基于前涉因素理论的山东省乡村医生培训效果影响因素研究

Influencing factors for rural doctors＇ training effect in Shandong province based on pre-intervention theory

目的分析乡村医生培训效果影响因素，为完善乡村医生培训工作提供对策建议。方法在开展乡村医生培训调查的基础上，应用前涉因素理论，从注意性告知、元认知策略、先行组织者、目标导向、预置信息5个维度，探寻乡村医生培训效果影响因素。结果乡村医生培训效果较好组占73．2％。单因素分析中，不同年龄、性别、工作年限以及前涉因素各条目的培训效果比较，差异有统计学意义（P〈0．05）；logistic回归分析显示，元认知策略中“积极性高”，目标导向中“目标明确”，先行组织者中“分层分类培训”，预置信息中“所学实用”，以及年龄等变量，对培训效果有影响。结论提升培训人员的积极性、树立正确的培训目标、注重培训内容的实用性和培训对象的针对性，是完善培训工作的重要方向。

Objective To identify the influencing factors for rural doctors＇ training effect, and suggest on the improvement of such training. Methods On the basis of rural doctors＇ survey,the theory of pre-intervention was used to probe into the influencing factors for such training in five dimensions of attention notice, mega-cognitive strategies, advance organizer, goal orientation, and preparatory information. Results 73.2% of the groups were found with satisfying effect. In the single factor analysis, comparison of training effect involving such factors as age, gender, length of work life and pre-intervention revealed statistical significance（ P 〈0. 05 ）. As shown in the logistic regression analysis,＂ High motivation＂ in meta-cognitive strategies,＂ Clear goals＂ in goal orientation,＂ Tiered and categorized training＂ in advance organizers, and ＂Practical learning＂ in preparatory information, as well as variants like age would influence rural doctors＇ training effect significantly. Conclusions The key to better training effect lies in better motivation of the trainee, setting correct training goals, emphasis on the practicability of training contents and, the pertinence of the training objects.