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目的了解我国乡村医生癌症防治知识简短干预的效果,为进一步完善乡村医生癌症防治知识培训提供科学依据。方法在河南省淮河流域癌症综合防治项目4个区县分别随机抽取1/2的乡镇/街道,对其中全部乡村医生进行癌症防治知识培训和健康教育等简短干预,采用干预前后问卷调查的方法评估干预效果。结果干预前收回有效问卷3 826份,干预后收回有效问卷3 949份。调查发现,干预前乡村医生对胃癌的确诊方法、肝癌的常见症状等知识的知晓率相对较高,分别为85.2%和67.1%。干预后乡村医生对12项癌症防治知识的知晓率均高于干预前,其差异具有统计学意义(P<0.05)。结论癌症防治知识简短干预能够有效提高乡村医生的癌症防治水平,在今后的工作中要进一步强化针对基层医生健康教育工作的频率和力度。
Objective To understand the effect of a brief intervention in cancer prevention and treatment of rural doctors in our country and provide a scientific basis for further improving the training of rural doctors in cancer prevention and treatment. Methods A total of one-half of villages / towns were randomly selected from four districts and counties of Huaihe River Basin Comprehensive Cancer Prevention and Control Project in Henan Province, and all rural doctors were given brief trainings on cancer prevention and treatment and health education. The questionnaires were used to assess the pre- and post-intervention questionnaires Intervention effect. Results A total of 3 826 valid questionnaires were collected before intervention, and 3 949 valid questionnaires were recovered after intervention. The survey found that village doctors before the intervention of the diagnosis of gastric cancer, liver cancer common symptoms and other knowledge awareness is relatively high, respectively, 85.2% and 67.1%. After the intervention, rural doctors were more aware of 12 cancer prevention knowledge than before intervention, the difference was statistically significant (P <0.05). Conclusions A brief intervention in cancer prevention and treatment can effectively improve the level of cancer prevention and treatment of rural doctors. In the future work, we should further strengthen the frequency and intensity of health education for primary doctors.