社区传染性疾病技能培训会议问卷调查分析
Questionnaire analysis of The Community Infectious Diseases Skills Training Conference
目的 1.了解基层医务工作者社区传染病的诊治能力，分析存在的问题和薄弱方面，有针对性地设计及开展传染病相关系列培训，提高基层传染病防控能力。2.在新冠肺炎防控常态化下，评价线上医学继续教育效果，为今后如何更好地开展社区传染病的医学继续教育提供参考。 方法 通过由香港大学深圳医院全科医学科在2021年11月举办的国家级社区传染性疾病继续教育会议，向参会者发放传染病知识调查问卷，通过收集问卷后分析参会者包括：对社区传染病相关知识的了解程度、所在社康传染病防控情况及未来更希望参与哪些方面的培训。同时通过会议前后调查问卷对比情况，评价通过线上参会的培训效果。会前共有301名基层医务工作者完成调查问卷，会前及会后均完成调查问卷共有194名。 结果 所有调查者中工作后参加过社区传染病培训的有166人（55.1%），而参加过社区传染病培训的参会者中在评价自己传染病诊治能力的回答表示满意的有49人（29.5%），表示一般的有99人（59.6%），表示不满意的有11人（6.6%）。参加过社区传染病培训的人中愿意管理社区传染病有143人（86.1%）表示愿意。自我评价和是否接受培训是影响管理社区传染病意愿的因素，反而性别、职称、工作年限、专业知识得分及对乙肝的态度均无影响。会前及会后均完成问卷的参会者中，会前对于强制管理的法定传染病回答正确率最高为89.2%。而对新冠病毒感染消毒类型的正确率最低仅有16.9%。其它题目的正确率为33.8%-64.6%。其题目会后正确率均高于会前，正确率为48.7%-70.2%。对乙肝的态度方面，总分的平均差异为66.38 ± 12.11（95%CI：37.73-95.00），平均分的平均差异为0.3421±0.0624（95%CI：0.1946-0.4897），p=0.0009，认为参会者会后对乙肝的态度比会前更加积极。会后反馈方面，表示满意的有254人（96%）。其中对线上会议的建议方面，179人（68.5%）和174人（66.6%）认为网络流畅度和线上互动程度需要提高。 结论 基层医务工作者接受的社区传染病培训较少，通过传染病培训能提高基层医务工作者的自我能力的肯定及积极管理社区传染病的态度，同时也能提高其诊治能力。今后医学继续教育的方向应着重对新发传染病、新医学概念的培训。
Objectives 1. To comprehend the ability of Shenzhen primary healthcare providers to diagnose and treat community infectious diseases, and hence to analyse their existing problems and shortcomings as a whole. A series of intensive training related to infectious diseases will be designed and implemented for improving the capacity of infectious disease prevention and control on a primary healthcare level. 2. To evaluate the effectiveness of online continuing medical education in light of the ongoing normalisation of preventing and controlling COVID-19. This study shall provide a direction for how to better carry out continuing medical education in the future. Methods During the National Community Continuing Education Conference on Community Infectious Diseases held by the Family Medicine Department at The Univeristy of Hong Kong-Shenzhen Hospital in November 2021, questionnaires on the knowledge of infectious diseases were distributed to participants. Their responses from these questionaires were analysed from perspectives including: their knowledge level of community infectious diseases; the situation of preventing and controlling community infectious diseases in their respective communities; and what kinds of training they would like to participate in in the future. At the same time, the effectiveness of participating in online trainings is evaluated by conducting surveys through questionnaires before and after the training takes place. A total of 301 primary healthcare providers completed the questionnaire before the training, and a total of 194 completed questionnaires were received before and after the conference. Results Among all respondants, 166 (55.1%) had participated in community infectious disease training. 49 (29.5%) of them were satisfied with their ability to diagnose and treat infectious diseases, while 99 (59.6%) regarded their ability as average, and 11 (6.6%) were dissatisfied. In response to the question of whether they would be willing to help manage infectious diseases in the community, 143 (86.1 %) of those who had attended the training indicated their willingness. Self-evaluation and the willingness to participate in community infectious trainings are crucial factors that affect the readiness to help manage infectious diseases in the community, while gender, occupational title, years of service, knowledge level, and the attitude towards hepatitis-B have little to no effect. Among the participants who completed the questionnaire before and after the conference, the correct rate before the conference, regarding the knowledge of mandatory statutory infectious diseases, attains 89.2% at its highest. For types of disinfecting COVID-19 virus, the correct rate is only 16.9%. The correct rate of other topics falls between 33.8%-64.6%. The correct rate of the remaining questions after the conference is higher than that before the conference, given the correct rate falls from 48.7% to 70.2%. In terms of attitudes towards hepatitis-B, the average difference in total scores is 66.38 12.11 (95% CI: 37.73-95.00), and the average difference in average scores was 0.34210.0624 (95% CI: 0.1946-0.4897), and the average difference in average scores was 0.34210.0624 (95% CI: 0.1946-0.4897), p=0.0009. It is believed that the participants' attitude towards hepatitis-B after the conference was more positive than that before the conference. In terms of post-conference feedback, 254 (96%) respondents expressed satisfaction. When evaluating the online mode of the conference, 179 (68.5%) and 174 (66.6%) of the respondents believe, respectively, that network stability and forms of online interaction need to be improved. Conclusion The primary healthcare providers in Shenzhen receive inadequate training on handling community infectious diseases. By receiving such training, they can be more confident and more willing to actively engage in the management of community infectious diseases, and thus also improve their capability to diagnose and treat these diseases. Looking ahead, the continuing medical education in the future should focus on the facilitation of medical training regarding how to manage newly discovered infectious diseases and new medical concepts.
黄志威、向宇凌、程丹丹、吴疆、张达豪、颜伟卉、林城标
预防医学医药卫生理论
社区传染病诊治能力基层医务人员线上医学继续教育
黄志威,向宇凌,程丹丹,吴疆,张达豪,颜伟卉,林城标.社区传染性疾病技能培训会议问卷调查分析[EB/OL].(2022-11-16)[2025-08-02].https://chinaxiv.org/abs/202211.00237.点此复制
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