| 张雪文,翟敏,李宪臣,许圆.乡镇卫生院工作人员对基本公共卫生服务均等化项目认知利用及满意度调查[J].济宁医学院学报,2013,(1):49-52 |
| 乡镇卫生院工作人员对基本公共卫生服务均等化项目认知利用及满意度调查 |
| Investigation on knowledge and utilization of the equalization of basic public health services and satisfactory degree among the staffs of township hospitals |
| 投稿时间：2013-01-15 |
| DOI：10.3969/j.issn.1000-9760.2013.01.015 |
| 中文关键词: 基本公共卫生服务均等化;知晓程度;满意度;需求 |
| 英文关键词: Basic public health services;Awareness degree;Degree of satisfaction;Demand |
| 基金项目: |
| 作者 | 单位 | | 张雪文 | 济宁医学院公共卫生学院, 山东济宁 272067 | | 翟敏 | 济宁医学院公共卫生学院, 山东济宁 272067 | | 李宪臣 | 济宁医学院公共卫生学院2007级学生, 山东济宁 272067 | | 许圆 | 济宁医学院公共卫生学院2007级学生, 山东济宁 272067 |
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| 中文摘要: |
| 目的 探讨血管内皮生长因子(vascular endothelial growth factor,VEGF)、黏附分子CD44v6、基质金属蛋白酶-9(matrix metalloproteinases-9,MMP-9)在子宫内膜异位症发病机制中的作用及临床意义。方法 通过免疫组化S-P法分别对60例卵巢异位内膜、52例子宫内膜异位症在位子宫内膜和44例正常子宫内膜组织分别行VEGF、CD44v6和MMP-9的检测,并进行观察和对比。结果 VEGF、CD44v6、MMP-9在卵巢异位内膜中的表达与在位内膜组和正常内膜组比较,有明显增强(P<0.01);在位内膜与正常子宫内膜相比,VEGF在位内膜中的表达高于正常内膜中的表达,有统计学意义(P<0.01),CD44v6及MMP-9在在位内膜中的表达略高于正常内膜中的表达,但无统计学意义(P>0.05)。结论 VEGF、CD44v6、MMP-9在卵巢异位内膜中呈高表达状态,异位内膜组VEGF和CD44v6之间呈正相关(r1=0.462,χ2=42.038,P=0.000);MMP-9与CD44v6之间呈正相关(r2=0.558,χ2=70.534,P=0.000);MMP-9与VEGF呈正相关(r3=0.397,χ2=29.187,P=0.000),表明与异位内膜的高侵袭性和高血管新生能力有关,可能在EMS的发生发展中起重要作用。 |
| 英文摘要: |
| Objective To analyze the awareness degree of the equalization of basic public health services among the health-care workers and grasp their evaluation and suggestions for the development of the equalization of primary public health services in Jining city.Methods The questionnaire designed by myself was used to investigate 300 health-care workers selected by the multi-stage sampling method among 8 towns.Results 300 questionnaires were provided and 289 ones were taken back.And the coefficient of recovery is 96.3 percent.The result shows that the average score of awareness degree is 9.41 1.66.The difference was significant only among the different nature of workers.There are 45.66 percent people thought that the current services can mostly satisfy the rural residents' health needs.83.39 percent people have received training of related skills,and demands are still larger.Conclusion The awareness degree is high in primary health care institution.However,there are only few people think the services can meet the health needs.Staff configurations are unreasonable and skill training demand is larger at the same time.Increasing the service,the training of related knowledge,and constructing a reasonable staffing are necessary to promote the development of the equalization of basic public health services in Jining city.Key words:Basic public health services;Awareness degree;Degree of satisfaction;Demand |
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