Cognitive situation of TCM "preventive treatment of disease" among community medical workers
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摘要: 目的 了解上海郊区基层医务人员"治未病"知晓率以及认知情况,总结经验与不足,并提出相应政策建议,为上海市以及其他地区中医"治未病"健康工程的实施与完善提供一定的科学支撑。 方法 利用自制问卷,在上海青浦区、宝山区等区随机选取若干社区卫生服务中心并随机选取医务人员进行调查。对调查有关数据采用百分比、χ2检验等统计描述与分析方法。 结果 社区医务人员"治未病"知晓率较高(91.3%),知晓途径主要是通过体制内途径如管理部门文件等,其次是社会其他途径,如社区宣传栏等。且大多数能够正确理解"治未病"理念(94.0%),对主要服务对象与内容也有一定程度的了解,但是仍有较多医务人员并不能够完全正确认识"治未病"服务对象与内容,普遍不清楚"治未病"服务内容不包含疾病诊治,并且相对来说通过体制内途径了解"治未病"的医务人员对"治未病"服务对象认识更为清楚。认为"治未病"服务对象包括健康者568人(73.9%)、亚健康者743人(96.6%)、患者412人(53.6%)、康复者442人(57.5%)。认为服务内容包括疾病诊治有419人(54.5%),预防保健705人(91.7%),康复养生632人(82.2%),体质辨识与调理619人(80.5%),中医药咨询/宣传568人(73.9%)。 结论 社区医务人员对中医"治未病"认知较为浅显,甚至存在认知错误的情况,加强对基层医务人员"治未病"科普教育同样十分必要。Abstract: Objective To investigate the cognitive status of TCM "preventive treatment of disease" among community medical workers,sum up experience and deficiencies,and give relative policy advice,thereby promote Shanghai and other areas to develop TCM "preventive treatment of disease" health project. Methods The self-designed questionnaire was used to carry out the survey among the random medical workers from community health centers in Shanghai Qingpu,Baoshan and other district.The percentage and Chi-square test to analyze the relevant data. Results Most (91.3%) community medical workers had known about TCM "preventive treatment of disease" ;the main ways were though health system like seminar/conference (53.2%),etc.Ninety-four percent medical workers were able to recognize the concept of "preventive treatment of disease" .However,there were still many community medical workers could not understand the main service object and content correctly.Some of them did not know the service content whether including diagnosis and treatment of diseases,and those who learned "preventive treatment of disease" through ways in health system seemed knowing the service target population relatively clearly.For "preventive treatment of disease" service target population,568 workers (73.9%) had the healthy population included,743(96.6%) workers had the sub-health population included,412(53.6%) workers had the patients included,442(57.5%) had the rehabilitee included.For service content,419 workers (54.5%) had the diagnosis and treatment of diseases included,705 workers (91.7%) had the preventive care included,632 workers (82.2%) had the rehabilitation and nourishing of life included,619 workers (80.5%) had the body physical identification and control included,568 workers (73.9%) had the TCM consulting/publicity included. Conclusion The cognitive status of community medical workers to TCM "preventive treatment of disease" is of great shortage,even mistaken.It is necessary to strengthen popular science education among community medical workers.
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