目的 调查分析安徽省各级结核病定点医疗机构的结核病门诊健康教育现状及需求,为提升结核病门诊健康教育能力和规范化建设提供依据。方法 调查安徽省86家各级结核病定点医疗机构结核病门诊。调查内容包括机构基本情况、健康教育环境营造、开展结核病健康教育的内容及方式、健康教育人员专业提升路径和需求等。结果 各级定点机构结核病门诊健康教育环境要素中,87.21%家机构公共区域设置结核病门诊导视,96.51%的机构结核病门诊专科标识清晰,88.37%的机构设置宣传资料架,仅16家(占18.60%)定点门诊具有多媒体健康教育设备。结核病门诊健康教育形式主要以患者面对面健康宣教(占91.86%)及电话短信随访(占84.88%)为主,通过网络、新媒体形式传播科普知识比例不足20%。健康教育人员专业提升路径需求前3位分别是加强结核病防治知识(94.19%)、健康教育方法和技能(87.21%)、人际沟通和协调能力(60.47%)。县(区)级较地(市)级机构最迫切需要结核病防治知识能力的加强(χ²=4.432,P=0.035)。结论 安徽省结核病门诊健康教育综合能力有待提升,需加强门诊健康教育环境营造,加强网络新媒体等新型健康教育形式的使用,加强医务工作者健康教育专项技能培训,以保证健康教育达到目标质量及效果。

Objective To investigate and analyze the current situation and needs of health education in tuberculosis outpatient clinics of tuberculosis designated medical institutions at all levels in Anhui Province,so as to provide basis for improving the ability of health education in tuberculosis outpatient clinics and standardized construction. Methods A total of 86 tuberculosis clinics of designated medical institutions at all levels in tuberculosis were investigated in Anhui Province.The survey included the basic situation of institutions,the creation of health education environment,the contents and methods of tuberculosis health education,and the professional improvement paths and needs of health educators. Results Among the environmental elements of health education in tuberculosis outpatient clinics in designated institutions at all levels,87.21% of institutions set up tuberculosis outpatient guidance in public areas,96.51% of institutions set up clear signs of tuberculosis outpatient specialties,88.37% of institutions set up publicity material shelves,and only 16 (18.60%) designated outpatient clinics had multimedia health education equipment.Tuberculosis outpatient health education was mainly in the form of face-to-face health education (91.86%) and telephone message follow-up (84.88%),and the proportion of science popularization knowledge spread through the Internet and new media was less than 20%.The top three requirements for professional improvement paths of health educators were to strengthen tuberculosis prevention and control knowledge (94.19%),health education methods and skills (87.21%),and interpersonal communication and coordination skills (60.47%).Conclusion with the prefecture (city) level institutions,the county (District) level institutions most urgently need to strengthen the knowledge and capacity of tuberculosis prevention and control (χ²=4.432,P=0.035). Conclusion The comprehensive ability of tuberculosis outpatient health education in Anhui province needs to be improved.It is necessary to strengthen the construction of outpatient health education environment,the use of new forms of health education such as network new media,and the special skill training of health education for medical workers,so as to ensure the quality and effect of health education.