尿路结石的规范治疗知识在广西试点基层医院培训效果评价

Effect evaluation of knowledge training of standard treatment to urinary tract calculi in pilot basic hospital of Guangxi

目的探讨在广西基层医院推广"尿路结石治疗的规范诊疗技术"的必要性及推广效果,制定适合我区基层医院使用的尿路结石诊疗规范。方法选择马山县为试点,对县、镇、乡村等各级医院的相关医务人员进行集中培训,并对培训前后医生的泌尿系结石诊疗水平进行考核,评估培训效果和意义。结果前期调查发现马山县各级医院的医生对泌尿系结石的诊疗知识存在明显缺陷。经过培训,受训医生对"泌尿系结石"知识的知晓率由44.8%提高到82.3%,成绩从培训前(44.27±17.21)分提高到(80.07±5.77)分,培训后的各级医院成绩均有所提高(P<0.01),培训效果良好。结论广西基层医院医生的尿路结石诊疗知识存在明显缺陷,急需专业培训。通过培训,受训医生尿路结石的诊疗水平得到显著提高,值得在广西各基层医院推广。

Objective To establish the necessity and effectiveness of popularizing the norms on the diagnosis and treatment urinary calculi in the basic hospitals of Guangxi Zhuang Autonomous Region, and make the guideline of the diagnosis and treatment of urinary calculi which is suitable for the basic hospitals of Guangxi. Methods Mashan was selected area as a pilot project, and the level of the diagnosis and treatment to urinary tract calculi in medical staffs was evaluated before performing the effective training. The differences between pre- and post- training were compared. Results The investigation before training showed that the medical staffs of Mashan had poor knowledge of diagnosis and treatment to urinary tract calculi, especially who were in town and village hospitals. The awareness rate were 44. 8% before training and 82. 3% after training （X2 = 170. 03, P 〈 0. 01 ） ; The average score increased from （44. 27 ± 17.21 ） rain before training to （80.07 ± 5.77） after training （ t = - 19.52, P 〈0.01 ） ）. It showed favourable effects. Conclusion The medical staffs in basic hospitals of Guangxi region lack knowledge of diagnosis and treatment to urinary tract calculi. The significant effects were evident through effective training, which was necessary for the medical staffs and was worth widely using in basic hospital of Guangxi.