在尼泊尔拉利特普尔的中学生中使用学校保健护士计划的影响因素:混合方法研究研究
Saraswati Sharma1, Anita Mahotra2, Tulsi Ram Thapa3
1Health Office Gulmi, Health Directorate, Ministry of Health, Gulmi District, Lumbini Province, Nepal. mph.saraswatisharma@pahs.edu.np.
BMC public health
|February 25, 2025
概括
只有28.69%的中学生使用学校护士服务. 诸如年龄,动机和学习困难等因素影响了使用,而护士轮流和协调不良阻碍了使用. 提高认识和人员配置是关键.
科学领域:
- 公共卫生 公共卫生
- 学校卫生计划 学校卫生计划
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尼泊尔的"一所学校一所护士"倡议旨在改善学校儿童的健康.
- 该计划于2018/2019年启动,提供预防性护理,健康教育和急救.
- 有限的研究存在于程序的利用和影响因素.
研究的目的:
- 评估Lalitpur中学学生在学校护士服务的使用情况.
- 确定与服务利用相关的定量因素.
- 质量地探索影响服务利用的潜在因素.
主要方法:
- 在Lalitpur的六所公立学校进行一次并发的三角测量混合方法研究.
- 280名学生 (9-12年级) 的定量数据通过问卷.
- 10名学生和6名学校工作人员通过采访提供了定性数据.
主要成果:
- 学校护士服务的利用率为28.69%.
- 年龄较小的学生 (16岁以下) 和受教员/家长激励的学生的利用率更高.
- 学习困难的学生使用率较低. 护士的流动性和协调不良是重要的障碍.
结论:
- 三分之一的中学生使用学校护士服务;针对老年学生和学习困难的学生需要有针对性的干预措施.
- 提高学生的意识和动机可以提高利用率.
- 改善人员配置和利益相关者协调对于计划的有效性和服务获取至关重要.
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