湘西农村地区苗族留守儿童获取基本医疗服务能力及影响因素分析

发布时间：2018-01-08 21:06

本文关键词：湘西农村地区苗族留守儿童获取基本医疗服务能力及影响因素分析　出处：《重庆医学》2016年10期 　论文类型：期刊论文

【摘要】：目的调查湘西地区农村苗族留守儿童获取基本医疗服务的现状及影响因素。方法采用自制的《留守儿童获取基本医疗服务能力的调查问卷》,以便利抽样方法对MJA乡小学和MJA乡2所幼教机构的392例苗族留守儿童和101例其他民族留守儿童的监护人进行调查,采用多元线性回归模型分析湘西地区农村苗族留守儿童意外伤害救治,常见感染性疾病就医,家庭急救,计划免疫等获取基本医疗服务的影响因素。结果本次调查苗族留守儿童男202名,女190名,中位年龄8.8岁,祖父母或外祖父母抚养者占82.9%,监护人为初中以下文化程度者占88.7%,留守儿童家庭使用苗语者占66.8%,家庭留守儿童平均数量为(2.1±0.5)名;在幼教机构中的107例留守儿童获取基本医疗服务能力评分为(45.3±7.3)分,在小学调查的285例留守儿童为(66.0±9.3)分。在多因素线性回归模型中,监护人年龄、家庭交流语言、家庭留守儿童数量、留守儿童年龄、监护人受教育程度在预测留守儿童获取基本医疗服务能力评分差异有统计学意义(F=11.531,R2=0.373,P0.05)。结论家庭交流以苗语为主、监护人年龄大、受教育程度低,留守儿童年龄小、家庭留守儿童数量多、急救知识和计划免疫健康宣教知识缺乏可能影响湘西地区农村苗族留守儿童获取基本医疗服务。
[Abstract]:Objective to investigate the status and influence of the rural area of Xiangxi Miao left-behind children access to basic medical service factors. Methods a self-made "left-behind children access to basic medical service ability questionnaire", with the convenient sampling method for MJA and MJA Township 2 Township Primary School Kindergarten Miao left-behind children in 392 cases and 101 cases of other ethnic left-behind children the guardians were investigated, using multiple linear regression model to analyze the rural area of Xiangxi Miao nationality left behind children accident treatment of common infectious diseases, medical treatment, family emergency, immunization and other effects to obtain basic medical services. The results of this survey the Miao left-behind children 202 male and 190 female. The median age was 8.8 years old, or grandparents grandparents accounted for 82.9%, the guardian for the junior high school education accounted for 88.7%, left-behind children family Hmong accounted for 66.8%, the average number of left-behind children family For (2.1 + 0.5); in the preschool education institutions in 107 cases of left-behind children access to basic medical service ability score (45.3 + 7.3) points in the investigation of 285 cases of primary school left-behind children for (66 + 9.3). In the multivariate linear regression model, the guardian of age, family communication, family left behind the number of children, left-behind children age, level of education in the guardian forecast left-behind children access to basic medical service ability score difference was statistically significant (F=11.531, R2=0.373, P0.05). Conclusion the family communication in Miao language, the guardian of old age, low education level, left-behind children age, family left-behind children number, first aid knowledge and the lack of knowledge of EPI health education may affect the rural area of Xiangxi Miao left-behind children access to basic medical services.

【作者单位】：吉首大学医学院护理系;
【基金】：吉首大学校级科研项目(14JDX021) 湖南省卫生和计划生育委员科研计划课题(B2015-66)
【分类号】：R179
【正文快照】： “留守儿童”是指父母双方或一方长期流动到其他地区务工或经商,其子女留在户籍所在地,缺乏父母双方的照顾,只能与自己的父亲或母亲中的一人,或者与上辈亲人,或其他亲戚、朋友一起生活的儿童[1-2]。留守儿童正处于成长发育的关键时期,无法享受到父母的引导和照顾,极易产生行为

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