5年无张力疝修补国家级继续教育培训班培训情况分析

Analysis on the Training Situation of the National Continuing Medical Education of Tension-free Hernia Repair in 5 Years

目的探讨无张力疝修补国家级继续教育培训班培训效果和存在的问题。方法收集我院2009年和2011—2014年共5次承办的无张力疝修补国家级继续教育培训班培训信息。在每次培训班期间均进行了问卷调查。调查学员的学历、职称、年龄、性别、工作年限、从事专业、开展无张力疝修补情况、对指南的应用情况等。结果 5年无张力疝修补培训班累计学员1 437人次,平均年龄为(37.4±5.8)岁,71.3%为男性学员。在开展无张力疝修补学员占总的培训学员的百分比呈逐年上升趋势,从2009年的22%到2014年的65%(P<0.001)。对开展无张力疝修补的的学员开展的无张力疝修补手术方式进行调查,其中开展李金斯坦修补有546人次(83.1%),能够进行腹膜前疝修补的学员有231人次(35.2%),有105人次(16.0%)可开展腔镜下疝修补术。结论无张力疝修补国家级继续医学教育培训班培训效果良好,在针对不同术式的规范化培训仍需进一步加强,以满足病人的个体化需求。

Objective To investigate and analyze the status of continuing medical education about tension-flee hernia repair. Methods Since 2009, and from 2011 to 2014, training information had been collected prospectively in our hospital for 5 times. A questionnaire survey was conducted during each training session. Educational background, professional ranks and titles, age, gender, length of career, speciality, the situation of carrying out tension-flee hernia repair and the application of the guidelines were recorded. Results The total number of trainees was 1 437 with a median age of （37.4 ± 5.8）, and 71.3% of trainees were male. Among total trainees, the percentage of trainees conducting tension-flee hernia repair was increasing from 22% in 2009 to 65% in 2014 （P〈0.001）. Tension-flee hernia repair of the students to carry out the operation to carry out without tension hernia repair were investigated, including the Lichtenstein repair of 546 people （83.1%）, capable of preperitoneal hernia repair students 231 people （35.2%）, 105 people （16.0%） can carry out laparoscopic hernia repair. Conclusion The training effectiveness of continuing medical education of tension-free hernia repair is good. Standardized training in different types of operations still need to be further strengthened, in order to meet the individual needs of patients.