甘肃省皋兰县基层医务工作者对临床实践指南的认知、态度与行为调查

Survey on Knowledge, Attitude and Behaviour regarding Clinical Practice Guidelines of Primary Healthcare Workers in Gaolan County of Gansu Province

目的了解基层医务工作者对临床实践指南的认知、态度及行为情况,探索临床实践指南在基层临床的推广、使用和监测机制。方法通过发放问卷,调查甘肃省兰州市皋兰县7所乡镇卫生院医务人员对临床实践指南的认知、态度与行为。结果共发放调查问卷143份,收回问卷143份。关于指南认知方面,80%的被调查者听说过临床实践指南,51%的人使用过治疗领域的指南,32%的人获取临床实践指南最主要的渠道为单位发放。关于指南态度方面,国内自主开发的指南最受被调查者信赖,37%的人认为获取途径困难是影响临床实践指南推广最主要的因素。关于指南行为方面,74%的人没有接受过有关临床实践指南的培训,88%的人期望专门组织传播指南并进行相关培训。结论基层医务人员对临床实践指南的知晓率、重视程度和使用程度均较低,临床实践指南在基层推广应用最大障碍是获取途径困难,基层需要加强对临床实践指南的推广、学习和培训。

Objective To investigate primary healthcare workers＇ knowledge, attitude and behaviour, and explore the way of guidelines＇ popularization, application and surveillance mechanism in primary healthcare institutions. Methods Healthcare workers in seven township hospitals in Gaolan county, Gansu province were given a questionnaire to test their knowledge, attitudes and behaviour regarding Clinical practice guidelines. Results Among the 143 distributed questionnaires, 143 valid were retrieved. The results showed that 80% of respondents knew the guidelines and 51% had used guidelines in treatment, 32% obtained guidelines mainly through distribution by affiliations. The most popular type of guidelines was self-developed by native departments. Respondents （37%） considered difficult availability of guidelines major barriers to popularization, 74% failed to receive training about guidelines, 88% looked forward to special organizations in charge of disseminating guidelines and conducting related training on how to apply guidelines. Conclusion Primary healthcare workers report low awareness of, attention to and compliance with clinical practice guidelines. The greatest challenge for guidelines＇ popularization in township hospitals is difficult availability and it is of vital importance for primary institutions to enhance guidelines＇ implementation and strengthen learning and conduct training.