对上海市部分社区医护人员开展骨质疏松症规范化管理和诊疗培训效果分析.docVIP

对上海市部分社区医护人员开展骨质疏松症规范化管理和诊疗培训效果分析 　　摘要：目的了解对社区医护人员开展骨质疏松症规范化管理和诊疗培训的效果。方法2016年12月―2017年1月，采用方便抽样方法，在上海市20家社区卫生服务中心各抽取20名医护人员进行基线问卷调查。随后在各社区进行为期半年的规范化管理和诊疗培训，并于2017年5月在每家社区卫生服务中心再次采用方便抽样方法各抽取20名医护人员进行第二次问卷调查。结果经过骨质疏松规范化诊疗培训后，社区医护人员的骨质疏松预防相关知识得分由（38.53±7.42）分（总分54分）提高至（45.85±5.28）分，平均正确率提高了13.5%（P0.05）；医护人员的诊疗态度得分由培训前的（34.47±7.70）分（总分50分）提高至（41.09±5.88）分，规范化诊疗态度积极的医护人员比例提高了45.6%（P0.05）；诊疗技能得分由培训前的（2.72±1.43）分（总分6分）上升至（4.47±1.44）分，合格率提高了29.1%（P0.01）；在健康管理实施方面，得分由（69.30±14.73）分（总分95分）提高至（76.38±11.70）分，实施率提高了22.0%（P0.01）。结论骨质疏松规范化管理和诊疗培训切实有效，可提高社区医护人员的骨质疏松知识水平、诊疗态度、诊疗技能和健康管理行为，促进帮助社区居民早期预防骨质疏松症的发生。 　　关键词： 骨质疏松；医护人?T；规范化管理和诊疗中图分类号： R58文献标志码： A 　　Abstract：ObjectiveTo investigate the effect of the training of community medical staff in standard management and treatment for osteoporosis.MethodsFrom December 2016 to January 2017， by using convenient sampling techniques were recruited 20 among 400 health care workers from 20 communities in Shanghai for the baseline questionnaire survey. Then was done six months of training in standardized management and diagnosis and treatment. And in May 2017 each community once again selected 20 out of 400 workers for the second assessment questionnaire survey.ResultsAfter the standardized training of osteoporosis prevention， the scores of osteoporosis prevention knowledge in community health care workers increased from 38.53±7.42 points （total score： 54 points） to 45.85±5.28 points， the average correction rate increased by 13.5% （P0.05）. For the standardized medical treatment attitude of the medical staff， the score increased from 34.47±7.70 （total score： 50 points） to 41.09±5.88 points， and the proportion of the staffs who held positive attitude toward scandalized medical treatment was increased by 45.6% （P0.05）.In the diagnosis and treatment skills， the score rose from 2.72±1.43 （total score： 6 points） to 4.47±1.44 before training， and the qualification rate increased by 29.1% （P0.01）.In the implementation of health management， the sc