中国云南乡村医生儿童疾病短期综合管理培训对其临床能力的评估
Evaluation of short term integrated management of childhood illness training on the clinical competency of village doctors in Yunnan, China.
作者信息
Li Xiuyun, Chongsuvivatwong Virasakdi, Sangsupawanich Pasuree, Xia Xiaoling
机构信息
Department of Pediatrics, The Second Affiliated Hospital ofKunming Medical University, Yunnan, PR China.
出版信息
J Med Assoc Thai. 2012 Jul;95(7):890-4.
OBJECTIVE
Evaluate the clinical competency in detection and management complicated pneumonia, diarrhea, and measles cases of trainees who were village doctors in Puer city of Yunnan province, China.
MATERIAL AND METHOD
One hundred fifty four village doctors working in the border areas were trainedfor 5-day Integrated Management of Childhood Illness (IMCI) training, which was adapted to World Health Organization (WHO) guidelines. Pre- and post-training assessment based on a modified WHO package was carried out.
RESULTS
Statistically significant improvements in almost allperformances were observed. However, the level of post-training achievement was still low. Correct classifications of severe pneumonia, measles, and diarrhea were found in 63.0% 54.3% and 83.5%, respectively in the post-training period
CONCLUSION
The training package needs to be further strengthened.
目的
评估中国云南省普洱市乡村医生学员在检测和管理复杂肺炎、腹泻及麻疹病例方面的临床能力。
材料与方法
对在边境地区工作的154名乡村医生进行了为期5天的儿童疾病综合管理（IMCI）培训，该培训符合世界卫生组织（WHO）的指南。基于修改后的WHO资料包进行了培训前和培训后的评估。
结果
几乎所有表现均有统计学上的显著改善。然而，培训后的成绩水平仍然较低。培训后，严重肺炎、麻疹和腹泻的正确分类分别为63.0%、54.3%和83.5%。
结论
培训资料包需要进一步加强。
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