全科医生安宁疗护专科规范化培训大纲的构建  

Development of training syllabus of palliative care for general practitioners

作　　者：虞莹 虞智杰 郑辉超 唐跃中 竺琼 江孙芳 祝墡珠 Yu Ying;Yu Zhijie;Zheng Huichao;Tang Yuezhong;Zhu Qiong;Jiang Sunfang;Zhu Shanzhu(Department of General Practice,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Kangjian Community Health Center of Xuhui District,Shanghai 200233,China)

机构地区：[1]复旦大学附属中山医院全科医学科,上海200032 [2]上海市徐汇区康健社区卫生服务中心,上海200233

出　　处：《中华全科医师杂志》2024年第3期258-266,共9页Chinese Journal of General Practitioners

基　　金：上海医学领学人才项目(2019LJ15);2023年徐汇区医学重点学科建设高原学科项目(SHXHZDXK202317)。

摘　　要：目的构建全科医生安宁疗护专科规范化培训的培训大纲。方法该研究为质性研究。2022年4—8月,采用德尔菲专家咨询法选取全国从事全科医学和安宁疗护工作的专家29名进行两轮函询。根据咨询结果确定全科医生安宁疗护专科规范化培训大纲。结果29名专家中男性11名(37.9%),年龄(52.9±8.9)岁,工作年限(17.0±7.2)年。两轮咨询中专家积极系数分别为100.0%(29/29)和96.6%(28/29),专家权威系数分别为0.815和0.870,所有指标重要性专家意见协调系数W分别为0.359和0.515(χ^(2)=853.95、1195.82,P<0.05)。最终构建出包含4个一级指标、19个二级指标和58个三级指标在内的全科医生安宁疗护专科规范化培训大纲。4个一级指标为培养目标、理论课程和理论知识、临床基地(综合性医院)轮转内容及要求、社区基地(社区卫生服务中心)轮转内容及要求,权重系数分别为0.251、0.251、0.250和0.248。结论该研究初步构建了全科医生安宁疗护专科规范化培训大纲,可为培养高素质的安宁疗护医疗人才提供参考。Objective To develop the training syllabus of palliative care for general practitioners.Methods Twenty-nine experts in fields of general practice and hospice care from different teaching hospitals and community health service centers were invited to participate in two rounds of Delphi consultation from April 2022 and August 2022.Based on results of Delphi consultation a preliminary training syllabus was established through data analysis,synthesis and process.Results Of the 29 experts,11(37.9%)were male with age of(52.9±8.9)years and working experience of(17.0±7.2)years.The expert activity coefficient of the two rounds of consultation was 100.0%(29/29)and 96.6%(28/29),authority coefficient was 0.815 and 0.870,and opinion coordination coefficient was 0.359 and 0.515,respectively(P<0.05).The training syllabus comprised of 4 first-grade indicators,19 second-grade indicators and 58 third-grade indicators.The weight coefficients of the 4 first-grade indicators,namely objective of training,theory courses and theoretical knowledge,clinical base rotation contents and requirements,community base rotation content and requirements,were 0.251,0.251,0.250 and 0.248,respectively.Conclusions A preliminary training syllabus of palliative care for general practitioner has been developed in this study,which provide a basis for standardized training of community palliative care.

关 键 词：全科医学 安宁疗护 培训大纲 德尔菲法 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]