甘肃省农村西医适宜技术培训效果影响因素分析

Study on factors influencing appropriate technology training in western medicine in the countryside of Gansu province

目的评价甘肃省农村西医适宜技术的培训效果,探讨其影响因素。方法对培训对象培训前后的考试成绩进行评价分析;培训后采用问卷方式对有关培训效果进行调查。结果考试得分为培训前(31.32±1.51)分、课堂讲授后(68.06±1.39)分、互动强化后(72.13±1.43)分,成绩两两比较差异均有统计学意义(P<0.01);不同专业学员在互动强化后成绩差异有统计学意义(P<0.05)。40.25%的学员认为适宜技术很难,与其职称呈负相关(P<0.01),不同专业间差异有统计学意义(P<0.01);认为掌握适宜技术的占91.11,与其职称呈正相关(P<0.05);认为需要再培训者占70.62%,与其单位级别呈负相关(P<0.05);不同专业间差异有统计学意义(P<0.05)。结论农村西医适宜技术培训取得了一定的效果;学员背景是其影响因素,应严格选派人员标准并分层次有重点的采取多种形式进行培训。

Objective To evaluate the effects of appropriate technology training in western medicine in the countryside of Gansu province, and to find out their influencing factors. Methods Exams were carried out among the trainees before and after the trainings, and then the scores were analyzed with statistical methods. Alter the trainings, surveys on training effects were carried out with questionnaire survey. Results The scores improved from 31.32 ± 1.51 to 68.06 ± 1.39 after the lectures, and to 72.13 ± 1.43 after interaction enhancement and were positively correlated with trainees＇ professional titles（ P〈 0.01 ）. The scores among trainees with different professions had significant differences after the interaction enhancement（ P〈 0.05）. 40.25 % of trainees thought the contents of the trainings were very difficult and the attitudes among them with different professions were significantly different and negatirely corelated with their professional titles（ P 〈 0.01, ）. 91.11% of trainees agreed that they had mastered the technology（ P 〈 0.05 ） and 70.62 % thought retraining was necessary. The levels of their working place were negativelyly correlated with the attitudes to the retraining（ P 〈 0.05）. The attitudes among the trainees with different professions had significant differences（ P 〈 0.05）. Conclusion The appropriate technology trainings in western medicine in the countryside of Gansu province were proved to be effective. The background of the trainees affected the trainings, so the selective standards must be strict, and the technology should be trained step by step in various ways.