and after training were 59.72 and 79.17,respectively.Before the training,the scores of the knowledge units related to prevention and control of hepatitis B and immunization management and service were 62.50 and 33.33,while those after training were 87.50 and 50.00,respectively.The scores of the two knowledge units were improved by 25.00(Z=-10.179,P<0.001)and 16.67(Z=-7.686,P<0.001),respectively.Before and after training,the accuracy of the five questions,including hepatitis B special vaccination population,the establishment principle of obstetric vaccination unit,the management principle of community/township vaccination outpatient service,the management of vaccination service target and matters needing attention in the vaccination process,were all<60%.Before training,the scores of different unit categories and education levels were statistically significant(Z=-4.918,P<0.001;χ^2=9.710,P=Q.021).After training,the scores of different regions,unit categories and professional titles were statistically significant(χ^2=26.808,P<0.001;Z=2.150,P=0.032;χ^2=11.840,P=0.008).Conclusion The training achieves remarkable effects,and each knowledge point has higher accuracy after training.However,the knowledge level of hepatitis B prevention and control and immunization services of grassroots medical staff in Tibet are still weak.Further training about immunization management and service should be strengthened,especially for the staff with low education background and junior professional titles.

关 键 词：西藏 乙肝疫苗 培训 评价 

分 类 号：R192.5[医药卫生—卫生事业管理] R725.1[医药卫生—公共卫生与预防医学]