天津市中高等院校結(jié)核病防控工作現(xiàn)狀
發(fā)布時(shí)間:2018-01-17 03:23
本文關(guān)鍵詞:天津市中高等院校結(jié)核病防控工作現(xiàn)狀 出處:《中國學(xué)校衛(wèi)生》2017年04期 論文類型:期刊論文
更多相關(guān)文章: 結(jié)核 肺 公共衛(wèi)生 學(xué)生保健服務(wù)
【摘要】:目的了解天津市中高等院校結(jié)核病防控工作能力及工作現(xiàn)狀,為進(jìn)一步完善學(xué)校結(jié)核病防控策略提供參考。方法自行設(shè)計(jì)問卷,對市教委管轄的中、高等院校開展結(jié)核病防控工作現(xiàn)況進(jìn)行問卷調(diào)查,對資料采用χ~2檢驗(yàn)或Fisher確切概率法進(jìn)行分析。結(jié)果接受調(diào)查的152所院校均建立了結(jié)核病防控工作領(lǐng)導(dǎo)責(zé)任制。93.42%(142/152)的院校配備有衛(wèi)生保健機(jī)構(gòu)(含衛(wèi)生室、保健室、校醫(yī)院等)和衛(wèi)生保健人員,在校生人數(shù)與專職衛(wèi)生保健人員配備比為1 430∶1。專職衛(wèi)生保健人員中?茖W(xué)歷占50.36%(207/411),有醫(yī)學(xué)背景及執(zhí)業(yè)醫(yī)師資格的衛(wèi)生人員比例分別為79.32%和57.66%。各院校日常結(jié)核病防控措施落實(shí)整體較好,但仍有近20%的院校不能開展學(xué)生因病缺勤追蹤;12.5%的院校不能落實(shí)新生入學(xué)體檢,27.63%的院校不能落實(shí)在校生體檢,且各類院校之間開展體檢比例(新生入學(xué)、在校生)差異均有統(tǒng)計(jì)學(xué)意義(P值均0.05),高等院校在校生體檢工作開展比例最低(25.0%)。有超過10%的院校在出現(xiàn)結(jié)核病例后不能及時(shí)開展密切接觸者篩查,各類院校間差異無統(tǒng)計(jì)學(xué)意義(P0.05);落實(shí)因結(jié)核病休/復(fù)學(xué)管理制度的院校比例為77.97%,且各類院校間差異有統(tǒng)計(jì)學(xué)意義(χ~2=6.71,P0.05),其中以高中學(xué)校明顯偏低,僅為55.56%。結(jié)論天津市中、高等院校的結(jié)核病防控工作整體開展情況較好,但仍應(yīng)繼續(xù)加強(qiáng)衛(wèi)生保健人員隊(duì)伍建設(shè)和加強(qiáng)各項(xiàng)防控措施的落實(shí),以確保學(xué)校結(jié)核病疫情的平穩(wěn)。
[Abstract]:Objective to understand the ability and current situation of tuberculosis prevention and control in middle colleges and universities in Tianjin, and to provide a reference for further improvement of tuberculosis prevention and control strategy in schools. Methods A questionnaire was designed by ourselves and applied to the middle schools under the jurisdiction of the Municipal Education Commission. The present situation of tuberculosis prevention and control in colleges and universities was investigated by questionnaire. The data were analyzed by 蠂 ~ 2 test or Fisher exact probability method. Results all the 152 colleges and universities surveyed established the leadership responsibility system for tuberculosis prevention and control. (. Schools in 142-in-152are equipped with health care facilities (including clinics). Health rooms, school hospitals, etc.) and health care personnel. The ratio of the number of students in school to the number of full-time health care personnel is 1 430: 1.The proportion of the total number of full-time health care personnel is 50.36% or 20.7% 411). The proportion of health personnel with medical background and medical qualification were 79.32% and 57.66 respectively. The measures of daily TB prevention and control in colleges and universities were better as a whole. But there are still nearly 20% colleges and universities can not carry out student absence due to illness tracking; In 12.5% colleges and universities, 27.63% of them could not carry out the physical examination of freshmen, and the proportion of medical examination was carried out among all kinds of colleges (freshmen enrolled). The differences were statistically significant (P = 0.05). There are more than 10% colleges and universities can not carry out close contact screening in time after the occurrence of tuberculosis cases. There was no significant difference between different colleges and universities (P 0.05). The proportion of colleges and universities carrying out the management system of rest / re-education due to tuberculosis was 77.97, and the difference among different schools was statistically significant (蠂 ~ 2 / 6.71 / P 0.05), among which the high school was obviously low. Conclusion in Tianjin, the TB prevention and control work in colleges and universities is in good condition, but we should continue to strengthen the construction of health care personnel and the implementation of various preventive and control measures. To ensure a stable TB epidemic in schools.
【作者單位】: 天津市結(jié)核病控制中心;
【分類號】:R52;R183
【正文快照】: 據(jù)不完全統(tǒng)計(jì),全國每年報(bào)告的傳染病公共衛(wèi)生事件中85.64%發(fā)生在學(xué)校,其中呼吸道傳染病占91.09%[1]。學(xué)校作為學(xué)生學(xué)習(xí)、生活的重要場所,人員密集度高,是許多疾病特別是空氣源性傳染病的高發(fā)場所[2]。結(jié)核病為慢性呼吸道傳染病,近年來學(xué)校聚集性疫情時(shí)有發(fā)生[3-5]。為了解天津
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1 王永柱,閆秀珍;加強(qiáng)結(jié)核病防治[J];邯鄲醫(yī)學(xué)高等?茖W(xué)校學(xué)報(bào);2001年03期
2 呂英娣;結(jié)核病流行近況[J];現(xiàn)代農(nóng)業(yè);2001年04期
3 延生,賈治祥;延安市結(jié)核病流行病學(xué)抽樣調(diào)查分析[J];現(xiàn)代預(yù)防醫(yī)學(xué);2002年03期
4 黃樹琛;閻書鳳;張q屎,
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