山西省和陕西省部分贫困县基层临床肝病医师培训项目的效果分析

Evaluation of training course of hepatic disease in grass roots clinical hepatic physicians in some poverty-stricken counties in Shanxi and Shaanxi provinces

目的 了解山西省和陕西省贫困县基层临床肝病医师（学员）的肝病相关知识现状，评估培训效果，为后续干预、培训工作提供参考。方法 选取山西省和陕西省贫困县的县级医院及上一级市级医院临床肝病医师90名作为研究对象，对其进行肝病相关知识培训，分别在培训前、培训后、培训后5个月各做1次知识题测试；采用方差分析、χ^2检验，统计知识得分和正确率。结果 培训前学员的知识得分为（42.96±14.02）分，培训后重测的知识得分为（62.86±13.28）分，培训后5个月的知识得分为（59.03±17.92）分，差异均有统计学意义（P〈0.05）。理论培训后，学员对各项知识的了解程度均有所提升，提升的幅度与培训前相比差异有统计学意义（P〈0.05），培训后5个月，提升幅度的差异仍有统计学意义。结论 山西省和陕西省的贫困县基层临床肝病医师参加培训后，肝病相关知识均有所提高，并且知识可保持近半年时间。

Objective To understand the awareness of hepatic disease related knowledge among hepatic physicians in poverty-stricken counties in China, assess the effectiveness of training and provide a reference for the training in the future. Methods The training was conducted in 90 clinical hepatic physicians selected from county hospitals in poverty-stricken counties （or cities） in Shanxi and Shaanxi provinces. An examination was conducted before the training, immediately after the training and at 5th month after the training, respectively. One-way analysis of variance and χ^2 test were conducted to evaluate the score and the correct rate. Results The knowledge score was （42.96±14.02） before the training, （62.86±13.28） immediately after the training and （59.03±17.92） at 5th month after the training, and the differences were significant. After the training, the awareness of all aspects of related knowledge was improved, the difference was significant compared to knowledge score before training, and at 5th month after the training, the difference was still significant. Conclusion After the training, the awareness of liver disease related knowledge of clinical hepatic physicians in poverty-stricken counties （cities） in Shanxi and Shaanxi provinces was improved, and the improvement could be maintained for nearly half a year.