Kobashi Yurie, Saeki Kazato, Tsubokura Masaharu, Srou Lihorn, Prum Tiny, Kuratani Norifumi, Ishii Tomohiro, Sakisaka Kayako
Department of Anesthesia, Tokyo Metropolitan Tama Medical Center, Japan.
Foundation for International Development/Relief (FIDR), Cambodia.
J Rural Med. 2020 Apr;15(2):57-62. doi: 10.2185/jrm.2019-016. Epub 2020 Apr 1.
The surgical workforce needs to at least double by 2030. To increase the workforce, training for non-physician healthcare professionals and community health workers (CHWs) in rural areas is promising to decrease the numbers of untreated surgical patients. Nevertheless, few studies have been conducted on surgical activities of non-physician healthcare professionals and CHWs in rural Cambodia. We sought to measure the level of knowledge of surgical symptoms, and identify factors associated with it. A questionnaire survey was administered to people in rural areas of Kratie Province to determine their knowledge of surgical symptoms, and to strengthen the surgical workforce among medical staff and CHWs. To evaluate the knowledge of surgical symptoms among medical staff and CHWs, a self-reported questionnaire was administered to medical staff, CHWs, and villagers in a rural area of Kratie province, Cambodia. The rating score of the number of correct answers among medical staff, CHWs, and villagers was set as the primary outcome. A total of 91 participants, including 31 medical staff, 24 CHWs, and 36 villagers, completed the survey. The median scores for knowledge of symptoms indicative of surgery were 8 (7-8) [median (interquartile range)] in medical staff, 8 (7-8.5) in CHWs, and 8.5 (8-9) in villagers. There was no significant difference in the scores of surgical symptoms among each of the occupational groups. The group of people who recognized low subjective knowledge of surgical symptom by themselves had significantly higher objective score of knowledge of surgical symptom. Knowledge of surgical symptoms among medical staff and CHWs was inadequate. To at least double the surgical workforce by 2030 successfully, accurate evaluation and improvement of surgical symptomatic knowledge among medical staff in rural areas is crucial.
到2030年，外科医疗人员数量至少需要翻倍。为增加医疗人员数量，对农村地区非医师医疗专业人员和社区卫生工作者（CHWs）进行培训，有望减少未经治疗的外科患者数量。然而，针对柬埔寨农村地区非医师医疗专业人员和社区卫生工作者的外科手术活动的研究很少。我们试图衡量对外科症状的知晓水平，并确定与之相关的因素。在桔井省农村地区对人们进行问卷调查，以确定他们对外科症状的了解情况，并加强医务人员和社区卫生工作者中的外科医疗人员队伍。为评估医务人员和社区卫生工作者对外科症状的了解情况，在柬埔寨桔井省农村地区对医务人员、社区卫生工作者和村民进行了一份自我报告问卷的调查。将医务人员、社区卫生工作者和村民中正确答案数量的评分设定为主要结果。共有91名参与者完成了调查，其中包括31名医务人员、24名社区卫生工作者和36名村民。医务人员中表明需要手术的症状知晓情况的中位数分数为8（7 - 8）[中位数（四分位间距）]，社区卫生工作者为8（7 - 8.5），村民为8.5（8 - 9）。各职业组之间在外科症状得分上没有显著差异。那些自己认为对外科症状主观知晓程度低的人群，其外科症状客观知晓得分显著更高。医务人员和社区卫生工作者对外科症状的了解不足。要在2030年成功使外科医疗人员数量至少翻倍，准确评估和提高农村地区医务人员对外科症状的知晓情况至关重要。
