拉萨市乡村卫生人员儿童发热、腹泻综合管理的培训效果评价研究

Study of integrated management of childhood illness training effectiveness evaluation on children's fever and diarrhea component for the township and village health staffs in Lhasa

【目的】本研究通过了解拉萨市乡村医生培训前后诊疗行为变化的程度,探讨儿童疾病综合管理(inte-grated management of childhood illness,IMCI)课程的设置与提供的有效性与适宜性,为今后制定拉萨市乡村医生能力建设适宜的途径提供建议。【方法】西藏卫生支持项目对拉萨市的258名乡村医生进行了IMCI的培训,采用问卷调查、实践技能操作的研究方法,分析学员对发热、腹泻患儿的诊断、治疗疗行为在培训前后改变的倾向与程度。【结果】学员们对儿童发热、腹泻诊疗的知识和技能在培训前后差异有统计学意义(P<0.05)。【结论】西藏卫生支持项目为拉萨市乡村医生提供的IMCI课程培训效果显著,有效地改变了拉萨市乡村医生对儿童发热、腹泻的诊疗行为,可为制定当地乡村卫生人员能力建设的方案提供依据。

【Objective】 To look at the appropriateness and effectiveness of integrated management of childhood illness（IMCI） training course delivered in Lhasa to Village and township doctors,to give suggestions and enrich training approaches on how to continue to improve the paediatric clinica skills of rural health workers in Lhasa. 【Methods】 258 township and village doctors attened the IMCI training course provided by Tibet Health Sector Support Program（THSSP）.The trainee＇s knowledge and practical skills on children＇s fever and diarrhea were compared before and after training by questionaire,practice evaluation. 【Result】 The trainee＇s knowledge and practice skills on children＇s fever and diarrhea had significant difference before and after training（P0.05）.【Conclusions】 The THSSP supported IMCI training for rural health staffs in Lhasa grass root level are effective.The trainining approaches could be considered as one of the capacity building models for grass root health staffs in Lhasa areas.