妇产科临床医师对临床基本技能掌握情况及其影响因素的调查分析

Investigation and analysis of clinical obstetrics and gynecology clinicians＇ mastery of basic skills and its influencing factors

目的调查分析妇产科临床医师对于临床基本技能的掌握程度及其影响因素，以寻找提高临床医师熟练掌握妇产科临床基本技能的可行方法。方法2015年2月至3月，采用自行设计调查问卷，以现场调查和函调方式随机对重庆市、四川、贵州、云南省等地的16所医院、共计320名妇产科临床医师进行调查，运用SPSS19．0统计软件对结果进行描述性分析和秩和检验分析。结果：有效问卷310份，33．7％（98人）认为自己妇产科基本技能掌握较差；23．1％（81人）认为自己掌握中等；43．1％（131人）认为自己掌握较好。妇产科基本技能熟练程度均与操作次数、工作年限、职称有关（P〈0．05）。基本技能学习途径来源主要为：工作医院87％（270人）、书籍82％（254人）、学术会议56％（174人）；94．6％（293）的临床医师希望参加单独技能培训。对于培训方式，临床医师更青睐于临床带教和模具训练。结论妇产科基本技能熟练程度与实际操作机会密切相关，需加强对临床医师基本技能培训的重视力度；增加其参加学术会议、进修、培训班等的机会；建立临床技能培训中心；构建区域性医学资源共享平台。

Objective To investigate and analyze clinical obstetrics and gynecology clinicians＇ mastery of basic skills, and then find the way to help clinicians master basic clinical skills. Methods A self-designed questionnaire survey was conducted among 310 clinicians working in 1-3 grade hospital from Chongqing, Sichuan, Guizhou, Yunnan provinces anonymously by spot field investigation and letter- investigations from February 1, 2015 and to March 31, 2015. The data were analyzed by descriptive analysis, using SPSS 19.0 software package for rank sum test analysis. Result Among 310 valid questionnaires, 31.6% （98） clinicians considered having inadequate clinical skills, 26% （81） average and 42.3% （131） expert. All the basic skills obtained had a relationship with the number of operations, working years and professional title. Most of the basic clinical skills were from working in hospitals 85% （270）, journal 82% （254）, academic conference 58% （174）; 94.2% （293） willing to participate in training classes like clinical teaching and training in moulds. Conclusion The gynecology and obstet- rics basic clinical skills have a great relationship with basic skills training. Providing opportunities for the basic clinical skill trainings, academic conferences, in-service education and establishing regional medical source sharing platform can enhance their clinical skills.