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髋关节筛查:健康访视员是否准备充分?

Hip screening: are health visitors adequately prepared?

作者信息

Trainor B, Haugh P, Kernohan G, Mollan R

出版信息

Health Visit. 1994 Sep;67(9):299-301.

PMID:7960844
Abstract

Developmental dysplasia of the hip is a crippling disorder, causing early arthritis if left undetected. In Northern Ireland health visitors routinely screen infants' hips at specific intervals up to pre-school age. The screening tests used appear simple but involve a high degree of skill in order to identify abnormality. A video study of three health visitors found that their performance was poor, but a marked improvement was noted after a period of specialised training. Bernadette Trainor et al suggest that more initial training and post-qualification update sessions are necessary to support health visitors in this role.

摘要

髋关节发育不良是一种致残性疾病,如果未被发现,会导致早期关节炎。在北爱尔兰,健康访视员会在学前阶段定期对婴儿的髋关节进行筛查。所使用的筛查测试看似简单,但要识别异常需要高度的技巧。一项对三名健康访视员的视频研究发现,他们的表现不佳,但经过一段时间的专业培训后有了显著改善。伯纳黛特·特雷纳等人认为,需要更多的初始培训和资格后更新课程,以支持健康访视员履行这一职责。

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