| Objective: To investigate the cognition status quo of knowledge after colostomy among medical care personnel in Community Health Service Institutions(CHSI) and probe into its influencing factors,meanwhile,to investigate training requirements of them,so as to learn the cognition situation and training willing,training approach,influencing factors,finally,to provide the base of legislature and policy making or continuing education program leaning.Methods: This is a descriptive study.The questionnaire was designed by investigator.Samples were collected by convenient.The questionnaire included general data(12 items),self-rating questionnaire(23 items)and self-designed training demand questionnaire(13 items).self-rating questionnaire had three dimensions :basic knowledge(5 items),health education(8 items),clinical practice(10 items).According to the Likert5 scoring method,giving rating of 1 to 5 points,full mark was divided into three levels,the level poor(<46 point),level good(46-92 point) and level optimal(>92 point). training demand questionnaire included knowledge demand,form of getting knowledge,training willing,training approach,influencing factors.The data were processed and analyzed by SPSS 13.0. The statistical analyses included Statistical description,parametric test,Kruskal-Wallis test,analysis of variance. Two-tailed test was applied(α=0.05).Results:1 Among 213 respondents,107 of them were in poor level,the percentage was 50.2%,103 of them were in good level,the percentage was 50.2%,optimal level only have 3 respondents.it was suggestive of above half of medical care personnel extremely lacked of knowledge after colostomy and nearly half of them did not have sufficient knowledge.The score of self-rating questionnaire from high to low in turn was:health education[17.00(12.00)],clinical practice[16.00(12.00)],basic knowledge[12.00(7.00)].2 The differences of score on knowledge after colostomy had not statistical significance among medical care personnel with different age,technical Personnel,employment,original degree and service year in Community Health Service Institutions(P>0.05).3 The differences of score on knowledge after colostomy had statistical significance among medical care personnel with different professional Titles,final degree and service path in Community Health Service Institutions(P≤0.05).(1) The differences of score on knowledge after colostomy had statistical significance in basic knowledge dimension with different professional Titles(P≤0.05),another dimension was not statistically significant(P >0.05),the group senior title than primary title group had highest score on knowledge after colostomy.(2) The differences of score on knowledge after colostomy had statistical significance in basic knowledge dimension with different final degree(P≤0.05).The differences of score of another dimension had not statistical significance(P>0.05),the group bachelor than secondary group had highest score on knowledge after colostomy.(3) The differences of score on knowledge after colostomy had statistical significance in basic knowledge dimension with different paths(P≤0.05).another dimension was not statistically significant(P>0.05).the score in basic knowledge of clinical transfer was higher than another path.4 11.3% medical care personnel cured or cared intestinal colostomy patients.97.7% medical care personnel consider that their knowledge could not meet patients.94.4% medical care personnel, knowledge of colostomy did not update within recent year.85.9% medical care personnel felled their way to learn knowledge was not convenient.5 Enterostomal therapist on-site guidance and demonstration(70.4%),wat- ching standard operating VCD(54.5%)and participating special topics in intestinal colostomy care(53.5%) were top three effective ways to improve the knowledge and skills after colostomy.6 Textbook(48.8%),network(19.2%)and past experience(18.3%) were top three sources of knowledge after colostomy of medical care Personnel;while,the way for the knowledge lying top three were school Learning(44.1%),clinical practice(31.9%)and seminar(19.2%).7 Nursing ability of intestinal colostomy(60.1%),health education ability(57.3%)and updating the knowledge of colostomy(54.4%)were top three contents that should be improved urgently in community health care.8 Training time desired from high to low in turn was :one month(28.6%), two days(25.8%),one week(20.7%),two weeks(14.1%),five days(10.8%).9 Knowledge that medical care personnel wanted to learn from high to low in turn was :prevention and treatment of complications after Colostomy(69.5%),the related knowledge of health education after Colostomy(68.1%),skills of replacing colostomy pouch(59.2%), prevention and healthcare for colorectal cancer(59.2%).10 The top five factors that influenced medical care personnel continuingeducation from high to low in turn were:lacking of manpower resource(72.8%),lacking of sufficient training courses and information(36.6%),lacking of funds(24.2%),lacking of idea for acquiring Knowledge(19.7%),thinking of no practice about knowledge(15.5%).Conclusion:1 The overall situation that Community medical personnel related knowledge after colostomy is not ideal,majority of them lack of knowledge after colostomy.2 There is no significant difference on the general information in Community medical personnel related knowledge after colostomy,but on the title,final degree and work path.It is high title,highly educated and clinical job-transfer have good cognitive situation.3 The situation is Community medical personnel are inexperience in family Visiting,colostomy care practicing,and are short of training about knowledge after colostomy.4 The main question for acquiring knowledge is that the way to access is single and inconvenient. Knowledge of them need to be updated.5 The way to improve the cognitive situation for Community medical personnel is offering training program,Providing information and developing a approach to enhance communication between community workers and hospital workers. |
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