2018年荣成市托幼机构卫生保健人员对矮身材认识度的调查  

Survey on awareness of short stature of health care workers in nurseries and nursery institutions,Rongcheng city,2018

作　　者：田娟娟 袁文晓 王屹 陈巍巍 TIAN Juan-juan;YUAN Wen-xiao;WANG Yi;CHEN Wei-wei(Rongcheng City Maternal and Child Health Hospital,Rongcheng,Shandong,264300,China;不详)

机构地区：[1]荣成市妇幼保健院,山东荣成264300 [2]荣成市疾病预防控制中心,山东荣成264300 [3]荣成市医疗保障事务服务中心,山东荣成264300

出　　处：《预防医学论坛》2021年第7期542-545,共4页Preventive Medicine Tribune

摘　　要：目的通过对托幼机构卫生保健人员矮身材的知晓情况的调查,以期为制定干预筛查网络提供参考数据,制定管理措施。方法2018年11月采用自编调查问卷。调查表参与人员的一般情况(托幼机构等级、专职/兼职保健人员、工作年限、职称、年龄)、儿童矮身材相关认知(症状学、起病年龄、病因学、治疗学)、常见误区和首选转诊医生对象,由儿童生长发育专科医生参考卫生部《中国儿童体格生长评价建议》和《矮身材儿童诊治指南》拟定问卷条目。结果荣成市共89家托幼机构,卫生保健人员共有365人,均参与本调查,有效问卷回收率为99.17%。对矮身材相关认知问题的通过率:问题C、问题N、问题O、问题P通过率低,均低于30%,卫生保健人员对儿童生长发育疾病是否能够干预治疗情况不知晓。其次是问题D和问题K、问题L、问题M,通过率为30%~50%。其余条目通过率均在60%以上,可见卫生保健人员对矮身材常见相关问题认识有待提高;矮身材常见的误区有362位保健人员答题,5个误区选项共被选择了1048次,其中33.15%的卫生保健人员认为父母高孩子一定高,62.98%的认为男孩没变声、女孩无月经,不算发育、不急,73.48%的认为现在矮,晚长,以后就长了,81.49%的认为补点钙,吃点保健品就行。治疗方法中37.29%认为无特效药,治不治没用。公办托幼机构与民办托幼机构保健人员在常见误区的认知差异具有统计学意义(P<0.05);首选转诊对象:59.22%的保健人员选儿童生长发育专科,10.15%选儿童保健科,10.56%选内分泌科,20.22%选普通儿科。结论荣成市托幼机构卫生保健人员对矮小症的病因学、症状学、治疗方法有基本认识,但对于矮身材干预、相关兄弟科室宣传合作等方面的认识有待提高。Objective To investigate the awareness of short stature among health care workers in nurseries and kindergartens,so as to provide reference data for establishing intervention screening network and formulate management measures.Methods A self-designed questionnaire was used in November 2018.The general situation of participants in the questionnaire(kindergarten level,full-time/part-time health care personnel,working years,professional titles,age),children’s short stature related cognition(symptomatology,onset age,etiology,therapeutics),common misunderstandings and preferred referral doctors,and the children’s growth and development specialist will draw up the questionnaire items with reference to the Recommendations for Evaluation of Chinese Children’s Physical Growthand Guidelines for Diagnosis and Treatment of Short Childrenissued by the ministry of health.Results A total of 365 health care workers from 89 kindergartens in Rongcheng city participated in the survey,and the effective questionnaire recovery rate was 99.17%.The passing rate of cognitive problems related to short stature:question 3,question 14,question 15 and question 16 were all lower than 30%,and health care workers were not aware of whether children’s growth and development diseases can be intervened and treated.Followed by question 4,question 11,question 12 and question 13,and the passing rate was 30%-50%.The passing rate of other items was above 60%,which showed that the health care personnel need to improve their understanding of the common related problems of short stature;there were 362 health care workers who answered the common misconceptions of short stature,and 5 misconceptions have been selected 1048 times.Among them,33.15% of health care personnel believed that children with higher parents must be taller,62.98% believed that boys did not change their voice and girls did not have menstruation,and they were not considered as developed or urgent;73.48% believed that they were shorter now and longer later but grew later;81.49% belie

关 键 词：矮身材 认识度 托幼机构 卫生保健人员 

分 类 号：R195.2[医药卫生—卫生统计学]