HHKH CHAO MljfMB 50 NAM XAY DI/MG VA PHAT T R I I N BSMH VIJN BA KHOA NOMG NGHI j P
THirC TRANG HOAT DONG NGHIEN Clhj KHOA HOC TAI BENH VIEN DA KHOA NONG NGHIEP GIAI DOAN 2014 - 2016
T6M TAT
Bat van de: Nghien cthi khoa hoc NCKH co vai tro rat quan trong trong cong cuoc xay d;mg v i phit triln benh vi^n. Trong dilu kien nguon ngin sich danh cho NCKH con han hep, nhung trong 3 nSm qua cac bic s^, dilu dudng... ciia Benh vien da co rat nhilu c l ging phit huy vai tid trong hogt dong nghien cthi.
Phuong p h i p nghiSn cthi: Md t i cit ngang, ket hop nghiSn cthi dinh tinh, djnh luong. E)li.
fti(mg nghien cuu Ii cic de tai NCKH trong ba nim (2014, 2015, 2016) v i cao nghi€n ciiu vien, thinh vien hpi ding khoa hoc b$nh vien.
Ket qua nghien ciru: Tdng so d l tii cip co sd li 53 de tii. Dpi ngu can bd vien chiic c i a b^nh vien cd trinh dd v i dugc dao tgo thvrc hien NCKH ngiy cang ldn mgnh vdi trinh dd Tien sT, thgc sT, BSCK11
SUMMARY
T H E SITUATION O F S C I E N T I F I C R E S E A R C H AT G E N E R A L H O S P I T A L
O F A G R I C U L T U R E F R O M 2014 T O 2016
Background: Scientific research is an important role in the construction and development of the hospital. In the condition iiinding for scientific research is still limited, but in 3 years the doctors, nurses ... the hospital has a
H a H i i n Tiing*, T o n g L e V3n' lot of trying to promote the role of researcl activities.
Methods: Descriptive cross-sectional combination qualitative study apd quantification Objects research is scientific research projects in the three years (2014, 2015, 2016) and researcher, members of the scientific community hospital.
Rusult: There are 53 topics in three years.
Staff of hospital have postgraduate qualifications increasing
I.OijlTVANCE
Benh vifn D a khoa Nong nghidp la B?nh vi?n hang I, true thugc Bd Ndng nghiep vi Phat triln ndng thdn. Trong ba nam g i n Hy so lugmg nghien ciiu dugc triln khai va dugc nghiem thu tuong doi cao (trung binh 17 dl tai/nSm). Doi tugng tham gia lam nghien ciiu Cling da dgng trong mgi liiih vvrc hogt dgng cila b?nh vi^n.
Dgng lire gi da thiic d i y can bd nhSn vito benh vieq. nhidt tinh hudng ting hogt dgng NCKH cua bdnh vign? Sd lugng, chit lugng NCKH phat triln theo xu huong n i o ? Tir dd, chiing tdi t i l n hanh thuc hidn de t i i vdi myc tieu "MS ti thttc trgng hogt ifng nghiin ciru khoa hge cua bfnh vifn da khoa Nong nghifp giai dogn 2014-2016"
*B4nh vien £>a khoa Nong nghi4p Chju nich nhijm chinh: T6ng U Van Email: [email protected] Ngiy nhlin bii: 18/10/2016 Ngiy phin bi$n khoa hge: 11/11/2016 Ngiy duyjt bai: 06/12/2016
II. fX}l TirtTNG VA PHirCTNG PHAP NGHIEN COU 2.1. T h i l t k l nghiSn ciru
- Md ta c i t ngang
- Phuang phap nghidn cuu k i t hgp djnh
lugng va djnh tinh ' - P h u o n g phap chgn mau: c6 chu dich. ' |
200
TAPeHlYHOCVieTNAMTAP451-THANGa-sgBACBIET-2Q17
s 2.2. Dia diem va thdi gian - Bdnh vidn da khoa Ndng Nghidp.
- Thai gian: Tir thang 4/2016 -12/2016.
I 23. Doi tuvng nghien cun
- Cac de tai, de cuong vi cac bao cao khoa bgc cua benh vidn trong 3 nam gan day.
I - Can i)d quan 1^ (trong HDKH benh vign) f - Cic nghien ciiu vidn (Can bg nhSn vien
trong bdnh vign)
2.4. Phirong phap thu th^p thong tin F - Thu thap so lieu dinh Ivgng (sd ligu
threap)
+ Bao cao ting ket iiang nam vd cac hogt ddng NCKH ciia phdng Kl hoach ting hgp benh vidn.
+ Ting hgp so USu tit cac NCKH cua nam 2014,2015 va cac dl cuong nam 2016.
- Thu tfaSp s6 lieu dmh finh (sd lieu sg cap) Phdng van sau (dua theo bing hudng din phdng van sau dugc thidt ke sin):
05 cudc phdng van sSu dugc tiln hanh vdi cac ddi tugng:
- 02 can bd quan Iy: (phd chu tich H0i ddng khoa hge - mS PVl), (thu ky hgi ddng khoahgc-maPV2).
- 03 nghien ciiu vien (NCV) da cd dl tai dugc nghiem thu: NCV la Bac sy (BS) - ma PV3; NCV la cii nhan (CN) - ma PV4; NCV la dilu duong ( DD) - ma PV5.
2.5. Xir ly so Hdu
- Sd ligu dinh lugng dugc nhgp va tinh toin bang phin mIm excel.
- Sd lieu djnh tinh: go bang va phan tich theo chii dl.
III. KIT QUA NGHIIN CO'U VA BAN LU$N
3.1. T8ng hgp cac de tai NCKH cua nam 2014,2015,2016 Bing 3.1. si luffng di tai NCKH tit nim 2014-2016 h NSm
cip k 2014
2015
fe
fi 2016 Tong slCff so' 17 14 22
6$/ Nha nude 0 0 0
Tong sl 17 14 22 S3 dl tai
Nhfn xet: Tat ca cac de tai va de cuong dugc nghigm thu trong giai dogn 2014-2016 diu la dl tai cip co so. Khdng cd dl tai, dl cuong nao d cap cao hom. Day cOng la nhitaig ban chl ciia nhSng benh vign nganh do cac quy trinh xet duygt va cip kinh phi.
Biina 3.2. Dl tai NCKH ciia bgnh vien tir 2014-2016 theo chuyen dl
~~~~--~-_„____^_^ Nam ChuvSn de ~~--~~._
Ndi khoa Ngogi khoa Quan ly, Y tl, Cdng ddng
Tong
2014 4 7 6 17
2015 2 7 5 14
2016 6 8 8 22
HNKH CHAO MONG 50 NAM XAY DitNG VA PHAT T R I I N BENH Vl^N DA KHOA NONG NGH||P
Nhgn xet: Trong 3 nam sd de tai ngogi khoa cd sd lugng ion nhit. Sd de tai vd quin ly vi TYCC tang qua cic nam.
Nam Dli tinmg
Bac si DugcsT Dieu dudng vidn
IChac Ting
Nam 2014 n 21
2 12
1 36
%
58,3 5,6 33,3 2,8 100
Nam 2015 n 27
0 7 1 35
%
77,1 0 20 2,9 100
Nam 2016 n 49
0 10 5 64
%
76,6 0 15,6 7,8 100 Nh^n xit: Nghien cihi vien la bac si chiem da so, nhieu nhat la nam 2016 (76,6%). Tiep d^n la kh6i dihx duang cham soc (33,3%) nam 2014. Cac nghien cuu vien thu6c chuyen nganh k h ^ chi^m t^ le rat thap, cao nhat chi co 8,7%. BiSu n&y cung phan anh th\rc te, vi ia benh vi^n da khoa nen c6ng tac kham chCi:a benh la hoat dong chu dao cua benh vien. ^ ^ J
Nam Trinh d$
Sau dgi hge Dai hge Trung hge
Tong
Nam 2014 n 15 9 12 36
%
41,7 25 33,3
100
Nam 2015 n 21 7 7 35
%
60 20 20 100
Nam 2016 ^ n
29 12 8 49
%
57,8 29,7 12,5 100 Nhfn xil: Trinh dg cac nghien ciiu vidn cd hpc vj tir thgc sy trd len chilm ty 1? cao nhit va tang din theo timg nam. Nam 2014 la 15 ngudi, din nam 2016 la 43 ngudi, sd nghidn ciiu vidn mdi ciing tang ldn trong nam 2016.
Ban^
Nam Lo^i
Gidi Kha TB
3.6. Muc xdp logi de Nam 2014
(n=17) n 7 8 2
%
41,2 47,1 11,7
til
Nam 2015 (n=14) n 5 6 3
%
35,7 42,9 21,4
Nam 2016 (n = 22) n 7 11 4
%
31,8 50,0 18,2
Ting
(11=53) n 20 24 9
%
37,7 45,3 17 Nhgn xdt: Dl tai dugc danh gia gidi va kha chilm ty id rit cao chilm 83,8%. Sd dl tai logi gidi nam 2015 giam hon so vdi nam 2014 la do quy trinh danh gia dl tai cang ngay cang ddi hdi khat khe ban nhim nang cao hon nira chit lugng cac NCKH." Chit lugng cda cac
TAP CHl Y HOC VltT NAM TAP 451 • THANG 2 - SO BAC BIST -2017
ICKH trong nhQng nam gin day chuin hon, nhiing NCKH nam trudc chat lugng kem, hong chuan form - PVl"
Bang 3.7. Tinh quy phgm van ban khoa hge teong dl tai theo Quylt dinh Hdi ding khoa Nam
F
Sanh gia .. Dat 'Khdng dat
Nam 2014 (n=17) n 7 10
%
41,2 58,8
Nam 2015 (11 = 14) n 5 9
%
35,7 64,3
Tong (n=31) n 12 19
%
38,7 61,3 Nhgin x6t: Ty 16 dh tai khong d^t chiSm ty 1? cao hon (61,3%). NhQng dk tai nay thuong nSc phai cac 161 chinh ta, yeu cau vh cau tnic theo quy dinh cua H6i dfing NCKH benh vi^n.
' 3.2. Nhihig thu^n I9I v^ khd khan cua boat d$ng nghiSn cihi khoa hge t^i bSnh vien trong giai do^n 2014 - 2016
3.2.1. Thuan lffi:
- Boi vM lanh d^o bfnh vi€n Dpi ngu can bp vien churc cua b?nh vi?n c6 trinh dp va dugc dao tgo thvrc hipn NCKH ngay cang lom mgnh vcri trinh dp Tiln si, th?c sT, BSCK II. Day la nguon Ivc chinh Irong hogt dpng NCKH, dfing thed day ciing la ngufin Ivrc dk dao tao, huong dan cac NCV khac lam NCKH cua bSnh vien. "Hdng ndm b$nh vien td chdc tap huan ve NCKH cho cdc cdn bg vien chuc cua binh viin, nhung ngudi hoc NCKH rdi thi tdp hudn vd hudng Mn cho nhiing ngudi tri, nhimg ngudi con yiu vi NCKH.-PVr
I Dirpc su dfing thugn, thfing nhSt xuy6n suot tir ban Giam dfic den ISnh dgo cac don v; va can bfi vien chiic a mpi vi tri cua benh vi^n.
Qui chl, quy dinh phti hpp voi kha nang sua b^nh vifn, dong thai cung du dfing l\rc dg thuc day can bfi nhan vien nhiet tinh tham gia hogt dfing NCKH va cai tiln ky thugt n3ng cao chat lugng b?nh vi$n.
Hang nam, b?nh vi?n dira vao quy che chi tieu npi bo, quyet dinh quy dinh chi thudng cho cac dk tai NCKH. Viec ban h^nh quy che chi ti^u ngi bfi trong dfi cfi quy dinh chi thudng cho hogt dpng NCKH ciia benh vi?n, CO y nghia to ldn d6i vdi cfing t^c quan ly Cling nhu trien khai d6 tM nghi6n cuu ciia b?nh vifn. "Cdc khoan chi cho qudn ly di tdi, cUng nhu triin khai di tdi th^ hiin minh bgch, theo dung dfnh mitc gt4y dinh cua Nhd nude Tuy theo timg ndm muc chi thudng cho cdc de tai nghien cuu co thi thay doi- PV2 ".
Day cting la ylu to linh hogt kich thich phong t r ^ NCBCH trong benh vi?n, giup cho can bp vi6n churc tgi cac don vj hSng hdi tham gia triln khai cac de t^.
- Doi vdi cdc nghien curu viSn La mfit b?nh vifn da khoa, thufing xuyen ling dyng nhQng ky thuEit mdi trong hogt dgng kham chGa bfnh, dSy ciing Id dilu kifn dl cac nghien ciiu viSn khai thac chu de nghien ciiu.
Dupc sy: dfin dfic, quan tSm rat ldn tir Dang uy bfnh vifn cho cong tac NCKH cua bfnh vifn
Dugc tgo dilu kifn tfit nhit cho cdc NCV thuc hifn NCKH: liy sfi lifu, gioi thifu
HHKH CHAO MI^G 50 HAM XAY DUNG VA PHAT TRl^N B$NH VigN OA KHOA NONG NGHlgP
nguM ho trg, ngirdi hudng dan... ''Nhdm di tdi nao cdn hd tr^y, thi lanh dgo khoa hogc phong NCKH se gidi thieu ngudi d cdc ITnh
vuc phil hgtp di hStror - PV2"
Ngodi vifc thufing cho cac cdng trinh nghien ciiu cd chat lugng. bfnh vien cung lay hogt dpng NCKH Idm dieu kifn cho nhung danh hifu thi dua: chiln s^ dii dua, thiy thuoc uu tii... "Benh viin khdng khdng che sd lu^g di tai, khi^en khich cdc di tdi dgt chdt lufmg -PVl"
Sfi lugng NCV cd trinh. dfi tiigc s^ trd 18n tdng dan theo t&ng ndm. Hp la ngufin NCV cfi chit lugng va ho trg, hudng d ^ cdc NCV khde. Thiic day d§i ngii NCV ngay cdng ldn mgnh va trudng thdnh trong hogt dpng NCKH ciia bfnh vifn.
3.2.2. Khd khdn
- Ddi vdi lanh d^o bfnh vifn Nguon kinh phi cho hoat dfing NCKH con eo h^p, lanh dgo bfnh vifn dd cfi gdng cdn doi nguon ngdn sdch cua bfnh vien de khuyen khich cac NCV co nhQng cong trinh nghidn ciiu cd chat lugng. Bfnh vifn khfing cfi dli khd ndng dl h5 trg kinh phi cho cac chu nhiem dl tdi. "Phdn thudng cho cdc NCV cd di tdi dgt chdt lugmg chi mang tinh chdt khuyen khich, cdn cdc NCV khdng duac hd tra Idnh phi khi thytc hiin nghiin cdu khoa hge cua minh - PVl"
Mfit khfi khdn nCra ciing lam dnh hufing ldn din qud trinh thirc hifn, dinh hudng phdt triln quy mfi dl tai, do la tmh chit dde thu ciia bfnh vien thugc nganh. Khfi dugc sir ho trg ve chuyfin mon ciing nhu diu tu tii phia 30 y tl, trong khi Bfi Nfing nghifp va Phdt trien nfing thfin thi it chii trpng din lihh vyc y tl ciia nganh.
Hifn tgi dh thyc hifn dl tdi cip Bp kho khdn, ke cd nhiing dl tdi cfi chit lugng cao cua nhiing NCV cfi trinh dg cao vd bl day
kinh nghifm trong thuc tiln cung nhu trong nghign ciiu. Cd nhGng NCV, dl tdi nam ndo cflng dugc ddng tren tgp chi y khoa uy tin, nhung dl dang ky dl tai cip Bfi thi kho.
"Minh phdi thupc mot nhdnh ndo ddy, nhung a day, minh khong co gl Cdi kho Id khdng eo chi dgo doc - PVl"
' D6i v ^ cac nghlSn cihi vien f^
Nhgn thiic, kiln thiic vl NCKH khfing dfing bf, bi dnh hudng nhieu bfii ngudi hufing dSn. Trong khi ngudi hudng dan dugc ddo tgo vl NCKH bdi cdc trufing khde nhau, cdc gido trinh khac nllau.
Tim kilm chu de nghien ciiu cilng Id mgt thdch thiic dfii vdi cac NCV 1dm ngoai chuyen ngdnh 13m sang "Ben khoi Idm sdng con CO nhieu chii de de khai thdc, ^^^^m lam a phong chuc ndng rdt kho tim dugc nhiing chu di, co thi vdi ndm mdi co mgt di tdi-PV4).
Thoi gian thyc hifn nghidn cihi thuong song song vdi cfing tac hoat dfing chuygfl mfin, nfin dfii hfii cde NCV ngoai Ifing nhiet huyet, dam me can co sy kien tri, chiu kho.
Nen trong qud trinh trifin khai, nhilu dfi tdi cdn bi chgm tiln dp, bi keo dai. Nguyen nhdn Id do cdc chii nhifm de tai khfing cd thoi gian liy so lifu, phdn tich, viet bao cdo tfing kit do ban cong tdc chuyen mfin.
Chu nhifm dl tdi phai ty tuc kinh phi khi thyc hifn cfing trinh NCKH cixa. minh
""Chung tdi phdi lo mgi kinh phi khi thuc hiin de tdi nghien cim, binh viin co hd trt; vi cdc nguon Itcc sdn co cua binh viin. Diiu nc^
lam hgn che cdc NCV thuc hiin cdc de tdi ldn hem - PV3". ''Chu nhiim di tdi gidi ngdn vd quyit todn khoan kinh phi viin tra phuc VM cho muc dich nghiin cuu khoa hge cua binh viin - PV2". Vin dfi nay cung gay ra trd ngai cho cac NCV mufin 1dm NCKH.
TAPCHiyHOCmmi^^^^J^^^^'^^''^''^'^'''^'''
I, KET LUAN
Hogt dfing NCKH ciia bfnh vien DKNN ong giai doan 2014 - 2016 cfi nhiing tien 9 ro rft ve chit lugng ciing nhu so lugng Oa cac cfing trinh nghien ciiu. M ^ du vgy
^c nghifin cihi chi dung lai d mii'c dg dfi tdi
§p CO sd, khong cfi d l tdi dugc cdp kinh phi Sm ciia Bfi.
Hogt df ng NCKH dugc Idnh dgo bfnh i^n dde bift quan tdm. Bfnh vifn lufin hS
•q, dfng vifin khuyen khich cdn bf vifin hiic tham gia 1dm NCKH, dong thoi ciing iO (filu kifn dfi phdt trien ngufin nhan luc co inh dp cao ve chuyen mon vd nghien cthi.
^i vdy ma sfi lugng can bd vifin chiic cua
^nh vifn ngay cang trufing thanh, gdp p h i n hong nhfi cho hogt dfing chuyfin mon va hdt triln hogt df ng NCKH cua benh vifn.
TAI LI|U THAM K H A O
1. Thu Thfiy (2016), Nhieu nghiin dm khoa hpc cua Binh viin Bgch mai hiiu qua thiit thuc, truy c|p ngdy 10/09/2016, t^i trang web http://vov.vn/suc-khoe/nhieu-nghien- cuu-khoa-hoc-cua-benh-vien-bach-mai-hieu- qua-thiet-thuc-471403 .vov.
2. Trvovg dgi hQC Y t l cfing cfng (2012), Phucmg phdp nghien ciht kit hgp, Nha xuat ban lao df ng xa hpi, Hd nfi.
3. Tnrdfng dgi hoc Y te cong cfng (2014), Phuang phdp nghiin cuu dfnh tinh, Nha xuit bdn lao dfng xa hfi, Ha ngi.
4. Hd HCru Tiing, LS Van Le va Nguyin Duy KhiSm (2014), Nhdn xet cdng tdc nguyin cuu khoa hoc tgi BVNN td ndm 1994 din ndm 2013, De tai cap ca sd, Bfnh vifn da khoa Nong nghifp. Ha Nfi.
