中西部乡镇卫生院公共卫生人员专业知识技能现状调查

目的 了解中西部乡镇卫生院公共卫生人员专业知识技能掌握情况,为乡镇卫生院公共卫生人员的专业教育提供参考。方法 2015年7-2016年3月,采用多阶段整群随机抽样方法抽取重庆、贵州、湖北、河南273名乡镇卫生院专职公共卫生人员作为调查对象,使用自编试卷对其公共卫生知识技能进行现场测试。结果 公共卫生人员基本知识技能平均得分为（7.20±1.38）分（满分10分）;核心知识技能平均掌握度（0.65±0.13）;"中医体质辨识"、"现场急救原则"、"脐炎预防注意事项"和"传染病疫点处理"等题项正确率较高,分别为100%（51/51）、100%（41/41）、98.59%（70/71）和97.56%（40/41）,"认知功能初筛"、"新生儿健康指导"、"足背动脉搏动"、"运动功能检查"等题项正确率较低,分别为7.29%（7/96）、12.68%（9/71）、13.48%（12/89）和17.05%（22/129）。结论 中西部地区乡镇卫生院公共卫生人员的专业知识与技能掌握情况整体较差;建议有针对性的加强乡镇卫生院公卫人员的专业培训,提高其专业技能。

Professional knowledge and skills among public health workers in township hospitals in central and western China

Objective To examine current situation of professional knowledge and skills among public health workers in township hospitals in central and western China and to provide references for conducting occupational education.Methods With multistage random cluster sampling,273 public health workers in township hospitals in Chongqing municipality and Guizhou,Hubei and Henan province were enrolled and surveyed with a self-designed questionnaire for assessment of public health knowledge and skill.Results For all the participants,the average overall score for basic knowledge and skills was 7.20±1.38 for a scale of 10 as the maximum; the average degree of key knowledge and skill proficiency was 0.65±0.13.Among the participants,the proportions of answering questions on public health service correctly were high for the items of identifying the constitution of traditional Chinese medicine (100%),principles of on site first aid (100%),measures of omphalitis prevention (98.59%),and management of an epidemic site (97.56%); while the proportions were low for the items of cognitive function screening (7.29%),health guidance for neonates (12.68%),detection of dorsalis pedis artery pulse (13.48%),and motor function checkup (17.05%).Conclusion The professional knowledge and skills are generally poor among the public health workers in township hospitals in central and western China,suggesting that professional training programs for the medical workers should be promoted.