临床医生公共卫生素养现况调查及对医学生培养的启示  

The status of clinicians’public health literacy and its enlightenment on the cultivation of medical students

作　　者：岳国峰 柯巧[2] YUE Guo-feng;KE Qiao(Principal's Office,Nanjing Medical University,Nanjing,Jiangsu 211166,China;不详)

机构地区：[1]南京医科大学校长办公室,江苏南京211166 [2]南京医科大学研究生院,江苏南京211166

出　　处：《现代预防医学》2020年第18期3453-3456,共4页Modern Preventive Medicine

基　　金：江苏省社科基金一般项目(18JYB006)。

摘　　要：目的了解重大公共卫生事件下临床医生的职业防护现状、存在的问题及对临床医学专业培养问题的观点,为临床医学专业培养模式完善提供借鉴。方法采用问卷调查法对一家省属三甲综合医院临床医生的疾病预防控制素养、应急防护素养及对医学生培养建议情况进行调查。结果共计收回227份有效问卷。该院临床医生公共卫生素养较高,多项指标均超过90%。但公共卫生相关法律法规知识相对欠缺,仅有116人(51.10%)主动学习过传染病学、流行病学等相关知识,102人(44.93%)不了解《中华人民共和国传染病防治法》。仅有146人(64.32%)接受过突发公共卫生事件临床救治培训,只有36人(15.86%)是在学校接受到的培训,突发公共卫生事件的实践培训相对缺乏。在口罩分类、口罩差别、防护服培训、隔离服培训等应用上,去过一线的医生掌握更好(P值分别为0.004,0.013,0.039和0.005)。结论应注重临床医生的公共卫生法律法规知识普及,个人防护培训亟需重视。树立"预防-诊治"相结合培养理念,重视医学生在校期间的突发公共卫生事件应急能力训练。Objective To understand the current situation of occupational protection of practitioners under the major public health events,problems and views on the training issues of clinical medical students,and thus to provide a reference for the improvement of the training mode of clinical medical students.Methods A questionnaire survey was used to investigate the disease prevention and control literacy,emergency protection literacy of clinicians in a provincial third-class general hospital,and suggestions for training medical students.Results A total of 227 valid questionnaires were recovered.The public health literacy of practitioners in this hospital was high,with multiple indicators exceeding 90%.But they relatively lack public health laws and regulations knowledge,only 116 people(51.10%)actively studied infectious diseases,epidemiology and other related knowledge,102 people(44.93%)do not understand"Infectious Diseases Prevention Law of People’s Republic of China."Only 146 people(64.32%)received clinical treatment training for public health emergencies,only 36 people(15.86%)received training in schools which indicates the lack of practical training in public health emergencies.In the application of mask classification,mask difference,protective clothing training,and isolation clothing training,doctors who had been to the front line had a better grasp(P were 0.004,0.013,0.039,and 0.005,respectively).Conclusion Attention should be paid to the popularization of clinicians’knowledge of public health laws and regulations,and personal protection training needs urgent attention.Establish a prevention-diagnosis-and-treatment-combined training philosophy and attach importance to the training of medical students’capacity to respond to public health emergencies during school.

关 键 词：重大公共卫生事件 临床医生 公共卫生素养 医学生培养 

分 类 号：R192[医药卫生—卫生事业管理]