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目的探讨对基层全科医师实施有针对性的糖尿病知识教育,以期得到提高基层医师糖尿病知识的有效措施和方法。方法采用如下培训模式:编写培训讲义、教材;给基层医师集体上课与讨论,单个指导;到基层医院现场查房。培训前后分别进行2次问卷答题评分,根据评分对培训模式的效果评价。结果 1)基层全科医生学历低,糖尿病诊治水平极低,尤其是村卫生室医生;2)培训前乡镇卫生院、社区卫生服务中心及村卫生室医生糖尿病相关知识考试成绩都很差,村卫生室医生明显低于前两组医生(P<0.05);3)经过统一模式培训后,3组医生考试成绩均较培训前提高(P<0.05),但村卫生室医生成绩仍然最差(P<0.05)。结论对基层全科医生进行系统规范的糖尿病知识培训,是提高基层医生糖尿病防治能力和防治意识的一种可行措施。
Objective To explore the implementation of targeted general practitioners diabetes knowledge education, in order to get effective measures and methods to improve diabetes knowledge of primary physicians. Methods The following training modes were adopted: training lectures and teaching materials were prepared; collective classes and discussions were given to primary-level physicians and a single guide; Before and after training were 2 times the questionnaire question score, according to the score on the effectiveness of training mode evaluation. Results 1) GPs with low education level and very low level of diagnosis and treatment of diabetes, especially doctors in village clinics; 2) Doctors in pre-training township health centers, community health centers and village clinics had poor results in diabetes related knowledge test, (P <0.05) .3) After the unified mode of training, the scores of the three groups of doctors were significantly higher than those before the training (P <0.05), but the results of the doctors in the village clinics were still the worst (P <0.05) P <0.05). Conclusion The training of grassroots general practitioners on diabetes mellitus is a feasible measure to improve the prevention and treatment of diabetes mellitus among grassroots doctors.