中国卒中杂志2017，Vol.12Issue(9)：790-793,4.DOI:10.3969/j.issn.1673-5765.2017.09.006
村医对缺血性卒中抗栓药物应用知识干预分析
The Intervention Effect Analysis on Application of Antithrombotic Drug to Ischemic Stroke for the Village Doctors
摘要
Abstract
Objective To evaluate the intervention effect on the village doctors after they have been trained about the application of antithrombotic drug to ischemic stroke and explore the effective ways to train the village doctors. Methods Self-designed questionnaire were performed upon 500 village doctors who came from twenty towns in Beiliu city to investigate their recognition of knowledge of using the antithrombotic drug. The village doctors were divided into two groups including the intervention group and the control group. The former received the training while the latter didn't. The training content included the introduction to the types, usage and adverse reaction of the antithrombotic drug and the regulatory application of the antithrombotic drug for secondary prevention. After half a year, a survey with the same questionnaires was made. Comparison between the two groups was made to know the intervention effect. Results The intervention group enrolled 257 village doctors while the control group enrolled 225 village doctors. After having been trained, the village doctors in the intervention group had a better understanding of the knowledge of antithrombotic drug. Compared to the village doctors in the control group, each index of their skills had improved remarkably. The following data could prove that knowing all the four names of antithrombotic drug (29.57％ vs 10.20％, P<0001), the knowing rate of four side effects of using antithrombotic drug (50.58％ vs 28.00％, P<0001), the knowing rate of using aspirin and clopidogrel correctly (71.60％ vs 36.00％, P<0001), the knowing rate of using antithrombotic drug immediately after stroke (68.48％ vs 29.78％, P<0001), the knowing rate of long-term application of antithrombotic drug (76.65％ vs 34.67％, P<0001), knowing to apply warfarin anticoagulation to valvular disease (69.65％ vs 25.33％, P<0001), and knowing the recurrent embolism and antiplatelet drugs (45.14％ vs 26.22％, P<0001). Conclusion The training about the knowledge of the application of antithrombotic drugs to ischemic stroke could improve the village doctors' skill of using the antithrombotic drugs effectively.关键词
缺血性卒中/抗栓药物/应用知识/村医/干预Key words
Ischemic stroke/Antithrombotic drug/Application knowledge/Village doctors/Intervention引用本文复制引用
卢运康,杨武伟,吴显儒,凌政,彭丽玲,陈斌..村医对缺血性卒中抗栓药物应用知识干预分析[J].中国卒中杂志,2017,12(9):790-793,4.基金项目
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(课题名称:村医对缺血性脑卒中二级预防抗栓药物应用现状研究) （课题名称:村医对缺血性脑卒中二级预防抗栓药物应用现状研究）
