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目的分析湖南省2014-2015年国家级宫颈病变防治进修基地培训成效,探讨宫颈癌项目面向基层的有效培训模式。方法基地将参加培训学员分为3组:宫颈病变诊治组、宫颈细胞学组、宫颈病变病理组,进行理论、见习与实习相结合的15 d专题培训。对基地培训学员所在医疗保健机构构成情况,各组学员培训前后培训成绩、及格率、优秀率等进行统计分析。结果基地培训学员以来源于县级医疗保健机构为主,在培训的194人中,占85.57%。3组培训学员出班考试成绩高于入班考试成绩,出班考试及格率高于入班考试,差异有统计学意义(P<0.05);2015年各组培训学员出班考试优秀率高于入班考试,差异有统计学意义(P=0.000),2014年宫颈细胞学组入班考核前与出班考核优秀率比较,差异有统计学意义(P<0.05)。结论采用宫颈病变防治进修培训基地面向基层培训是行之有效的培训模式,可复制、可推广。
Objective To analyze the training effectiveness of the national cervical disease prevention and control training base in Hunan Province from 2014 to 2015 and to explore the effective training mode for cervical cancer patients facing the grass roots. The method base is divided into three groups: the cervical lesions diagnosis and treatment group, the cervical cytology group and the cervical lesions pathology group, and carries out 15 days of special training combining theory, trainee and practice. Based on the composition of the health care institutions where the trainees are located and the training scores, passing rates and excellent rates of trainees before and after the training, statistics were analyzed. Results The base trainees originated from county-level health care institutions, accounting for 85.57% of the 194 trainees. The test scores of the three groups of trainees leaving school were higher than the ones of entering the exam, the passing rate of the exam was higher than that of entering the exam, the difference was statistically significant (P <0.05); in 2015, There was a significant difference between the two groups (P = 0.000). There was significant difference in the excellent rate of cervical cytology before work shift test and shift test in 2014 (P <0.05). Conclusion It is an effective training mode that the training base for prevention and treatment of cervical lesions is training base for grassroots training and can be copied and popularized.