基层医疗机构中医发展现状及医务人员中医知信行调查

中华养生保健 ›› 2023, Vol. 41 ›› Issue (11): 70-73.

基层医疗机构中医发展现状及医务人员中医知信行调查

刘华¹, 谭继平^2,*, 王成¹, 鄢恋梅³, 刘羽²

1.恩施土家族苗族自治州民族医院科教部,湖北恩施,445000;
2.恩施土家族苗族自治州民族医院肛肠科,湖北恩施,445000;
3.恩施土家族苗族自治州民族医院针灸推拿科,湖北恩施,445000

出版日期:2023-06-01 发布日期:2023-05-25
通讯作者: ^*谭继平,E-mail：tanjiping2021@163.com。
作者简介:刘华（1973—）,女,土家族,籍贯：湖北省恩施土家族苗族自治州,本科,副主任护师,研究方向：老年护理、中医护理、护理教育。
基金资助:
湖北省卫生健康委员会中医药科研项目（ZY2021M062）

Investigation and analysis of TCM development status and TCM knowledge, attitude and practice of medical staff in primary medical institutions

LIU Hua¹, TAN Ji-ping^2,*, WANG Cheng¹, YAN Lian-mei³, LIU Yu²

1. Department of Science and Education, Enshi Tujia and Miao Autonomous Prefecture Ethnic Hospital, Enshi Hubei 445000, China;
2. Department of Proctology, Enshi Tujia and Miao Autonomous Prefecture Ethnic Hospital, Enshi Hubei 445000, China;
3. Department of Acupuncture and Tuina, Enshi Tujia and Miao Autonomous Prefecture Ethnic Hospital, Enshi Hubei 445000, China

Online:2023-06-01 Published:2023-05-25

摘要/Abstract

摘要： 目的了解恩施州基层医疗机构中医发展现状及医务人员中医知信行,分析其影响因素。方法采用方便抽样法,抽取恩施州乡镇卫生院及社区卫生服务中心1 842名医务人员作为调查对象,采用恩施土家族苗族自治州民族医院自行设计的医院中医发展现状、医务人员中医知信行调查表进行问卷调查。应用单因素、多因素分析方法,对中医发展现状、中医药服务认知﹑利用情况及影响因素进行分析。结果恩施地区基层医疗机构开展中医适宜技术排序前五的是针灸（1 547人,96.75%）、推拿（1 417人,88.62%）、穴位按摩（1 300人,81.30%）、拔罐（1 294人,80.93%）、中药熏蒸（1 209人,75.61%）。中医特色技术临床应用存在问题排序前三的是中医西化,未充分发挥中医特色技术优势（1 116人,69.79%）、人力资源不足（878人,54.91%）、未能较好的掌握中医基础理论知识（839人,52.28%）。医务人员中医知信行得分（65.24±14.04）分,处于中等水平,回归分析结果显示,影响医务人员中医知信行的因素有性别、年龄、专业、院领导对中医发展的重视程度及中医诊疗设备的投入力度。结论恩施地区基层医疗机构中医适宜技术发展不均衡,中医特色技术临床应用存在诸多问题,医务人员中医知信行总分处于中等水平。政府部门应加强对该地区中医诊疗服务能力的建设与投入、加强中医专业知识学习与技能培训,提升医务人员中医职业素养和从业水平,为基础医疗机构中医发展创造良好条件。

关键词: 基层医疗机构, 中医, 发展现状, 知信行

Abstract: Objective To understand the development status of traditional Chinese medicine (TCM) in primary medical institutions in Enshi Prefecture and the knowledge, attitude and practice of TCM among medical staff, and analyze its influencing factors. Methods A total of 1 842 medical staff from township hospitals and community health service centers in Enshi Prefecture were selected as the survey objects by convenient sampling method. A self-designed questionnaire was used to investigate the development status of traditional Chinese medicine in hospitals and the knowledge, attitude and practice of traditional Chinese medicine among medical staff. The development status, service cognition, utilization and influencing factors of traditional Chinese medicine were analyzed by single factor and multi-factor analysis. Results The top five rankings of TCM appropriate technologies in primary medical institutions in Enshi were acupuncture (1 547, 96.75%), massage (1 417, 88.62%), acupoint massage (1 300, 81.30%), cupping (1 294, 80.93%), and traditional Chinese medicine fumigation (1 209, 75.61%). The top three problems in the clinical application of TCM characteristic technology were Westernization of TCM, which did not give full play to the advantages of TCM characteristic technology (1 116, 69.79%), insufficient human resources (878, 54.91%), and failed to master the basic theoretical knowledge of TCM (839, 52.28%). The score of TCM knowledge, attitude and practice of medical staff (65.24±14.04) was at a medium level. The results of regression analysis showed that the factors affecting TCM knowledge, attitude and practice of medical staff were gender, age, major, hospital leadership's emphasis on the development of TCM and the investment in TCM diagnosis and treatment equipment. Conclusion The development of appropriate TCM technology is unbalanced in primary medical institutions in Enshi area, and there are many problems in the clinical application of TCM characteristic technology. The total score of TCM knowledge, attitude and practice of medical staff is at a medium level. The government should strengthen the construction and investment of TCM diagnosis and treatment service capacity in the region, strengthen the training of TCM professional knowledge and skills, improve the professional quality and working level of medical staff, and create good conditions for the development of TCM in basic medical institutions.

Key words: primary medical institutions, traditional Chinese medicine, development status, knowledge, attitude and practice

中图分类号:

R473

刘华, 谭继平, 王成, 鄢恋梅, 刘羽. 基层医疗机构中医发展现状及医务人员中医知信行调查[J]. 中华养生保健, 2023, 41(11): 70-73.

LIU Hua, TAN Ji-ping, WANG Cheng, YAN Lian-mei, LIU Yu. Investigation and analysis of TCM development status and TCM knowledge, attitude and practice of medical staff in primary medical institutions[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(11): 70-73.

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