中国医院统计2024,Vol.31Issue(4) :291-297.DOI:10.3969/j.issn.1006-5253.2024.04.011

社区医生高血压合理用药培训效果及其影响因素分析

Analysis of the effect and influencing factors of the training on rational hypertension drug administration for community doctors

杨茂林 郑永均 梁景荣 余伟昌 林海 张楠祥 谌思阳 罗浩 张晋昕 李海燕
中国医院统计2024,Vol.31Issue(4) :291-297.DOI:10.3969/j.issn.1006-5253.2024.04.011

社区医生高血压合理用药培训效果及其影响因素分析

Analysis of the effect and influencing factors of the training on rational hypertension drug administration for community doctors

杨茂林 1郑永均 2梁景荣 3余伟昌 3林海 4张楠祥 1谌思阳 1罗浩 1张晋昕 1李海燕5
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作者信息

  • 1. 中山大学公共卫生学院,510080广东广州
  • 2. 中山市三乡镇社区卫生服务中心,528400广东中山
  • 3. 中山市东凤镇社区卫生服务中心,528425广东中山
  • 4. 中山市疾病预防控制中心慢性非传染性疾病防治所,528403广东中山
  • 5. 广州市番禺区沙湾街社区卫生服务中心,511483广东广州
  • 折叠

摘要

目的 评价一项"基于用药现状设计的社区医生高血压合理用药指南培训"的培训效果,并探索影响社区医生培训效果的因素,为进一步改进和完善社区医生培训工作提供参考.方法 采用问卷调查的方法,调查参加培训社区医生的基本情况、培训前后的高血压合理用药知识水平和培训满意度.对参加培训的社区医生的基本情况和培训满意度情况进行描述性统计分析,采用Wilcoxon符号秩和检验对培训效果进行比较,并采用logistic回归分析探索培训效果的影响因素.结果 相较于培训前,培训后高血压合理用药问卷的错题数显著减少[减少题目数M(P25,P75)为6(4,9),P<0.05].学历、婚姻状况和培训前错题数是培训效果的独立影响因素(P<0.05),社区医生的既往培训机会、主观评价和专业知识掌握度与培训效果显著相关(P<0.05).结论 本次培训效果较好,大多数社区医生对本次培训非常满意,表明基于现状分析结果和参考国内相关指南量身定制的培训,能有效提升社区医生高血压相关合理用药知识水平.

Abstract

Objective To evaluate the training effect of"guidelines for rational drug use of hypertension for community doctors designed based on current drug use",and to explore the factors influencing training effects of community doctors,so as to provide reference for further improving and perfecting the training of community doctors.Methods A questionnaire survey was conducted to investigate the demographic information,knowledge level for rational hypertension drug administration before and af-ter the training and satisfaction with the community doctors participating in the training.The demographic information and satis-faction level were analyzed with descriptive statistics.The training effect analysis was conducted with Wilcoxon signed-rank test,and influencing factors for training effects were explored with logistic regression.Results Compared with that before the training,the number of wrong answers after the training was significantly reduced(M(P25,P75)as 6(4,9),P<0.05).Educational background,marital status and the number of wrong answers before the training were independent influencing factors for the train-ing effect(P<0.05).The past training opportunities,subjective evaluations,and mastery of professional knowledge of commu-nity doctors are significantly correlated with training effectiveness(P<0.05).Conclusion The effectiveness for this training was considerable,and most community doctors were satisfied with this training,which indicates that the training designed accord-ing to current medication situations and relevant domestic guidelines can effectively improve the knowledge level of community doctors about rational hypertension drug administration.

关键词

高血压/社区医生培训/合理用药

Key words

hypertension/training for community doctor/rational administration of drug

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基金项目

广东省自然科学基金(2022A1515011237)

广东省自然科学基金(2023A1515011951)

广东省医学科学技术研究基金(B2021429)

出版年

2024
中国医院统计
卫生部统计信息中心,滨州医学院

中国医院统计

影响因子:0.564
ISSN:1006-5253
参考文献量15
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