Haugh P E, Mason C, Trainor B P, Kernohan W G, Thompson K, Mollan R A
Musgrave Park Hospital, Belfast, Northern Ireland.
J Adv Nurs. 1994 Nov;20(5):815-21. doi: 10.1046/j.1365-2648.1994.20050815.x.
Congenital dislocation of the hip (CDH) affects two children per 1000, with potentially serious consequences. Student health visitors in Northern Ireland learn screening techniques for CDH at a half-day workshop at a regional hospital. In order to evaluate the adequacy of this preparation, 71 qualified health visitors were surveyed to assess their knowledge relating to CDH, their views on the adequacy of the training, and their opinions about referral of positive cases. Knowledge in some areas was poor and preparation was considered too short. Direct referrals of positive cases to orthopaedic clinics, without a general practitioner acting as an intermediary, was a frequently cited desire. Recommendations include extending the training for those involved in CDH screening while ensuring that experienced health visitors, from whom novices learn, are themselves using correct procedures.
先天性髋关节脱位（CDH）每1000名儿童中有两名患病，可能会导致严重后果。北爱尔兰的学生健康访视员在一家地区医院参加为期半天的研讨会，学习CDH的筛查技术。为了评估这种准备工作是否充分，对71名合格的健康访视员进行了调查，以评估他们关于CDH的知识、对培训充分性的看法以及对阳性病例转诊的意见。一些领域的知识掌握得较差，且认为准备时间太短。经常有人希望在没有全科医生作为中间人的情况下，将阳性病例直接转诊至骨科诊所。建议包括为参与CDH筛查的人员延长培训时间，同时确保新手学习的经验丰富的健康访视员自身采用正确的程序。
