论文部分内容阅读
目的了解常见传染病发生与小学学生缺课行为间的相关性,分析小学学生因病缺课监测系统的效能,为提高学校缺课监测系统的有效性提供策略建议。方法通过多阶段抽样,采用问卷方法,以因病缺课风险为指标,对江西省农村地区的1 445名小学生家长进行学生因病缺课行为和态度调查。结果普通感冒的缺课风险为0.35,几种学校常见传染病的缺课风险约为0.7,县乡村三级学校学生因病缺课风险逐渐下降;呼吸道症状缺课风险在0.3,胃肠道症状则在0.6;所有疾病总的缺课风险为0.37;在最近三个月有疾病史的学生中,74.7%的学生缺课时间≤1d;68.0%的家长表示会认真执行学校的传染病隔离措施,只有20.1%的家长反对带病上课,61.1%的家长表示会在放学后带孩子去看病。结论学生的就医模式和家长对缺课的态度影响了学校的监测系统有效性,为提高因病缺课监测系统的效率,需要加强对家长和学生传染病知识的宣传;严格执行隔离措施;加强对带病上课学生的监测;严格界定缺课监测标准。
Objective To understand the correlation between common infectious diseases and primary school students ’absenteeism, to analyze the effectiveness of primary school students’ absenteeism monitoring system, and to provide strategies and recommendations for improving the effectiveness of the school absenteeism monitoring system. Methods Based on multistage sampling, questionnaire and the risk of absence due to illness as an indicator, 1445 primary school students in rural areas of Jiangxi Province were investigated for behaviors and attitudes due to illness and absence from school. Results The risk of absence from common cold was 0.35. The risk of absenteeism of common infectious diseases in several schools was about 0.7. The risk of school absence due to illness decreased gradually in county and village schools. The risk of absence of respiratory symptoms was 0.3. Gastrointestinal symptoms Then 0.6; the total risk of absence from all diseases was 0.37; 74.7% of the students who had a history of illness within the past three months were absent for less than 1d; 68.0% of parents said they would seriously implement the school’s communicable disease isolation measures Only 20.1% of the parents opposed the sick class and 61.1% said they would bring their children to see a doctor after school. Conclusions The students ’medical treatment mode and their parents’ absenteeism influence the effectiveness of the school’s monitoring system. To improve the efficiency of the absent school-based monitoring system, it is necessary to strengthen the publicity of the knowledge of parents and students about infectious diseases; to strictly enforce the isolation measures; to strengthen Surveillance of sick students; strict definition of absenteeism monitoring standards.