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目的探讨基层医务人员糖尿病综合防治知识培训效果及其影响因素,为增强社区糖尿病综合防治能力及工作力度提供科学依据。方法采用问卷调查和培训考核的方法,对试点地区475名参加培训医务人员的培训效果进行评价,采用多元协方差分析筛选其影响因素。结果培训前后医务人员糖尿病防治知识得分分别为(74.3±15.6)分和(85.8±11.5)分,差异有统计学意义(t=17.89,P<0.01)。培训后,本科学历的医务人员得分高于大专学历者(P=0.011);从事慢性病防治工作4~10年的医务人员得分高于1~3年的医务人员(P<0.01)。医务人员对患者自我管理的3大任务、胰岛素注射技能和烟草控制策略等掌握不足。结论经过培训,基层医务人员糖尿病综合防治知识知晓率有很大程度的提高。提示,今后可根据医务人员的文化程度和慢性病防治工作年限有针对性的设计培训课程,以期进一步增强我国社区糖尿病综合防治能力。
Objective To explore the effects and influencing factors of knowledge-based diabetes prevention and control training for grassroots medical workers to provide scientific basis for enhancing the comprehensive prevention and treatment of diabetes in urban areas and their efforts. Methods By means of questionnaire survey and training appraisal, the training effects of 475 participating medical staffs in pilot areas were evaluated, and the influencing factors were screened by multivariate covariance analysis. Results Before and after training, the scores of knowledge of prevention and treatment of diabetes among medical staffs were (74.3 ± 15.6) and (85.8 ± 11.5) points respectively, the difference was statistically significant (t = 17.89, P <0.01). After training, medical staff with undergraduate degree scored higher than those with tertiary education (P = 0.011). Medical staff scored higher than those with 1-3 years of medical staff who had been in chronic disease prevention and control for 4 ~ 10 years (P <0.01). Medical staff on the patient’s self-management of the three major tasks, insulin injection skills and tobacco control strategies lack of mastery. Conclusion After the training, the awareness rate of knowledge of prevention and treatment of diabetes among primary medical staffs has been greatly improved. Prompted that in the future according to the degree of medical staff and chronic diseases prevention and treatment of work-oriented design of targeted training courses, with a view to further enhance our community’s ability to comprehensive prevention and treatment of diabetes.