结核病控制与管理方面全科医生的教育需求评估

Educational Needs Assessment of General Practitioners in Tuberculosis Control and Management.

作者信息

Sohrabi Somaye, Soleiman Ekhtiari Yalda, Shakerian Sareh

机构信息

School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Tanaffos. 2019 Mar;18(3):254-261.

PMID:32411266

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7210569/

Abstract

BACKGROUND

Tuberculosis is one of the top 10 causes of mortality worldwide. It is also the leading cause of death in HIV-positive patients. In this study, we aimed to assess the educational needs of general practitioners regarding tuberculosis in the North Health Center of Tehran, Iran.

MATERIALS AND METHODS

This quantitative and qualitative study was conducted in 2017. In the quantitative phase, 31 general practitioners from the North Health Center of Tehran were included. The educational needs assessment was performed using the knowledge assessment and self-assessment scales. Data were entered in SPSS version 21 and analyzed using descriptive tests and Pearson's correlation coefficient test. In the qualitative phase, data were collected by interviewing six managers of tuberculosis monitoring program and analyzed using the content analysis method.

RESULTS

The mean score of the knowledge assessment scale was 22.8±6.4. The most and the least important educational needs were related to treatment and general information about tuberculosis, respectively. Moreover, tuberculosis treatment and general information about tuberculosis were the most and the least important educational needs in the self-assessment scale, respectively. There was a poor correlation between the mean scores of self-assessment scale and knowledge assessment scale regarding tuberculosis prevention (P=0.01, r=0.27). Also, a moderate correlation was found regarding tuberculosis screening (P=0.001, r=0.56). However, no significant correlation was found in terms of general information (P=0.31), diagnosis (P=0.43), and treatment (P=0.29) of tuberculosis. Five major themes were extracted in the qualitative phase of the study, including "training time", "educational content", "educational references", "teaching method", and "organizational factors".

CONCLUSION

An appropriate educational program should be developed for general practitioners in form of continuing education and educational reform.

摘要

背景

结核病是全球十大死因之一。它也是艾滋病毒阳性患者的主要死因。在本研究中，我们旨在评估伊朗德黑兰北部健康中心全科医生对结核病的教育需求。

材料与方法

本定量和定性研究于2017年进行。在定量阶段，纳入了德黑兰北部健康中心的31名全科医生。使用知识评估和自我评估量表进行教育需求评估。数据录入SPSS 21版并使用描述性测试和Pearson相关系数测试进行分析。在定性阶段，通过采访结核病监测项目的六位管理人员收集数据，并使用内容分析法进行分析。

结果

知识评估量表的平均得分为22.8±6.4。最重要和最不重要的教育需求分别与结核病的治疗和一般信息有关。此外，结核病治疗和结核病一般信息分别是自我评估量表中最重要和最不重要的教育需求。自我评估量表和结核病预防知识评估量表的平均得分之间相关性较差（P = 0.01，r = 0.27）。此外，在结核病筛查方面发现中度相关性（P = 0.001，r = 0.56）。然而，在结核病的一般信息（P = 0.31）、诊断（P = 0.43）和治疗（P = 0.29）方面未发现显著相关性。在研究的定性阶段提取了五个主要主题，包括“培训时间”、“教育内容”、“教育参考资料”、“教学方法”和“组织因素”。