| Background：As the modern medicine pattern gradually rooted deeply in the medicine science field and even in thesociety, the understanding level and focus degree of common people on prevention medicine in practice hasincreased dramatically. Accordingly, community health service career has been propelled and developedpowerfully. The content of community health service refers to lots of aspects, health education as one ofthose aspects and key link has its special meaning. However, because of the imbalance that exists incognition level of people and the development of society and economy, the community health servicecircumstances in many small-medium cities in our country are not optimistic. one of the key problem isrepresented by the quality and quantity of those health service executors.Objectives:Through investigating on the health education circumstance of executors in the city of Kaifeng’scommunity health service institution, find out concerning problem on those community health service staffhow to unfold health education, and put forth advice and suggestions.Methods:1.Investigation method: from June to September in2012,investigators carried out questionnaireinvestigation on the medical staff of aimed community health service institution.2.Analysis method: build up database with spss16.0,statistic analysis includes frequency analysis、ANOVA、 multivariate stepwise regression and weighted analysis.Content:Take community health staff as subjects, investigate their demographic characteristics, basicconditions about being health educators, the health education training condition and personal expectation,knowledge resource and the present cognition about health education.Results：1.Investigation subjects demographic characteristics:23.2%were male(n=35),76.8%werefemale(n=116).The youngest participant was20years-old,the oldest was68years-old, and the average agewas39.43±11.061years-old. The average year of being a community doctor is3.31±2.042years.The workpositions were mainly General Doctors and nurses. General Doctors took up47.0%(n=71) of thoseparticipants and nurse staff42.4%(n=65). The job title were physician and primary nurse mostly, whichtook up49.0%of the respondents. The highest education level condition: degree of high school andtechnical secondary school, which took up29.8%and28.5%respectively,and the number was45intotal.83people have the degree of junior college,55%of those participants, and23people got the bachelor’sdegree, which hold15.2%of those participants.2.Basic information about how much the participants involve in health education:74.8%of theparticipants know part of the disease distribution (spectrum of disease\spectrum of death\major health problems) of his\her own community,15.9%of the participants know all of the information referred above.54.3%of the participants’community health service affliation can carry out health education aim to theresidents at fixed time;70.8%of those participants spent half or more time on health aeducation during thedaily diagnose time.3.Present situation on the health education training reception of participants and personal expectation:84.1%of the subjects have received health education training, average training time is11.58±10.570h;58.3%of the subjects thought that the best frequency of being educated on health education training is onetime per month;84.7%（n=150）of the participants thought the experts lectures is the most desired healtheducation training form, the second is field guide, case analysis, community salon; the best lecture contentson health education training were health education guide\health living\doctor-patient communicationform\family health care\women and children health care\psychological health and health education ideas.4.Awareness and resources of health knowledge: The average score is81.6±11.3401, with54.5thelowest and100the highest. The result of multivariate stepwise regression shows that those who haveattended more health education classes win the highest score, with bachelor’s degree and the major of clinicmedicine. Resources of knowledge mainly are training courses, including experts lecture, books, television,newspaper and network.5.Investigation subjects’ cognition of health education:94.0%considered that most chronic diseasesare related to unhealthy lifestyle,98.0%thought that the change of unhealthy lifestyle can reduce or retardthe occurrence of chronic diseases and82.8%viewed that health education will help for the change ofcommunity citizens. Factors influencing health education include the lack of funds and equipment, lowsense of participation, unfavorable policies, the lack of professional full-time staff and little favor fromsocial institutions, accounting for66.2%. The liability subjects for health education consecutivelyare healthservice provider of the community, community members, government, hospital, health administrativedepartment and centers for diseases control and prevention. Five most important solutions for healtheducation include the increase of funds and equipment, more favorable governmental policies, the train ofprofessional full-time staff, the increase of knowledge and skill education and more support from socialinstitutions, especially hospitals.Conclusion:The problem mainly focuses on three aspects. Coming to the first is the lack of professional staff ofhealth education at the community health station. Secondly, poor education and lack of health knowledge ofworks makes an emergency for health education train. Lastly, the fund support for health education andinteraction with social institutions are far from enough.Policy suggestions:It is necessary to strength the train of knowledge and skills for staff and to mobilize all potential socialforces to establish and improve the health education network. In order to make full use of internal resourcesof the community, learning from foreign experience and combining with local conditions will help. Theexploitation of feasible methods for community education is emergent. It is also important to strengthen thecontrol of health education. |
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