甘肃省医疗卫生人员高血压病知识调查和培训

目的 :为了解甘肃省部分医疗卫生人员对原发性高血压 (EH)相关知识掌握程度及对培训指导结果进行分析研究。方法 :对来自甘肃省级、地市级、县级医院和乡卫生院的医生及省、地市、县、乡的疾病控制部门人员共 14 3例进行填式问卷调查。然后对调查对象进行EH相关基础和临床知识培训 ,培训结束后同样填式问卷调查。对调查结果进行统计学分析。结果 :女性得分高于男性 (P <0 .0 1) ;答题得分与从事专业、学历、医院级别不同有差异 ,从事专业得分依次为 :心内科 >内科 >预防专业 (P <0 .0 1) ;学历的得分依次为 :大学 >大专 >中专 (均P <0 .0 1) ;所在医院级别得分依次为 :省级 >地市级 >县级 >乡级 (均P <0 .0 1)。单因素分析显示性别、从事专业、学历、所在医院级别与EH知识评分相关 (P <0 .0 1)。多元线性分析提示性别、专业和医院级别对EH知识评分有独立的影响 (P <0 .0 1) ,与年龄、工作时间和学历不相关 (P >0 .0 5 )。各类观察对象培训后对EH相关知识均有显著提高 (均P <0 .0 1) ;培训后性别、从事专业、学历、所在医院级别之间评分差异均无统计学意义 (均P >0 .0 5 )。结论 :医疗卫生人员工作的环境与EH知识的掌握程度有关 ,疾病控制人员和基层医疗工作者应加强学习 ,继续医学教育应作为提高医疗卫

Survey and training on hypertensive knowledge in medical and healthcare professionals in Gansu province

Objective:To investigate hypertension related knowledge and analysis results of training on medical doctors and health care professionals in Gansu province.Method:One hundred and forty-three people were investigalted by questionnaire which was designed according Chinese hypertension guidelines in 1999. The participants came from 3 provincial hospitals, 19 city hospitals, 34 county hospitals and 5 township hospitals, as well as 1 provincial health care center, 7 city's and regional health care centers, 3 county health care station. After questionnaire, all of them accepted training about hypertension related knowledge in 46 hours of 5 days. Then they accepted questionnaire again. The data were analyzed by t test, F test, Single correlation and Multi-linear regression.Result: Females got scores much higher than males.(P< 0.01), The scores also showed difference in specialty of doctors, educational background of professionals, grades of hospitals. The increased ranks of scores were cardiovascular physicians>general physicians> healthcare professionals(P<0.01), college education>dical school education>ramedical school education(P<0.01), provincial hospitals>ty's and regional hospitals>ounty hospitals>township hospitals(P<0.01), medical doctors>althcare professionals(P<0.01).Single correlation analysis showed that scores were correlated with sex, specialty and educational background of professionals and levels of hospitals respectively(P<0.01), Multi-linear regression indicated that sex, specialty of professionals and grades of hospitals affected independently the scores of hypertension related knowledge(P< 0.01),and ages ,career time spans, educational background were no correlation with scores(P> 0.05). All of participants gained great progress on the trainings of hypertension related knowledge (P< 0.01).The scores were no any difference in sex, specialty of doctors, educational background of professionals and grades of hospitals after medical training (all P> 0.05).Conclusion:Environment factors of employment were correlated with the degree of hypertension knowledge in medical and healthcare professionals. Healthcare professionals and clinical doctors in county and township should learn further about hypertension related knowledge. Continued medical education could be a main method to improve the abilities of medical and health care professionals in the prevention and management of hypertension.