上海市助产人员上岗培训需求调查

Investigation on the requirements of midwifery personnel for training in Shanghai city

目的:了解助产人员知识技能现状及培训需求,为优化助产培训模式提供参考。方法:对上海市55家接产医院182名接受上岗培训的助产人员采用自行设计的问卷进行调查。结果:①助产人员对产科急症识别与处理的正确率最低(68.68%),羊水栓塞的临床表现掌握欠佳(70.33%),判断胎儿监护异常的正确率为72.32%。②助产人员中84.10%为大、中专学历,61.00%为护理专业转岗。③助产人员培训需求为延长培训时间,增设人性化助产技术服务的内容。④助产人员对产程中高风险因素识别和处理技能培训需要加强。结论:为提高产科质量,急需加强助产队伍建设,规范助产人员培训。

for training, provide reference for optimize midwifery training mode. Methods： A self-designed questionnaire was used to investigate 182 midwifery personnel who received career training in 55 obstetric hospitals in Shanghai city. Results： The accurate rate of identification and treatment of obstetric emergency in midwifery personnel was the lowest （68.68%）, their understanding about clinical manifestations of amniotie fluid embolism was 70. 33%, the accurate rate of judging fetal monitoring abnormality was 72. 32%. Among the midwifery personnel, 84. 10% of them had college degree and technical secondary school degree, and 61.00% of them were transferred from nursing majority. The requirements of midwifery personnel for training included prolonging training time and adding content about humanized midwifery techniques and services. The training about identification and treatment of high risk factors during the stages of labor among the midwifery personnel needed to be enhanced. Conclusion： In order to improve obstetric quality, midwifery team construction should be strengthened, and the training of midwifery personnel should be standardized.