广西金秀县医疗生现况调查及烧伤湿性医疗技术规范化推广应用研究.pdfVIP

目 录 中文摘要············································1 英文摘要 ············································3 引 言 ·············································6 正 文 ·············································7 第一部分 广西金秀县农村医疗卫生现况调查··········7 1 资料与方法 ··········································7 2 结果 ···············································1 1 第二部分 烧伤湿性医疗技术规范化推广应用与培训··16 1 培训 ···············································1 7 2 资料与方法···········································1 9 3 结果 ··········································2 1 4 讨论 ··········································2 2 结 论 ···············································2 9 参考文献 ··············································3 0 附 录················································ 3 1 综 述 ···············································5 1 致 谢 ···············································5 8 攻读学位期间发表的学术论文目录 ············5 9 作者声明 ··············································6 0 个人简历 ···············································6 1 - 2 - 中 文 摘 要 目 的：通过对广西金秀县医疗现况的调查研究，了解基层卫生服 务需要以及卫生服务需求者个人及社会经济负担，并以农村卫生适宜 技术——烧伤湿性医疗技术（Moist expose burn therapy ，MEBT ）在 广西基层医院的规范化推广应用情况的调查研究为例，分析农村适宜 技术推广应用的现状，并进行烧伤湿性医疗技术在基层的应用规范 化、标准化研究及适宜技术推广。 方 法：采用问卷调查的方式，由调查员统一发放。第一部分：调 查广西金秀县基层卫生服务需要以及卫生服务需求者个人及社会经 济负担。第二部分：通过规范化培训农村医务人员，并调查培训前后 烧伤湿性医疗技术的规范化推广应用情况。 结 果： 第一部分 广西金秀县农村医疗卫生需求现况调查：调查了金秀 县人民医院和金秀县瑶医院，长垌、忠良、桐木、头排4 个乡镇卫生 院及16 个村卫生室，发放1134 份调查问卷，回收有效问卷 1051 份， 问卷有效回收率92.7%。调查结果显示：经济的落后、文化程度低下 以及交通的不便严重的影响了该地区农民的就医，同时，医疗技术成 本高，病人经济负担过重，基层医院人才匮乏，乡镇医院的资金投入 不足，村卫生所严重缺编等这些因素更加重了农民就医的困难，严重 影响了该地区农民的健康状况。 第二部分 烧伤湿性医疗技术规范化推广应用调查与培训：通过 对金秀县120余名人员进行培训，取得了较大的成效，受训的120余人 员基本掌握了所推广适宜医疗技术的临床应用。在对比培训前后烧伤 湿性医疗技术需求情况后发现，接受培训后医师对该技术的认知度明 显高于培训前的认知度，P ＜0.01 ，两者差异有统计学意义，而在是 否需要学习该技术或推广应用中，培训前后差异无统计学意义（P 0.05 ，见表9 ）。在对比培训前后烧伤湿性医疗技术操作规范化调查表 后发现，培训后医生都能了解烧伤湿性医疗技术的真正含义，及时换 药，