CAJ | 학술논문

目的调查分析妇产科临床医师对于临床基本技能的掌握程度及其影响因素,以寻找提高临床医师熟练掌握妇产科临床基本技能的可行方法.方法 2015年2月至3月,采用自行设计调查问卷,以现场调查和函调方式随机对重庆市、四川、贵州、云南省等地的16所医院、共计320名妇产科临床医师进行调查,运用SPSS 19.0统计软件对结果进行描述性分析和秩和检验分析. 结果:有效问卷310份,33.7%(98人)认为自己妇产科基本技能掌握较差;23.1%(81人)认为自己掌握中等;43.1%(131人)认为自己掌握较好. 妇产科基本技能熟练程度均与操作次数、工作年限、职称有关(P<0.05). 基本技能学习途径来源主要为:工作医院87%(270人)、书籍82%(254人)、学术会议56%(174人);94.6%(293)的临床医师希望参加单独技能培训. 对于培训方式,临床医师更青睐于临床带教和模具训练. 结论妇产科基本技能熟练程度与实际操作机会密切相关,需加强对临床医师基本技能培训的重视力度;增加其参加学术会议、进修、培训班等的机会;建立临床技能培训中心;构建区域性医学资源共享平台.
목적 조사분석부산과림상의사대우림상기본기능적장악정도급기영향인소,이심조제고림상의사숙련장악부산과림상기본기능적가행방법.방법 2015년2월지3월,채용자행설계조사문권,이현장조사화함조방식수궤대중경시、사천、귀주、운남성등지적16소의원、공계320명부산과림상의사진행조사,운용SPSS 19.0통계연건대결과진행묘술성분석화질화검험분석. 결과:유효문권310빈,33.7%(98인)인위자기부산과기본기능장악교차;23.1%(81인)인위자기장악중등;43.1%(131인)인위자기장악교호. 부산과기본기능숙련정도균여조작차수、공작년한、직칭유관(P<0.05). 기본기능학습도경래원주요위:공작의원87%(270인)、서적82%(254인)、학술회의56%(174인);94.6%(293)적림상의사희망삼가단독기능배훈. 대우배훈방식,림상의사경청래우림상대교화모구훈련. 결론 부산과기본기능숙련정도여실제조작궤회밀절상관,수가강대림상의사기본기능배훈적중시력도;증가기삼가학술회의、진수、배훈반등적궤회;건립림상기능배훈중심;구건구역성의학자원공향평태.
Objective To investigate and analyze clinical obstetrics and gynecology clinicians' mastery of basic skills, and then find the way to help clinicians master basic clinical skills. Methods A self-designed questionnaire survey was conducted among 310 clinicians working in 1-3 grade hospital from Chongqing, Sichuan, Guizhou, Yunnan provinces anonymously by spot field investigation and letter-investigations from February 1, 2015 and to March 31, 2015. The data were analyzed by descriptive analysis, using SPSS 19.0 software package for rank sum test analysis. Result Among 310 valid questionnaires, 31.6% (98) clinicians considered having inadequate clinical skills, 26% (81) average and 42.3%(131) expert. All the basic skills obtained had a relationship with the number of operations, working years and professional title. Most of the basic clinical skills were from working in hospitals 85% (270), journal 82% (254), academic conference 58% (174); 94.2% (293) willing to participate in training classes like clinical teaching and training in moulds. Conclusion The gynecology and obstet-rics basic clinical skills have a great relationship with basic skills training. Providing opportunities for the basic clinical skill trainings, academic conferences, in-service education and establishing regional medical source sharing platform can enhance their clinical skills.