西宁市学校卫生队伍建设现况调查  

Investigation on current situation of school health team construction in Xining City

作　　者：谢晓媛 郭学斌[1] 吉秀亮[1] 杨君胜 曹玉洁[1] 刘慧慧[2] XIE Xiaoyuan;GUO Xuebin;JI Xiuliang;YANG Junsheng;CAO Yujie;LIU Huihui(Qinghai Center for Disease Control and Prevention,Xining 810007,Qinghai,China;Chinese Center for Disease Control and Prevention,Beijing 102206,China)

机构地区：[1]青海省疾病预防控制中心,青海西宁810007 [2]中国疾病预防控制中心,北京102206

出　　处：《中国校医》2023年第6期453-456,468,共5页Chinese Journal of School Doctor

摘　　要：目的 了解西宁市中小学和各级疾控机构中学校卫生队伍人员构成、工作开展现况,为进一步提高学校卫生队伍素质和工作开展提供参考。方法 选取西宁市8家疾控机构、257所公立中小学校及266名校医/保健教师,采用问卷调查法,收集疾控机构及中小学卫生队伍建设基本情况,包括人员构成、工作开展与落实、卫生室/保健室配备等,并对其进行数据分析,检出率组间比较用χ^(2)检验。结果 西宁市8家疾控机构均未设立独立的学校卫生科,其中专职从事学校卫生工作的人员仅有4名。中小学卫生室配备率为3.89%(10/257),中小学卫生室配备率有差异(χ^(2)=9.266,P<0.05);专业人员配备达标的学校仅有2所(0.78%);校医及保健教师队伍中医学类专业占比仅为9.02%,有医学执业资格证者仅有6.39%;专业知识不足为工作落实最大的困难(83.08%),另外经费不足的情况中学比小学严重(χ^(2)=5.515,P<0.05)。结论 目前西宁市学校卫生队伍人员缺乏、专业知识薄弱、配置较低,建议政府主导,教育部门和卫生机构共同协作以改善学校卫生工作,提高校医队伍的整体素质,保证学校卫生工作的顺利进行。Objective To investigate the composition and work status of health teams in primary and secondary schools and disease control institutions at all levels in Xining City,so as to provide a reference for further improving the quality and work development of school health teams.Methods Eight Center for Disease Control and Prevention(CDC)institutions,257 public primary and secondary schools,and 266 school doctors/health teachers were selected in Xining City.A questionnaire survey was used to collect basic information about the construction of health teams in CDC institutions and primary and secondary schools,including staff composition,work development and implementation,and health room arrangement.The data were analyzed,and the detection rates were compared between groups by using theχ^(2)-test.Results None of the 8 disease control agencies in Xining City had set up an independent school health department,of which only 4 people were full-time staff engaging in school health work.The staffing rate of primary and secondary school clinics was 3.89%(10/257),and there was a significant difference in the staffing rate between primary school clinics and secondary school clinics(χ^(2)=9.266,P<0.05).There were only 2 schools(0.78%)with a qualified professional staffing rate.Medical majors accounted for only 9.02%of the school doctors and health care teachers,and only 6.39%of those with a medical license.Lack of professional knowledge was the biggest difficulty(83.08%),and the shortage of funds was more serious in middle schools than in primary schools(χ^(2)=5.515,P<0.05).Conclusions At present,the school health team in Xining City is short of personnel,weak in professional knowledge,and low in the arrangement.It is suggested that the government should take the lead and cooperate with the education departments and health institutions to improve the school health work and improve the overall quality of the school health team,so as to ensure the smooth progress of the school health work.

关 键 词：中小学 疾控 校医 保健教师 学校卫生 

分 类 号：G637[文化科学—教育学]