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董文兰, 姜莹莹, 张惺惺, 毛凡, 董建群. 基层人员糖尿病患者自我管理培训效果分析[J]. 中国公共卫生, 2015, 31(10): 1334-1338. DOI: 10.11847/zgggws2015-31-10-28
引用本文: 董文兰, 姜莹莹, 张惺惺, 毛凡, 董建群. 基层人员糖尿病患者自我管理培训效果分析[J]. 中国公共卫生, 2015, 31(10): 1334-1338. DOI: 10.11847/zgggws2015-31-10-28
DONG Wen-lan, JIANG Ying-ying, ZHANG Xing-xing.et al, . Effects of training on self-management of diabetic patients among professionals from public health and medical institutions at district or county level[J]. Chinese Journal of Public Health, 2015, 31(10): 1334-1338. DOI: 10.11847/zgggws2015-31-10-28
Citation: DONG Wen-lan, JIANG Ying-ying, ZHANG Xing-xing.et al, . Effects of training on self-management of diabetic patients among professionals from public health and medical institutions at district or county level[J]. Chinese Journal of Public Health, 2015, 31(10): 1334-1338. DOI: 10.11847/zgggws2015-31-10-28

基层人员糖尿病患者自我管理培训效果分析

Effects of training on self-management of diabetic patients among professionals from public health and medical institutions at district or county level

  • 摘要: 目的为提高基层医疗卫生机构人员糖尿病患者自我管理服务水平, 为开展基层糖尿病患者自我管理活动提供依据。方法采用调查问卷和测试题相结合的方法, 对648名参加北京、上海、重庆、浙江、江苏、广东6个项目省组织为期2 d培训的基层医疗卫生机构人员糖尿病患者自我管理培训班的学员进行培训前后的调查与测试。结果与培训前总得分的(59.4±15.9)分比较, 培训后总得分提高至(79.3±14.3)分, 差异有统计学意义(t=29.00,P<0.05);培训后84.0%(21/25)的条目正确回答率均高于培训前(P<0.05);98.5%的学员认为培训对开展辖区内糖尿病患者自我管理小组活动有帮助;培训后总得分提高值的影响因素有培训前得分、省份、工作单位、所在辖区是否开展自我管理小组活动。结论可以通过短期培训提高基层医疗卫生机构人员糖尿病患者自我管理的相关知识、态度和技能。

     

    Abstract: ObjectiveTo evaluate the effects of training on diabetic patient self-management among professionals in grass-roots centers for disease control and prevention(CDCs) and community health centers and to provide references for promoting community-centered diabetic patient self-management programs.MethodsA two-day training course focusing on diabetic patient self-management was delivered to 648 medical professionals from CDCs,community health centers,and general hospitals at district or county levels in Beijing,Shanghai,and Chongqing municipality and Zhejiang,Jiangsu,and Guangdong province.The efficacy of the training was evaluated pre/post the training course with questionnaire surveys.ResultsThere was a statistically significant increase in the score of diabetic patient self-management related knowledge(59.4±15.9 vs.79.3±14.3;t=29.00,P<0.05).In total 25 questions,The rate of correct answers to 21 of 25 questions increased after the training(P<0.05).Of all participants,98.5% considered the training being benefit to their professional work.The influential factors for the improved overall score of diabetes self-management after the training included the score before the training (=-0.669, P<0.01),location of the professionals'institutionsBingjing=-3.005, P<0.05;Shanghai=13.198, P<0.01;Zhejiang=17.944, P<0.01;Jiangsu=19.485, P<0.01;Guangdong =-3.817, P<0.01),type of the professionals' institution(general hospital=-3.014, P>0.05;CDCs=3.117, P<0.01),and the implementation status of diabetic patient self-management progam (not implemented=1.631, P<0.01).ConclusionThe knowledge,attitude and skills for diabetic patient self-management was improved after the short-term training among professionals from CDCs,community health centers and general hospitals at district or county level.

     

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