基于微信的培训对提高乡村医生结核病管理知识的效果。

The effect of WeChat-based training on improving the knowledge of tuberculosis management of rural doctors.

作者信息

Xin Henan, Zhang Haoran, Wang Dakuan, Zhang Bin, Cao Xuefang, Feng Boxuan, Quan Zhusheng, Du Ying, He Yijun, Guan Ling, Shen Fei, Liu Jianmin, Liu Zisen, Pan Shouguo, Jin Qi, Gao Lei

机构信息

NHC Key Laboratory of Systems Biology of Pathogens, Institute of Pathogen Biology, and Center for Tuberculosis Research, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.

Center for Diseases Control and Prevention of Zhongmu, Zhengzhou 451450, China.

出版信息

J Clin Tuberc Other Mycobact Dis. 2021 Aug 11;25:100266. doi: 10.1016/j.jctube.2021.100266. eCollection 2021 Dec.

DOI:10.1016/j.jctube.2021.100266

PMID:34458591

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8379341/

Abstract

BACKGROUND

In China, rural doctors played a crucial role in TB cases referral and management. The current study aimed to evaluate the effect of WeChat-based training program on improving the rural doctors' knowledge on TB management.

METHODS

A One-year WeChat-based training was conducted among registered rural doctors from Zhongmu County, located in middle China, by means of releasing original contents (in forms of text, poster, video or cartoon) through WeChat subscription account (WeChat SA) once a week. Pre-and-post-training offline tests were hold using the same self-administered questionnaire to evaluate the training effect.

RESULTS

A total of 467 rural doctor were included in the study. During the training, 60 original articles were posted through WeChat SA. With respect to the two tests, the median score increased from 50 (40.0-60.0) to 60 (53.0-70.0) (p < 0.001) after training. As compared with posters, the median readings were significantly higher for released contents in forms of text, video and cartoon (p < 0.001). Female's test performance improved better than male's. In addition, a positive relation was observed between education level and the test performance regardless of training.

CONCLUSIONS

Our results indicated that WeChat-based training improved the knowledge of rural doctors on TB management to a certain extent. It is worthy to explore more effective new media-based training methods to promote TB control in rural China.

摘要

背景

在中国，乡村医生在结核病病例转诊和管理中发挥着关键作用。本研究旨在评估基于微信的培训项目对提高乡村医生结核病管理知识的效果。

方法

对来自中国中部中牟县的注册乡村医生进行为期一年的微信培训，通过微信公众号每周发布一次原创内容（文本、海报、视频或漫画形式）。使用相同的自填式问卷进行培训前后的线下测试，以评估培训效果。

结果

共有467名乡村医生纳入研究。培训期间，通过微信公众号发布了60篇原创文章。两次测试中，培训后中位数得分从50（40.0 - 60.0）提高到60（53.0 - 70.0）（p < 0.001）。与海报相比，文本、视频和漫画形式的发布内容的中位数阅读量显著更高（p < 0.001）。女性的测试成绩提高比男性更好。此外，无论是否接受培训，教育水平与测试成绩之间均观察到正相关。