引用本文:刘 刚,王 健,王晓平,蓝志相,梁建波,胡 斌,陈富昌,刘永康,陈业强.尿路结石的规范治疗知识在广西试点基层医院培训效果评价[J].中国临床新医学,2012,5(4):297-299.
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尿路结石的规范治疗知识在广西试点基层医院培训效果评价
刘 刚,王 健,王晓平,蓝志相,梁建波,胡 斌,陈富昌,刘永康,陈业强
530021 南宁,广西壮族自治区人民医院泌尿外科(刘刚,王晓平,蓝志相,梁建波,胡斌);530022 南宁,广西医科大学(王 健,陈富昌,陈业强);530001 南宁,广西中医学院(刘永康)
摘要:
[摘要] 目的 探讨在广西基层医院推广“尿路结石治疗的规范诊疗技术”的必要性及推广效果,制定适合我区基层医院使用的尿路结石诊疗规范。方法 选择马山县为试点,对县、镇、乡村等各级医院的相关医务人员进行集中培训,并对培训前后医生的泌尿系结石诊疗水平进行考核,评估培训效果和意义。结果 前期调查发现马山县各级医院的医生对泌尿系结石的诊疗知识存在明显缺陷。经过培训,受训医生对“泌尿系结石”知识的知晓率由44.8%提高到82.3%,成绩从培训前(44.27±17.21)分提高到(80.07±5.77)分,培训后的各级医院成绩均有所提高(P<0.01),培训效果良好。结论 广西基层医院医生的尿路结石诊疗知识存在明显缺陷,急需专业培训。通过培训,受训医生尿路结石的诊疗水平得到显著提高,值得在广西各基层医院推广。
关键词:  尿路结石  规范治疗  推广  效果评价
DOI:10.3969/j.issn.1674-3806.2012.04.05
分类号:R 67
基金项目:国家科技支撑计划课题(编号:2007BIA07A-16)
Effect evaluation of knowledge training of standard treatment to urinary tract calculi in pilot basic hospital of Guangxi
LIU Gang, WANG Jian, WANG Xiao-ping, et al.
Department of Urology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Objective To establish the necessity and effectiveness of popularizing the norms on the diagnosis and treatment urinary calculi in the basic hospitals of Guangxi Zhuang Autonomous Region, and make the guideline of the diagnosis and treatment of urinary calculi which is suitable for the basic hospitals of Guangxi.Methods Mashan was selected area as a pilot project, and the level of the diagnosis and treatment to urinary tract calculi in medical staffs was evaluated before performing the effective training. The differences between pre- and post- training were compared.Results The investigation before training showed that the medical staffs of Mashan had poor knowledge of diagnosis and treatment to urinary tract calculi, especially who were in town and village hospitals. The awareness rate were 44.8% before training and 82.3% after training (χ2=170.03, P<0.01); The average score increased from (44.27±17.21)min before training to (80.07±5.77) after training (t=-19.52, P<0.01)).It showed favourable effects.Conclusion The medical staffs in basic hospitals of Guangxi region lack knowledge of diagnosis and treatment to urinary tract calculi. The significant effects were evident through effective training, which was necessary for the medical staffs and was worth widely using in basic hospital of Guangxi.
Key words:  Urinary calculi  Standard treatment  Promotion  Effort evaluation