新型冠状病毒肺炎疫情下住院医师规范化培训超声科专业基地学员状况调查及培训对策

Status survey and countermeasures for trainees in standardized residency training of ultrasound professional base under the novel coronavirus pneumonia epidemic

目的:调查新型冠状病毒肺炎疫情下,住院医师规范化培训学员(住院医师)的行为及情绪,依据调查结果调整新型冠状病毒肺炎疫情期间住院医师规范化培训计划和培训方式。方法:采用"问卷星"微信小程序对超声科40名住院医师(27名超声专业、13名其他专业)进行实名制封闭式问卷调查,内容包括个人基本情况、新型冠状病毒肺炎疫情相关问题、行为改变调查、行为态度调查和情绪状况调查。对调查数据使用SPSS 19.0进行卡方检验和秩和检验。结果:有效问卷40份,参与率100.0%。24个新型冠状病毒肺炎相关问题答题正确率超声专业与其他专业住院医师,差异无统计学意义[92.0%(596/648)vs.93.6%(292/312),P>0.05]。住院医师对新型冠状病毒肺炎疫情相关知识掌握较好,主要外出行为明显减少,各种居家等行为明显增多,学习兴趣有所下降。当新型冠状病毒肺炎疫情(可能)发生在自己所处小区或村镇时,紧张、恐惧、悲观、郁闷等负面情绪明显表达出来。依据问卷调查结果调整了教学计划和方式,采用公众号进行网络授课和评价,并指导住院医师调整居家行为方式和情绪。结论:在新型冠状病毒肺炎疫情下,住院医师的行为和情绪都发生了变化,规培基地应针对性地调整规培教学计划和方式,做好疫情期间住院医师的心理和学习辅导。

Objective To investigate the behavior and emotion of trainees(residents)in the standardized residency training under the novel coronavirus pneumonia(NCP)epidemic,and adjust the training plan and mode of standardized residency training during the NCP epidemic according to the survey results.Methods A real-name closed questionnaire survey was conducted among 40 residents(27 ultrasound majors and 13 other majors)in ultrasound department using the"Questionnaire Star"WeChat applet,including basic personal information,questions related to NCP,behavioral change survey,behavioral attitude survey and emotional status survey.All the collected data were further statistically analyzed by Chi-square test and rank sum test using SPSS 19.0 Results There were forty valid questionnaires and the participation rate was 100.0%.The accuracy of 24 NCP-related questions was not significantly different between residents majoring in ultrasound and other specialties[92.0%(596/648)vs.93.6%(292/312),P>0.05].All the residents had a good understanding of NCP.The main behaviors of going out were significantly reduced,while various behaviors of being at home were significantly increased.Their interest in learning declined.When the epidemic happened(or possibly)in the community or village they lived in,their negative emotions,such as nervousness,fear pessimism and depression,were obviously expressed.Network teaching and evaluation through WeChat public number were adopted and we guided residents to adjust their home behaviors and emotions according to the survey results.Conclusion Under the NCP epidemic,the behaviors and emotions of residents had been extensively changed.The training center should adjust the teaching plan and mode of training in time,and provide more counselling service in psychology and learning for residents during the epidemic.