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目的评价对医疗机构进行性病规范服务的综合干预,对医务人员问诊服务提供情况的影响。方法随机抽取6家具有诊疗资质的性病门诊作为研究现场,并将条件相当的门诊随机分为对照组和干预组,并对前来就诊的15~49岁性病患者或可疑患者进行问卷调查,采用卡方检验等方法进行统计分析。结果基线共调查860人,其中干预组412人,对照组448人;干预后调查研究对象869人,干预组451人,对照组418人。干预组除“目前症状”项目外,各项指标干预后均高于干预前,差异有统计学意义(P<0.05)。对于“目前症状”的问诊,干预组和对照组分别进行干预前、后比较,差异均无统计学意义(χ2=1.03,P=0.3112;χ2=0.54,P=0.4626)。结论干预措施对于性病门诊服务质量的优化有显著的促进作用。
Objective To evaluate the impact of comprehensive interventions on standardized services of STDs for medical institutions and the impact on medical service provision. Methods Six STD clinics with diagnosis and treatment qualifications were randomly selected as the research site, and the outpatients with similar conditions were randomly divided into control group and intervention group. Questionnaires of STD patients or suspicious patients aged 15-49 years were conducted. Chi-square test and other methods for statistical analysis. Results A total of 860 people were surveyed at the baseline, including 412 in the intervention group and 448 in the control group; 869 after intervention, 451 in the intervention group, and 418 in the control group. In addition to the “current symptoms ” project, the intervention group were higher than the intervention after the intervention, the difference was statistically significant (P <0.05). There was no significant difference between the intervention group and the control group before and after intervention (χ2 = 1.03, P = 0.3112; χ2 = 0.54, P = 0.4626). Conclusion Interventions can significantly improve the quality of service of STD clinics.