《四川省产科分级诊疗指南(2016版)》知晓情况调查分析

Investigation and analysis on the knowledge situation of “the hierarchical diagnosis and treatment guidelines of obstetrics and gynecology in Sichuan Province (2016)”

目的了解四川省产科医务人员对《四川省产科分级诊疗指南(2016年版)》的知晓情况,为卫生行政主管部门、医疗机构作出相关决策提供参考。方法 2017年5月~2017年7月,采用随机数字表法抽取四川省21个市州的产科医务人员2147名产科医务人员作为研究对象。采用自制问卷的形式进行问卷调查,统计分析其对《四川省产科分级诊疗指南(2016年版)》和《四川省产科分级诊疗指南(2016年版)》相关知识的知晓情况。结果 2147份问卷中,有效问卷2015份,有效率93.85%。调查对象对《四川省产科分级诊疗指南(2016年版)》的知晓率为82.7%,对《四川省产科分级诊疗指南(2016年版)》相关知识的总体知晓率为75.7%。对疑难病及危重病的首诊机构、高危孕产妇转诊陪护的知晓率较低,分别为61.4%,34.8%。结论我省产科医务人员对《四川省产科分级诊疗指南(2016年版)》的知晓率较高,但未达到100%,从知晓到熟练掌握、科学应用还有一定差距。建议政府提供更多的学习机会,医院营造良好的学习氛围,进一步加强基层医务人员对《四川省产科分级诊疗指南(2016年版)》的培训学习,科学应用《四川省产科分级诊疗指南(2016年版)》,以进一步保障母婴安全。

Objective To understand the knowledge of the obstetricians in Sichuan Province about“the hierarchical diagnosis and treatment guidelines of obstetrics and gynecology in Sichuan Province(2016)”,and to provide reference for the health administrative departments,medical institutions to make relevant decisions.Methods From May 2017 to July 2017,a random digital table method was used to extract 2147 obstetricians from obstetrical medical staff in 21 cities and states of Sichuan province.The questionnaire survey was carried out in the form of self-made questionnaire,and the knowledge of“the hierarchical diagnosis and treatment guidelines of obstetrics and gynecology in Sichuan Province(2016)”and the relevant knowledge of it were statistically analyzed.Results In the 2147 questionnaires,the effective questionnaires were 2015,with an effective rate of 93.85%.The rate of awareness of the“the hierarchical diagnosis and treatment guidelines of obstetrics and gynecology in Sichuan Province(2016)”in the survey was 82.7%,and the overall awareness of the“the hierarchical diagnosis and treatment guidelines of obstetrics and gynecology in Sichuan Province(2016)”was 75.7%.The awareness rate of the first diagnosis mechanism of difficult disease and critically ill,high-risk pregnant women referral accompany was low,which were 61.4%and 34.8%respectively.Conclusion Obstetric medical staff in Sichuan province have a high awareness of the“the hierarchical diagnosis and treatment guidelines of obstetrics and gynecology in Sichuan Province(2016)”,from knowing to master and scientific application there is still a certain gap.It is suggested that the government should provide more learning opportunities.The hospital should create a good atmosphere for learning and further enhance the training of grassroots medical personnel in the“the hierarchical diagnosis and treatment guidelines of obstetrics and gynecology in Sichuan Province(2016)”,to apply the guidelines scientifically and further ensure the safety of mother and children.