黑龙江省社区卫生服务机构生殖健康咨询服务能力调查  

Survey on the Capacity of Reproductive Health Counselling Services in Community Health Services in Heilongjiang Province

作　　者：李龙飞 于惠崧 黄新宇 刘春燕 张葳 薛超 刘慧 韩丽 刘琬一 LI Long-fei;YU Hui-song;HUANG Xin-yu(Department of Clinical Medicine,Heilongjiang Nursing College,Harbin,150086,China)

机构地区：[1]黑龙江护理高等专科学校,黑龙江哈尔滨150086 [2]黑龙江省疾病预防控制中心,黑龙江哈尔滨150030

出　　处：《中国初级卫生保健》2021年第3期13-17,共5页Chinese Primary Health Care

基　　金：国家卫生健康委能力建设和继续教育中心2019年度立项课题(GWJJ2019100101)。

摘　　要：目的:了解黑龙江省社区卫生服务机构生殖健康咨询服务能力现状,为黑龙江省有针对性地提高生殖健康咨询服务的可及性和有效性提供参考建议。方法:2020年7—9月采取随机抽样方法在黑龙江省抽取7个地市,每个地市随机选取2所社区卫生服务机构,对生殖健康服务相关医务人员开展问卷调查。结果:对301份有效问卷进行统计学分析,调查对象生殖健康服务相关知识正确率最高的为健康促进知识(28.2%)。调查对象生殖健康咨询服务培训率为26.6%。可以提供的生殖健康咨询服务第1位是避孕节育咨询(93.4%)。调查对象的咨询概念化能力评分均值为(30.79±13.62)分,咨询实践操作能力均值为(48.99±19.00)分,总分均值为(79.78±31.72)分。统计分析发现,生殖健康咨询能力与年龄、工作岗位、是否获得生殖健康咨询员/咨询师资格和是否接受生殖健康咨询服务培训等有关,进一步分析发现,后两个变量是咨询能力自我评估得分的主要影响因素(P<0.05)。调查对象最希望得到的工作支持为医院领导对相关科室的协调(94.0%)。结论:黑龙江省社区卫生服务机构生殖健康服务人员相关知识较为薄弱,咨询概念化能力及咨询实践操作能力有待提高。应加强基层社区卫生服务机构相关人员培训,促进生殖健康咨询服务职业化、专业化发展,提升生殖健康咨询服务供给水平。OBJECTIVE To understand the current situation of the capacity of reproductive health consultation services in commu-nity health service institutions in Heilongjiang Province,and to provide suggestions for improving the accessibility and effectivenessof reproductive health consultation services in Heilongjiang Province in a targeted manner.METHODS A random sampling methodwas used to select 7 municipalities in Heilongjiang Province from July to September 2020,and 2 community health service institu-tions were randomly selected in each municipality to conduct a questionnaire survey on medical personnel related to reproductivehealth services.RESULTS Statistical analysis of the 301 valid questionnaires showed that the highest correct knowledge of reproduc-tive health services was knowledge of health promotion(28.2%).The training rate for reproductive health counselling servicesamong the survey respondents was 26.6%.The top 1 reproductive health counselling services available was contraceptive and birthcontrol counselling(93.4%).The mean score for conceptualization of counselling competency was 30.79±13.62,the mean score forpractical counselling competency was 48.99±19.00,and the mean score for the total score was 79.78±31.72.The t-test and one-way ANOVA were used to find that competence in reproductive health counselling was associated with age,job position,whetherone was qualified as a junior/senior reproductive health consultant,and whether one had received training in reproductive healthcounselling services.Further multiple linear regression analysis revealed that the latter two variables was the main influencing fac-tors on the self-assessment score of counselling competence(P<0.05).The top 1 job support desired by the survey respondentswere coordination of relevant departments by hospital leaders(94.0%).CONCLUSION The reproductive health service knowledge ofpersonnel in community health service institutions in Heilongjiang Province was weak,and the ability to conceptualize counsellingand the practical operation

关 键 词：生殖健康咨询 服务能力 社区卫生服务机构 

分 类 号：R169.1[医药卫生—公共卫生与预防医学]