基层医务人员儿科急诊适宜技术知识掌握程度及影响因素分析

Pediatric emergency appropriate skill awareness and its influence factors of primary healthcare workers

目的:分析基层医务人员对儿科急诊适宜技术知识的了解程度影响因素,为进一步制定儿科急诊适宜技术的培训方式和推广模式提供参考依据。方法:通过自行编制试卷调查被培训人员,采用多因素Logistics回归分析基层全科医生对急诊适宜技术掌握程度的影响因素。结果:参加本次培训1095名全科医师,7项儿科急诊适宜技术的总体得分为(27.56±5.12)分,仅有305(27.85%)名全科医生及格。经多因素Logistics回归分析发现:不同年龄段的被培训人员对儿科急诊适宜技术知识了解度不同,年龄越大及格率越低;环长株潭城市群全科医生的及格率为34.72%,高于其他地区。被培训人员对7项适宜技术了解度不同,儿童肺炎、儿童社区获得性感染抗菌药物应用、婴儿与儿童发热管理3项技术知识的掌握程度要好于其他技术。高热惊厥、儿童液体疗法、婴儿腹泻与口服补液3项儿科急诊适宜技术在不同地区被培训人员对其了解程度存在差异并有统计学意义(P<0.05)。结论:基层全科医生对儿科急诊适宜技术的理论知识的掌握有明显缺陷,不同年龄段、不同片区的全科医生对理论知识掌握程度不同。

Objectives ： To learn the status quo of the awareness of pediatric emergency appropriate skill in primary healthcare worker and give evidence on making pediatric emergency appropriate skill training guideline. Methods： Self designed questionnaire was used to interview the trainees and logistics was used to analyze the influence factors. Results： There were 1095 general practitioners attending the seven emergency appropriate skill of pediatric. The mean score of seven technologies was 27.56 ±5.12, and only 305（27.85%） general practitioners have passed the examination. The older, the pass rate was lower. It also showed that the pass rate in circumjacent area of Changsha Zhuzhou,Xiangtan was higher than other areas in the multiple factors logistics models. The awareness of children pneumonia, antimicroblal application community acquired infections in children and children fever management was better than other four appropriate skills. The awareness of febrile convulsion, fluid therapy for children, and children diarrhea with oral rehydration salts was significant statistically difference in different areas （P〈0.05）. Conclusion： The theory knowledge of pediatric emergency appropriate skills have significant flaws in general practitioners and there are also big gaps between age and areas.