CAJ | 학술논문

目的：了解海军基层军医素质构成现状与规范化培训需求情况，为针对性开展基层军医规范化培训提供依据。方法选择海军某舰队基层军医为调查对象进行问卷调查，调查结果使用软件建立数据库并行统计学分析。结果海军基层军医以“医学专业操作技能”不能满足程度最高；工作能力、工作成绩、工作环境综合评分（7．97±1．55）处在中等水平；海军基层军医日常工作量较低，处置病种以上呼吸道感染、外伤和训练伤、皮肤病等为多见，心脑血管疾病、传染性疾病、消化系统疾病等规范诊治技术、海军基层部队配发仪器设备使用技能等亟待提高；71．13％海军基层军医认为非常有必要开展基层军医规范化培训，规范化培训适宜周期为1年，着重于临床分析和解决问题的能力培养（80．06％）、基本技能、动手能力的培养（67.56％）、综合知识面的拓展（56．55％）。结论海军基层军医素质能力相对薄弱，规范化培训现实需求迫切，建议科学设计其培养使用和管理机制，合理安排培训时间，优化规范化培训项目，逐步完善海军基层军医规范化培训体系建设，提高一线卫勤保障能力。
목적：료해해군기층군의소질구성현상여규범화배훈수구정황，위침대성개전기층군의규범화배훈제공의거。방법선택해군모함대기층군의위조사대상진행문권조사，조사결과사용연건건립수거고병행통계학분석。결과해군기층군의이“의학전업조작기능”불능만족정도최고；공작능력、공작성적、공작배경종합평분（7．97±1．55）처재중등수평；해군기층군의일상공작량교저，처치병충이상호흡도감염、외상화훈련상、피부병등위다견，심뇌혈관질병、전염성질병、소화계통질병등규범진치기술、해군기층부대배발의기설비사용기능등극대제고；71．13％해군기층군의인위비상유필요개전기층군의규범화배훈，규범화배훈괄의주기위1년，착중우림상분석화해결문제적능력배양（80．06％）、기본기능、동수능력적배양（67.56％）、종합지식면적탁전（56．55％）。결론해군기층군의소질능력상대박약，규범화배훈현실수구박절，건의과학설계기배양사용화관리궤제，합리안배배훈시간，우화규범화배훈항목，축보완선해군기층군의규범화배훈체계건설，제고일선위근보장능력。
Objective To identify the medical qualities and requirements for standardized training of medical officers in basic naval units , so as to provide evidence for the implementation of targeted standardized medical training in basic naval units .Methods Medical officers in the basic units of a certain fleet were chosen as research subjects and a questionnaire survey was conducted accord -ingly .The results obtained were analyzed statistically by using the statistical software .Results The scores of insufficiency for "medical manipulating skills"were the highest , comprehensive scores of work ability , work performance and work environment were moderate (7.97 ±1.55).The daily workload of medical officers in naval basic units was relatively lower and the diseases they commonly en -countered were upper respiratory tract infection , trauma, training injury and dermatosis , etc.The skills for the diagnosis and treatment of cardiovascular-cerebrovascular diseases , infectious diseases , gastrointestinal diseases , as well as manipulating skills of medical e-quipment demanded further improvement .71.13%of medical officers were in the opinion that it was absolutely necessary for them to receive standardized training , with a training duration of one year as the most desirable .Training focuses should be directed at the fol-lowing:the training of clinical analysis and solution of medical problems (80.06%), the training of basic skills and manipulating skills (67.56%) and extension of comprehensive knowledge (56.55%).Conclusion The professional qualities of navy medical officers were relatively weak, for this reason, there was an urgent requirement for them to have standardized medical training .It was recommen-ded that the mechanism of training , employment and management be developed in accordance with the practical conditions of basic u -nits, the time for training be properly arranged , standardized training subjects be optimized , and most importantly , the system for the training of medical officers in basic naval units be perfected step by step , so as to promote medical support capability of front-line units.