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新疆部分地区基层医院先天性消化道畸形适宜技术培训效果分析

Effectiveness of appropriate technology training on congenital gastrointestinal malformations for primary hospitals in parts of Xinjiang
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摘要 目的分析新疆基层医院先天性消化道畸形适宜技术培训的效果,了解基层医务人员对先天性消化道畸形的认识程度。方法2018年8月至2019年4月,新疆维吾尔自治区儿童医院在喀什地区、和田地区、博尔塔拉蒙古自治州对儿科相关科室开展先天性消化道畸形适宜技术培训,对参加培训的医务人员进行问卷调查。共发放问卷363份,回收有效问卷317份,有效回收率为87.3%。从先天性消化道畸形处理流程的认知现状、接受培训的情况、相关知识掌握度和对培训的满意度4个维度进行调查。统计学方法采用t检验和χ^2检验。结果317位调查对象中,仅有98人(30.9%)表示对先天性消化道畸形的处理流程有所了解;喀什地区、和田地区、博尔塔拉蒙古自治州3组比较,差异无统计学意义(χ^2=0.048,P>0.05)。277人(87.5%)首次参加先天性消化道畸形适宜技术培训。262人(82.7%)对培训满意;喀什地区、和田地区、博尔塔拉蒙古自治州3组学员对培训满意的比例均高于80%,3组间比较差异无统计学意义(χ^2=0.024,P>0.05)。317位调查对象培训前平均得分(62±8)分,培训后平均得分(81±12)分,培训后得分高于培训前,差异有统计学意义(t=17.483,P<0.01)。结论新疆部分地区的基层医务人员缺乏先天性消化道畸形诊治的相关知识,参加培训后业务水平有所提高,学员满意度较高,培训取得了较好的效果,值得继续推广至其他地区。 Objective To analyze the effectiveness of appropriate technology training on congenital gastrointestinal malformations for primary hospitals in parts of Xinjiang,and to investigate the degree of cognition in primary medical staff.Methods From August 2018 to April 2019,we carried out appropriate technology training on congenital gastrointestinal malformations to the departments of pediatrics in Kashgar,Khotan and Bortara Mongolia Autonomous Prefecture,then conducted a questionnaire survey to the participants.A total of 363 questionnaires were distributed,and 317 valid questionnaires were collected.The effective recovery rate was 87.3%.The cognitive status,training status,acquisition of knowledge and training satisfaction were investigated.Statistical methods were performed by t test andχ^2 test.Results Among the 317 respondents,only 98 people(30.9%)indicated that they had some knowledge about the management process of congenital gastrointestinal malformations;the ratio of Kashgar,Hotan,Boltara Mongolia Autonomous Prefecture showed no statistical difference(χ^2=0.048,P>0.05).A total of 277 people(87.5%)were for the first time trained in appropriate techniques on congenital gastrointestinal malformations.A total of 262 people(82.7%)were satisfied with the training.In Kashi,Hotan and Boltara Mongolia Autonomous Prefecture,the proportion of students that were satisfied with the training was all higher than 80%,and there was no statistical difference among the three groups(χ^2=0.024,P>0.05).The average score of the 317 respondents was(62±8)before training,but the average score was(81±12)after training.The score after training was higher than that before training(t=17.483,P<0.01).Conclusions The medical staff of primary hospitals in some areas of Xinjiang lack the relevant knowledge of diagnosis and treatment of congenital gastrointestinal malformations.After participating in the training,the professional level is improved with high satisfaction of training.The training has achieved good results and is worth of popularizing to other regions.
作者 姚海霞 周玲 和军 颜景灏 李水学 YAO Haixia;ZHOU Ling;HE Jun;YAN Jinghao;LI Shuixue(Department of Pediatric Surgery,Xinjiang Children’s Hospital,Xinjiang,Urumqi 830054,China)
出处 《发育医学电子杂志》 2020年第4期342-345,共4页 Journal of Developmental Medicine (Electronic Version)
基金 新疆维吾尔自治区卫生健康委员会适宜技术推广项目(SYTG-Y201921)。
关键词 先天性消化道畸形 基层医院 适宜技术培训 问卷调查 Congenital gastrointestinal malformations Primary hospital Appropriate technology training Questionnaire
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