中国全科医学Issue(27)：3339-3342,3343,5.DOI:10.3969/j.issn.1007-9572.2015.27.017
乡镇卫生院基层医务人员小儿腹泻病液体疗法相关知识了解率调查
Survey of the Knowing Rate of Relevant Knowledge of Fluid Therapy on Children With Diarrhea by Medical Staff in the Health Centers in Villages and Towns
摘要
Abstract
Objective To evaluate the knowing rate of relevant knowledge of fluid therapy on children with diarrhea by medical staff in the health centers in villages and towns and investigate its influencing factors,in order to provide references for the further formulation of training scheme. Methods From September to November 2012 , we enrolled 1 315 health centers in villages and towns and 1 480 grassroots medical staff in 14 autonomous prefectures and cities of Hunan Province that received the training of appropriate skills in pediatric emergency treatment organized by Hunan Children's Hospital. A questionnaire and a test paper about the status of health centers in villages and towns and a questionnaire about individual information were used to investigate the knowing rate of relevant knowledge of fluid therapy on children with diarrhea by medical staff in the health centers in villages and towns,and the influencing factors were explored. Results A total of 1 217(92. 5%)health centers in villages and towns submitted complete and qualified questionnaires about the status of health centers in villages and towns. In 2011,the first three common diseases with the largest prevalence in the health centers in villages and towns were pneumonia,diarrhea and upper respiratory infection;744(61. 1%)health centers in villages and towns had medical staff who had participated in relevant training about pediatric knowledge;971(79. 8%)health centers considered the training of relevant knowledge of fluid therapy on children with diarrhea is appropriate. A total of 1 267 test papers were distributed,and 1 173 papers were recollected. After the exclusion of incomplete test papers,1 095 effective test papers were returned with an effective returning rate of 86. 4%. The knowing rate of diarrhea type, the preparation of 1/2 isotonic liquid and the dosage of 25% glucose sugar in the case of dehydration complicated with hypoglycemia was more than 50. 0%. The knowing rates of other knowledge were all lower than 50. 0%. Among 1 095 grassroots medical staff,only 376(34. 3%)knew about the fluid therapy on children with diarrhea. The knowing rate of relevant knowledge of the fluid therapy varied significantly with types of job and different regions( P <0. 05 ) . Multiple conditional Logistic regression analysis showed that pediatric medical practitioners had higher(P<0. 05)knowing rate of fluid therapy on children with diarrhea than grassroots medical staff of other types of job;the grassroots medical staff in Changsha-Zhuzhou-Xiangtan city group and western Hunan Province had higher( P<0. 05 )knowing rate of fluid therapy on children with diarrhea than the grassroots medical staff in south Hunan Province. Conclusion Grassroots medical staff in the health centers in villages and towns have poor mastery of relevant knowledge of fluid therapy on children with diarrhea,and the mastery degree varies significantly from people to people. Due to a lack of professional pediatric doctors,a lack of systematic learning of diarrhea in children and the update of relevant knowledge, there is an urgent need for the training of relevant knowledge of fluid therapy on children with diarrhea.关键词
腹泻病/液体疗法/乡镇卫生院/社区卫生服务/数据收集Key words
Diarrhea/Fluid therapy/Health centers in villages and towns/Community health services/Data collection分类
医药卫生引用本文复制引用
郭蓉,罗海燕,曹建设,蔡姿丽,杨龙贵..乡镇卫生院基层医务人员小儿腹泻病液体疗法相关知识了解率调查[J].中国全科医学,2015,(27):3339-3342,3343,5.基金项目
国家科技支撑计划儿科应急救治相关技术的研究与推广应用项目（2012BAI04B003）；湖南省高层次卫生人才培养专项资金 （）
