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目的了解社区医务人员糖尿病相关知识知晓情况及糖尿病规范化培训对糖尿病教育干预态度、行为的影响。方法2015年5—7月随机对本市四家社区卫生服务中心130名医务人员进行统一问卷调查,有效回收122份,有效回收率为93.85%。调查内容包括糖尿病相关知识考核、糖尿病干预的态度及干预行为。根据是否接受过糖尿病规范化治疗培训分为接受培训组73例及未接受培训组49例。记录并比较两组糖尿病相关知识考核得分及对糖尿病干预行为的独立性。计量资料采用t检验或方差分析,计数资料采用χ2检验,等级资料采用秩和检验,P<0.05为差异有统计学意义。结果不同学历医务人员糖尿病相关理论知识、药物指导及健康教育等项目得分比较差异均有统计学意义(均P<0.05)。不同年龄医务人员糖尿病理论知识得分比较差异有统计学意义(P<0.05)。接受培训组主动开展健康教育活动率为93.15%,高于未接受培训组的10.20%,差异有统计学意义(P<0.05)。接受培训组饮食指导、运动指导、药物指导、自我监测、健康教育得分分别为(57.58±21.56)、(96.97±10.05)、(62.34±19.45)、(80.00±17.89)、(80.00±17.89)分,均高于未接受培训组的(34.43±27.07)、(78.38±27.94)、(48.00±21.17)、(65.59±20.92)、(64.86±21.10)分,差异均有统计学意义(均P<0.05)。接受培训组糖尿病干预行为独立性强于未接受培训组,差异均有统计学意义(均P<0.05)。结论普及社区医务人员糖尿病规范化治疗培训,并根据学历和年龄开展个体化培训,规范糖尿病治疗和教育行为可有效促进社区医疗卫生服务中心良性发展。
Objective To understand the knowledge of diabetes-related knowledge among community health workers and the influence of diabetes standardized training on diabetes education intervention attitude and behavior. Methods From May to July 2015, 130 medical staffs from four community health service centers in the city were randomly selected to conduct a questionnaire survey. 122 valid samples were collected and the effective recovery rate was 93.85%. The survey included diabetes-related knowledge assessment, attitude toward diabetes intervention, and interventions. According to whether they have received standardized treatment of diabetes training was divided into training group of 73 patients and 49 did not receive training group. Record and compare the scores of diabetes-related knowledge assessment and the independence of diabetes intervention. Measurement data using t test or analysis of variance, count data using χ2 test, grade data using rank sum test, P <0.05 for the difference was statistically significant. Results There were significant differences in scores of diabetes related theoretical knowledge, drug guidance and health education among medical staffs with different qualifications (all P <0.05). Diabetes theoretical knowledge score of medical staff of different ages had significant difference (P <0.05). The percentage of active health education activities in the training group was 93.15%, which was significantly higher than that in the non-training group (10.20%, P <0.05). The scores of dietary guidance, motor instruction, self-monitoring and health education in the training group were (57.58 ± 21.56), (96.97 ± 10.05), (62.34 ± 19.45), (80.00 ± 17.89) and (80.00 ± 17.89) (34.43 ± 27.07), (78.38 ± 27.94), (48.00 ± 21.17), (65.59 ± 20.92) and (64.86 ± 21.10) in the non-training group, all of which were statistically significant (all P < 0.05). There was significant difference in the behavioral independence of the intervention group from the untrained group (all P <0.05). Conclusion It is of great importance to popularize the training of diabetes mellitus standardization among community health workers and carry out individualized training according to their qualifications and ages. To standardize the treatment and education of diabetes can effectively promote the healthy development of community health service centers.