CAJ | 학술논문

目的：评估上海市社区非中医类别医师中医药知识与技能培训的效果，为今后培训的调整和完善提供依据及反馈信息。方法通过对2014年嘉定区参加培训的社区医师进行调查，比较学员培训前后中医药理论和技能知识成绩，以及学员对培训的评价及影响培训的因素，评价培训效果。结果培训后中医药知识的考核成绩明显高于培训前(t 值分别为51.999、53.985，P＜0.01)。84.6%的学员认可中医药培训的必要性，95.4%喜欢培训教学形式，93.9%认可培训内容难易度，92.3%认可培训内容实用性，培训后98.5%的学员有为社区居民提供中医药服务的意愿，60.0%认为中医药培训对促进全科医疗工作“很有帮助”。学员认为培训存在的主要问题是培训时间不够(43.1%)，培训后能“熟练掌握”社区中医适宜技术的学员占10.8%、多为“基本掌握”(60.0%)。结论中医药知识与技能培训虽取得较好效果，但仍需对其进一步完善，以便今后更好地开展培训工作。
목적：평고상해시사구비중의유별의사중의약지식여기능배훈적효과，위금후배훈적조정화완선제공의거급반궤신식。방법통과대2014년가정구삼가배훈적사구의사진행조사，비교학원배훈전후중의약이론화기능지식성적，이급학원대배훈적평개급영향배훈적인소，평개배훈효과。결과배훈후중의약지식적고핵성적명현고우배훈전(t 치분별위51.999、53.985，P＜0.01)。84.6%적학원인가중의약배훈적필요성，95.4%희환배훈교학형식，93.9%인가배훈내용난역도，92.3%인가배훈내용실용성，배훈후98.5%적학원유위사구거민제공중의약복무적의원，60.0%인위중의약배훈대촉진전과의료공작“흔유방조”。학원인위배훈존재적주요문제시배훈시간불구(43.1%)，배훈후능“숙련장악”사구중의괄의기술적학원점10.8%、다위“기본장악”(60.0%)。결론중의약지식여기능배훈수취득교호효과，단잉수대기진일보완선，이편금후경호지개전배훈공작。
Objective To evaluate the effect of the traditional Chinese medicine (TCM) knowledge and skills training on non TCM community physicians in Shanghai, and provide important basis and feedback for future adjustments and training improvement.Methods The current situation of the TCM knowledge and skills training on non TCM community physicians in Shanghai was reviewed. The community physicians participated in the training courses in 2014 in Jiading district were randomly selected for investigation. The TCM theory and skills scores of all the 65 trainees were compared before and after training, a self-made questionnaire survey on assessment of training was conducted after training, and the influencing factors of training effect were analyzed. Results After training,test results of TCM theory and skills were significantly higher than before(P<0.01). According to the survey of trainees after TCM training, 84.6% thought the training was necessary,95.4% liked the teaching form, 93.9% accredited training content difficulty level,92.3% thought the training was practical, 98.5% were willing to provide Chinese medicine services for community residents, 60.0% thought training to promote the general medical work was very helpful. The existing problems were short training periods(43.1%), only 10.8% could skilled TCM appropriate technologies and 60.0% were basically master. Conclusion The TCM knowledge and skills training on non TCM community physicians in Shanghai had achieved better effect. There still were some deficiencies, which require further exploration in order to better carry out future training.