北京市全科医师骨干暨转岗全科医生培训学员对高血压相关知识的掌握与培训现状调查

摘要

采取自填问卷方法对2012年67名参加北京市全科医师骨干暨转岗全科医生培训（全科骨干暨转岗培训）的学员进行调查，以了解其高血压相关知识的掌握与培训现状。结果显示，被调查者对高血压基础知识与技能、生活方式干预、药物治疗、健康管理4个模块题目回答的正确率分别为42.3％（340/804）、48.0％（225/469）、28.7％（96/335）、70.6％（473/670），平均49.8％（1134/2278）。城市学员总成绩优于郊区学员（P＜0.01）。约1/3的学员表示受训期间所参加的3项主要教学活动未包含高血压内容。高血压指南以2009年基层版的培训率为最高，仅达33.9％（21/62）。北京市全科骨干暨转岗培训医生高血压防治管理知识水平较低，培训现状有待改进，建议加强“三基”训练和循证医学能力的培养，并为郊区来源的学员创造更加便利的学习条件。%A survey was conducted on a sample of 67 general practitioners ( GPs ) receiving in-service training in Beijing in 2012.Hypertension knowledge mastering and training status were investigated through a self-administered questionnaire .Results showed that the accuracy rates of the 4 domainitems (basic knowledge and skill, lifestyle modification, drug therapy, health management ) were 42.3%(340/804), 48.0%(225/469), 27.8%(96/335) and 70.6%(473/670), respectively with an overall accuracy rate of 49.8%(1 134/2 278).Trainees from urban scored higher than those from rural areas (P<0.01).About one third of trainees indicated that the 3 main teaching sessions they took part in did not cover the content of hypertension management .The hypertension guideline ( primary care version 2009) was most frequently used for training GPs , but only 33.9%(21/62) accessed such training .The results indicate that hypertension knowledge level seems to be generally low among GPs on in-service training in Beijing and the current training situation need to be further improved , particularly for those from rural areas .