拉萨市乡村卫生人员儿童发热、腹泻综合管理的培训效果评价研究
- 王继红1, Jean Allen2, Cath Barker2
作者信息
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Study of integrated management of childhood illness training effectiveness evaluation on children's fever and diarrhea component for the township and village health staffs in Lhasa
- WANG Ji-hong1, Jean Allen2, Cath Barker2
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文章历史
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摘要
【目的】 本研究通过了解拉萨市乡村医生培训前后诊疗行为变化的程度,探讨儿童疾病综合管理(integrated management of childhood illness, IMCI)课程的设置与提供的有效性与适宜性,为今后制定拉萨市乡村医生能力建设适宜的途径提供建议。 【方法】 西藏卫生支持项目对拉萨市的258名乡村医生进行了IMCI的培训,采用问卷调查、实践技能操作的研究方法,分析学员对发热、腹泻患儿的诊断、治疗疗行为在培训前后改变的倾向与程度。 【结果】 学员们对儿童发热、腹泻诊疗的知识和技能在培训前后差异有统计学意义(P<0.05)。 【结论】 西藏卫生支持项目为拉萨市乡村医生提供的IMCI课程培训效果显著,有效地改变了拉萨市乡村医生对儿童发热、腹泻的诊疗行为,可为制定当地乡村卫生人员能力建设的方案提供依据。
Abstract
【Objective】 To look at the appropriateness and effectiveness of integrated management of childhood illness(IMCI) training course delivered in Lhasa to Village and township doctors, to give suggestions and enrich training approaches on how to continue to improve the paediatric clinica skills of rural health workers in Lhasa. 【Methods】 258 township and village doctors attened the IMCI training course provided by Tibet Health Sector Support Program (THSSP). The trainee's knowledge and practical skills on children's fever and diarrhea were compared before and after training by questionaire, practice evaluation. 【Result】 The trainee's knowledge and practice skills on children's fever and diarrhea had significant difference before and after training(P<0.05). 【Conclusions】 The THSSP supported IMCI training for rural health staffs in Lhasa grass root level are effective. The trainining approaches could be considered as one of the capacity building models for grass root health staffs in Lhasa areas.
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参考文献
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[2] 马进,蒋飞.我国乡村医生队伍素质现状分析[J].中国初级卫生保健,2003,17(8):19-21.
[3] 刘凤芝,刘海波,李雅娟.我国乡村医生基本情况调查与分析[J].中国农村卫生事业管理,2003,23(12):23-24.
[4] 世界卫生组织,儿童和青少年卫生卫生与发育,儿童疾病综合管理(IMCI).http://www.who.int/child_adolescent_health/topics/prevention_care/child/imci/zh/
[5] 刘运国,黄健.卫生人员培训管理指导手册[M].北京:中国财政经济出版社,2006:11-14.
[6] 黄健.成人教育课程开发的理论与技术[M]. 上海:上海教育出版社,2002:157.
[7] 中华人民共和国国务院令(第386号).《乡村医生从业管理条例》[S].2003.
[8] Lin Y, Tavrow P. Assessing Health Worker Performance of IMCI in Kenya[M].Quality Assurance Project(QAP) Case Study. The US Agency for International Development (USAID) by QAP: Bethesda, Maryland, USA,2000.
[9] Nidhi C, Mohanty PN, Minakshi S. Integrated Management of Childhood Illness(IMCI) Follow-up of Basic Health Workers. Society for Women and Children’s Health (SWACH), Panchkula (Haryana), India[J]. India Journal of Pediatrics, 2005,72(9/):735-740.
[10] Sae Takada, Bounleua O. The Succeses and Challenges of the IMCI Training Course in Lao PDR[J/OL]. 2007: URL: http://www.tm.mahidol.ac.th/seameo/2007_38_1/28-3725.pdf
[11] 王芝芳,郑全庆,颜红.中国西部9省市46个贫困县乡村医生调查分析[J].中国农村卫生事业管理,2002,22(06):21-23.
[12] 马婷婷.提高乡村医生培训之我见[J].安徽卫生职业技术学院学报,2007,6(6):101-104.
[13] 西藏自治区人民政府批转“十一五”时期西藏自治区卫生事业发展的通知[Z].2007,6-25.
基金
西藏卫生支持项目(007K06)
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