广州医药 ›› 2017, Vol. 48 ›› Issue (5): 42-45.DOI: 10.3969/j.issn.1000-8535.2017.05.011

• 论著 • 上一篇    下一篇

基于Kirkpatrick模型的广州市社区医务人员对颈动脉狭窄防治知识和需求调查

嘉志雄, 吕建平, 曹志恺, 骆锦标, 田杏音, 朱颖洁, 黄朝阳, 李文翔   

  1. 广州市第一人民医院神经外科(广州 510180)
  • 收稿日期:2017-05-03 发布日期:2021-12-01
  • 通讯作者: 曹志恺,E-mail: gzczk86@163.com
  • 基金资助:
    广州市科技计划科普与软科学专项(201609010088)

Investigation on the knowledge and needs of carotid stenosis prevention among community health workers in Guangzhou based on Kirkpatrick model

JIA Zhixiong, LV Jianping, CAO Zhikai, LUO Jinbiao, TIAN Xingyin, ZHU Yingjie, HUANG Chaoyang, LI Wenxiang   

  1. Department of Neurosurgery, Guangzhou First People's Hospital, Guangzhou 510180, China
  • Received:2017-05-03 Published:2021-12-01

摘要: 目的 了解广州市社区医务人员对颈动脉狭窄防治知识的认知程度、认知途径及对相关健康教育的需求情况。方法 对37家社区卫生服务中心194名广州市社区医务人员进行问卷调查,分析调查结果。结果 社区医务人员中52.58%能够指出颈动脉狭窄与脑卒中的关系,但对症状性颈动脉狭窄定义、颈动脉狭窄的外科治疗方法知晓率偏低(14.95%、18.56%),97.94%能够指出颈部彩超是颈动脉狭窄最常用的筛查方法,但对彩超结果判读、干预方法指导等方面内容掌握率偏低。对颈动脉狭窄知识来源目前最主要的是用药指南和药品说明书(33.89%)认为最有效获得颈动脉狭窄知识的途径是专题继续教育培训班(26.12%)。结论 社区医务人员已经形成了脑卒中和颈动脉狭窄的基本观念,但是不能达到足够的“深度”,通过开展多种形式继续教育,增进社区医务人员对颈动脉狭窄认知的广度和深度,引导和拓宽获得知识的途径将是必要和有效的。

关键词: 颈动脉狭窄, 社区医务人员, Kirkpatrick模型

Abstract: Objective To understand the knowledge and needs of carotid stenosis prevention among community health workers in Guangzhou. Methods A Kirkpatrick model-based questionnaire survey was conducted among 194 health workers in community health service center in Guangzhou. Results 52.58% of the community medical staff could point out the relationship between carotid stenosis and stroke, but few of them could accurately point out the definition and surgical treatment of symptomatic carotid stenosis(14.95%,18.56%). 97.94% of them could pointed out that the most commonly used screening methods for cervical carotid stenosis, but most of them didn't know how to interpret the inspection result of color doppler ultrasound. Medication guide were the main knowledge source of carotid stenosis(33.89%) and post-graduate training was the most promising approach(26.12%). Conclusion Community health workers have formed the basic concept of stroke and carotid stenosis, but it was limited in extent. It is necessary to carry out various forms of continuing education to improve the level of awareness of community health workers on carotid artery stenosis.

Key words: Carotid stenosis, Community health workers, Kirkpatrick model