在日本赋予社区卫生工作者权力:非传染性疾病预防能力的决定因素
Yuki Imamatsu1, Yuka Iwata1, Ayuka Yokoyama2
1Department of Community Health Nursing, Graduate School of Medicine, Yokohama City University, Fukuura 3-9, Kanazawa-ku, Yokohama 236-0004, Japan.
Healthcare (Basel, Switzerland)
|February 10, 2024
概括
社区卫生工作者社区卫生工作者
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社区健康 社区健康
背景情况:
- 社区卫生工作者对于预防非传染性疾病至关重要.
- 对医疗保健系统来说,评估CHW在非传染性疾病预防方面的能力至关重要.
- 开发了社区卫生工作者预防非传染性疾病的感知和行为能力表 (COCS-N).
研究的目的:
- 检查影响CHW在NCD预防能力的个人和社区因素.
- 分析CHW经验,健康素养,社区意识和COCS-N分数之间的关系.
- 确定CHWs有效预防NCD的关键决定因素.
主要方法:
- 2020年对3120名日本CHW进行调查的二次分析.
- 使用COCS-N尺度作为依赖变量.
- 员工协差分析 (ANCOVA) 评估能力与多年经验,健康素养和社区意识等因素之间的关联.
主要成果:
- 多年的CHW经验,健康素养和社区意识与较高的COCS-N得分有显著的关联 (p < 0.001).
- 更高的健康素养与提高NCD预防能力相关.
- 医疗保健工作者之间更强的社区意识与更好的非传染性疾病预防技能有关.
结论:
- 增加"多年的CHW","健康素养"和"社区意识"对CHW在NCD预防方面的能力产生了积极的影响.
- 建议进行培训,以提高CHW的"健康素养"和"社区意识".
- 通过有针对性的培训赋予CHW权力,可以改善NCD预防结果并保持动力.
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