乡村社区发展工作者在社区诊断失明方面发挥着非凡作用。
An extraordinary role for village community development workers in diagnosing blindness in the community.
作者信息
Masanganise R, Nhindiri P, Tota C, Masanganise L
机构信息
University of Zimbabwe Medical School, Department of Surgery, Harare, Zimbabwe.
出版信息
Cent Afr J Med. 1998 Jun;44(6):152-4.
OBJECTIVE
To determine the reliability of village community development workers in screening for blindness in the community and to suggest an extraordinary role for these cadres.
DESIGN
Diagnostic study.
SETTING
Chivi District, Zimbabwe.
SUBJECTS
A simple random sample of 148 out of 886 people selected from notification forms.
MAIN OUTCOME MEASURE
Sensitivity, specificity and predictive values.
RESULTS
The screening method employed was found to have a sensitivity of 93% (95% CI), specificity of 32% (95% CI) and a predictive value for a positive result of 75%.
CONCLUSION
The use of village community development workers to screen for blindness in the community has proved to be a reliable alternative when there is shortage of both ophthalmic trained personnel and funds.
目的
确定乡村社区发展工作者在社区中筛查失明情况的可靠性，并为这些干部提出一项特殊作用。
设计
诊断性研究。
地点
津巴布韦奇维区。
研究对象
从通知表格中选取的886人中随机抽取的148人组成的简单随机样本。
主要观察指标
敏感性、特异性和预测值。
结果
所采用的筛查方法敏感性为93%（95%置信区间），特异性为32%（95%置信区间），阳性结果预测值为75%。
结论
事实证明，在眼科专业人员和资金短缺的情况下，利用乡村社区发展工作者在社区中筛查失明情况是一种可靠的替代方法。
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