CAJ | 학술논문

目的：了解基层医务人员儿童肺炎知晓程度和培训需求。方法通过横断面调查，对1095名医务人员进行闭卷考试；采用现况调查的方法，对1217家乡镇卫生院（372家中心卫生院）派一名学员代表进行面对面调查。结果基层医务人员对儿童肺炎常见病原较熟悉，但对儿童肺炎肺部听诊最有诊断意义的临床表现知晓率较低，为53.8%，对儿童肺炎引起全身各系统病理变化的关键了解甚少，正确率仅17.3%；儿科执业医师较其他执业医师知晓程度高，差异有统计学意义（χ2=48.08，P＜0.05），不同年龄阶段、工作经验、专业技术资格、学历、地区之间知晓程度无明显差异；74.62%的被调查人员认为儿童肺炎技术培训非常适宜。结论基层医务人员儿童肺炎知晓程度欠佳，培训需求高。
목적：료해기층의무인원인동폐염지효정도화배훈수구。방법통과횡단면조사，대1095명의무인원진행폐권고시；채용현황조사적방법，대1217가향진위생원（372가중심위생원）파일명학원대표진행면대면조사。결과기층의무인원대인동폐염상견병원교숙실，단대인동폐염폐부은진최유진단의의적림상표현지효솔교저，위53.8%，대인동폐염인기전신각계통병리변화적관건료해심소，정학솔부17.3%；인과집업의사교기타집업의사지효정도고，차이유통계학의의（χ2=48.08，P＜0.05），불동년령계단、공작경험、전업기술자격、학력、지구지간지효정도무명현차이；74.62%적피조사인원인위인동폐염기술배훈비상괄의。결론기층의무인원인동폐염지효정도흠가，배훈수구고。
Objective To understand the knowing degree of children pneumonia and the analysis of training needs in primary healthcare workers. Methods Through the cross-sectional survey, 1 095 medical staffs are requested for examination, with the method of survey, 1 217 towns and townships(372 central hospitals) send a student representative to face to face investigation. Results Primary healthcare workers are familiar with the common cause of children pneumonia,but the knowing degree is low in the most diagnostic signiifcance of clinical for lung auscultation, at 53.8%, for the key of pathological changes of each body system caused by children pneumonia is poorly understood, correct only 17.3, Pediatric practitioners' knowing degree is higher than other practitioners, the difference was statistically signiifcant (χ2=48.08, P<0.05), that is no obvious difference among different ages, work experience, professional and technical qualifications, education and regions, 74.62% of people think technical training for children pneumonia is very suitable. Conclusion The knowing degree of children pneumonia in primary healthcare workers is poor, and the training needs is high.