KHAO SAT CHAT LimNG DAO TAO/KHA NANG THiCH llNG vAl CONG VIEC COA DIEU DUONG TRUNG CAP MOTI TOT NGHIEP
v o NHj HA - C{ic Khoa hgc cdng nghf vd Ddo tao Bd Yti L £ T H | BiNH - Hgc vi$n YDHCT Viet Nam
T6M TAT
Di tdi thi/c hidn khdo sdt 300 diiu dudng trinh dd cao ding, tmng cip tgi bdnh vidn Bgch Mai. b^nh vidn Vidt DUc, binh viin YHCT Tui TTnh, bdnh vi$n da khoa tinh Nam Dinh vdi muc tidu (1) Khio sdt ndng lijc cdc diiu dudng trinh di tmng dp tdt nghidp tmng vdng S ndm trd lai ddy td de ca sd ddo t^o nhin luc y ti (2) Ddnh gid si/ thich dng cOa chuang
nhu cdu xa hdi trdn cd sd sifa ddi, ndng cap, xay diftig chuong trinh dao tao dieu di/dng theo hudng hien dai.
Nude ta vifa gia nhdp WTO. cung vdi eae^l7nh vuc kmh te - xa hdi khac, giao due ddi hdi sa chuyen bien manh me de ndng cao chdt lUpng eung nhu kha ndng canh tranh, tao didu kidn eho hdi nhdp, lien thdng khu vuc vd qudc td trong dao tao, ddc bidt la dao tao nham dap trinh ddo tgo. phuang phdp giing day trong nhd ijng nhu c^u xa hdi trong ndn kinh te thi trudng dang (rudng vdi ydu ciu edng vide thuc ti tal cdc ca sd y -i-^> • - ^ " T - " " " ^ ^ i ^ ^ i n h rt^ ,/^n ^ ^ riSm han rhalt ti Kit qui cho thd'y, ndng iuc cdc diiu dudng trinh
dd trung dp tdt nghidp trong vdng 5 ndm trd igi ddy tif ede ca sd y ti cdn chiim tp id cao vi kiin thdc d mdc tmng binh (td39%, - 44.44%o). Chuang trinh hgc tai trudng so vdi thuc Hin ehl dat 61%a. Vi kiin thdc, kp ndng da hgc d tnJdng ehl ddp Ung 20%, khi thuc hien chdm sdc ngudi bdnh hang ngdy.
Tdkhda: diiu duQng. ndng tuc.
SUMMARY
Sun/ey topics make 300 college nursing, intennediate at Bach Mai Hospital, Viet Due Hospital, Tue Tmh traditional medicine hospitals, hospitals Nam Dmh of Nam Dinh pmvinee. The objective was: (1) Capacity Sun/ey the intennediate level nursing graduates within 5 years from the establishment of health workfome tmining (2) Evaluate the adaptation of curriculum, teaching methods in schools with requirements practical work at the medical facility. The results showed that the capacity of intermediate nursing gmduates within 5 years fmm the medical facility was a high pmportion of modemte knowledge (from 39%, - 44.44% ) . Progmm at school compamd with only 61 %o pmctical needs of its. Knowledge, skills learned in school only 20%, met while pedorming daily patient care
Keywords: Nurses, Patients, Cam, Nursing care DAT VAN Di
Hien nay, vdn de danh gia chat lupng sau ddo tao da dupe ap dung tai nhieu qudc gia trdn thd gidi, Nhijng cudc dieu tra, nghien cifu qui md dUde tien hanh tai cac tafdng Y eiia ede nUde nhU Anh, My cho thd'y nhin chung cdn cd sU chenh lech tUOng ddi Idn giifa chuong trinh, ndi dung ddo tao tai eae trudng Y vdi yeu cau cdng vide tai cac cd sd y te, do vdy, nhieu smh vien ra trudng cam thay ho ehua dupc chuan bi tdt cho nghe nghiep sau ndy.
De phuc vu cho cdng tae dam bao chat luong ddo tao dai hoc, dap ifng nhu c l u xd hdi, nhieu nude da xay dung va ap dung nhieu quy dinh nhif: cap ehifng chi hanh nghd cho nhan vien y td sau khi ra trudng da hodn thanh edng viec thuc tap tai mdt ed sd y te trong vdng 2-3 ndm, Trong thUd te tai Viet Nam, nhu cau cap bach ddt ra la bude dau can nang cao chat luong ddo tao dieu dudng trung cap trong cae trudng y, dap img
phdt trien. Trong hodn canh do, van de dam bao chat luong ddo tao ngdy cdng duoc ehii trpng.
Viee dao tao ngudn nhdn lUC dieu dudng cd trinh do eao ddng vai trd r i t quan trpng ddi vdi nganh y te Viet Nam. Cae tn/dng ed dao tao didu dudng trung e ^ chat luong ddo tao nhu" the ndo, vd khi ra trudng cd thd dap ifng nhu cau ehdm sdc silt khoe xd hdi khdng, dd la IJ do dd tai dUOc chon nghien cifU nham muc tieu.
Khao sat ndng lut cac didu dudng trinh dp tmng cap tdt nghiep trong vdng 5 ndm trd lai day tif cac cd sd dao tao nhan lut y te.
Ddnh gia sir thieh ifng cOa chuong trinh dao tao, phuong phdp giang day trong nhd tn/dng vdi yeu cau cdng viee thife te tai cac cd s6 y te.
DOI Tl/ONG VA PHUONG PHAP NGHIEN CCOJ 1. Dja diem nghien ciifu: Benh vien Bach Mai, Benh v i i n Viet Dife, Benh vien YHCT Tue TTnh, Benh vien da khoa tinh Nam Dinh.
Thdi gian: tir01/1/2007 den 01/10/2008 2. Doi tuong nghien curu:
Cac ODTC ra trudng trang vdng 5 nam trd lai day hien dang Idm viec tai ede cO sd y te eac tuyen.
Lanh dao cac eO sd y td ndi siJf dyng ngudn nhan lut ^ e u dudng tren,
3. PhiTdng phap nghien curu:
- Nghien eifu tren tdi lieu sdn cd (hdi eifu) - Nghien cifU (^nh tinh
- Nghien cifu eat ngang 4. Phi/dng phap c h ^ n m l u .
„ _ 7 2 P (1 - P)
" " ^ ' - ' ^ (pxe)^
p Id tJ le dieu dUdng duoc chuan bi tdt cho cong viee, udc luong la 65%
X = 0,05 vdy Z tuong ifng la 1,96
e la mifc do dao ddng eua ty le thue te so vdi tJ le Ude dodn tren, ehonjd 0,1
Vdy, d ddy cd mdu can thiet cho nghien cifu Id 257, vd Udc luong 10% ty le khdng dap ifng nghien cifu, tdng cdng la 257 + (257*0.1) = 280. NhU vdy sd lUOng m l u nghien eifu se Id: 280 dieu dudng trinh dp cao dang, tmng ca'p
5. Cac bie'n nghien ciJfu: Dieu dudng dang lam viec tai benh vien, chUdng trinh dao tao tai tnfdng, kien
Y HOC THl/C HANH (879) - SO 9/2013
thifc. ky n a n g , t h a i d o s a u 5 n a m , p h u O n g p h a p d a y - tipc trong n h a t r u d n g , s d n a m t d t n g h i e p , d i e u d u d n g d a difpc h p c ( h o a c chUa) d j n h h u d n g s a n , n h i , n g o a i , k h a c ) 6. P h i / d n g p h a p t h u t h a p s o ' l i e u : t h i e t k e dUa tren m u c t i e u n g h i e n c i f u , e a c t a i l i e u s a n c d x a y d u n g mdt b a n g k i e m t r o n g d o b a o g d m c a c n d i d u n g c a n xem x e t t r e n e a c tai l i e u s d n c d n h u e h U d n g t r i n h Ithung, ChUdng t r i n h g i a o d u e , t a i l i e u d a y h p e , p h d n g van s d u l a n h d a o B V , g i a o v i e n , h p c s i n h b a n g hdi v e kien thife, k y n a n g , t h a i d p . B d c a u h o i d u p c c a e chuyen g i a g d p p k i e n , s a u e h i n h site d u a t r e n k d t q u a nghien c i f u thii" n g h i e m ,
7. Xi> ly so' l i e u : S d l i e u d u p e l a m s a c h , m a h o a , phan tieh b a n g E P l D A T A v a p h d n t i e h b a n g S T A T A 8.0, p h d n t i c h , s o s d n h t i n h t;^ le p h a n t r d m , m d i hen quan glCia c a c b i e n
KET QUA NGHIEN C L O J
1. T h ^ trang dieu dUdng tai cac cd sd y te, sir dap i]mg cong viec hien tai so vdi noi dung ehUdng trinh dao tao da h 9 c tai tri/dng.
Bang 1 Ty le dieu dudng dang lam viee tai eac cO s d y t e
Cosdyl^
BSnh viSn Bach Mai Benh viSn Viet Dire Benh vien YHCT Tue Tinh
BV9K tinti Nam Oinh Nam
m
Di6u duang viSn (n = 300}
50(16,67%) 50(16,67%) 50(16,67%) 150 (50%) 114(38%) 166(62%) Ket qua bang 1 cho thay, ehiem ty le eao nhd't la dieu dudng tai BVDK tinh N a m Dinh (50%). nCf gidi cao hdn nam gidi (62% so vdi 38%)
Bang 2, Danh gia ve ehuong trinh dao tao dieu ' duang duoc hpc tai trudng v d sU dap img vdi cdng viee
hien tai,
N5i dung hoc tai trudng CTOT hoc tai tnjcmg so vdi thuc tign
Chua duoc hpc lai tnrdnq
TJ ie dap ijng trong CSBN 183(61%) N6i dung d§ nghj dua them vao ctwianq Irinh d^o tao
d l dap imq c6nq viec hien tai ve kien thiJc, ky nang da hoc 6 Injdng
Ky nang giao tilp, QTKT phy BS dat ca&ier Irung tSm, choc dich mSng tm, s6c dien, ghi dien tim, ep tim, md khi qu^n, dat NKQ, chong NKBV,
xQ' ]•) rac thai.
300 (100%)
20%
Bang 2 chimg minh duoc, C T D T hoc tai trudng so vdi thuc t i l n ehl ddp img dupe 6 1 % trong CSNB, ve kien thifc vd ky ndng hoc tai tn/dng eiJng chi dap img dupc 20% trong CSNB, V e ky nang giao tiep, eac ky thuat cap cifu, chdng nhidm khuan BV va phan loai rac thai 100% khdng dupe hpc tai trudng.
Bang 3' Thdm men cdng tac va kien thifc dupe cap nhat sau khi ra trirdnq
Nam t6f nghiep Tham nign C6nq tSc in 1-2 nam
Tham nign C6nq tac tl^ 3 nam Tham men conq tac tCr 4-5 nam
BDV N 96 129 75
n = 300) Tfle%
32 43 25
T916 DD dt/oc dao tao nang cao sau khi ra trudng a^dapffnqcOngviachiantai Chi/a duoc dao tao
Oinh hirflno sSn Dinh hudnu nhi Dinh hudng nqoai
Khac
216 23 16 19 26
72,1 7,6 5,4 6,2 8,7 cac nai dung digu dudng duoc tap hu^n trong 1 nam qan dav
Chua duoc dao tao Dinh hudng s3n Dinh hudng nhi Dinh hudnq nqoai
Khac
241 14 12 14 19
80,3 4,8 4 4,6 6,3 B a n g 3 c h o t h a y , t J le c a o n h a t Id d i e u d u d n g d a t d t n g h i e p 3 n d m ( 4 3 % ) v a i ^ le t h a p n h a t la d a t d t n g h i e p tif 4 - 5 n a m ( 2 5 % ) , S a u k h i r a t r u d n g ehUa dUOc d a o t a o c h i e m 7 2 , 1 % , v a d a dUde h p c d m h h u d n g S a n 7 , 6 % , Nhi 5 , 4 % , N g o a i 6 , 2 % v a h o c k h d c 8 , 7 % , T r o n g 1 n a m g a n d a y , s d D D c h U a d u p e d a o t a o e h i e m 8 0 , 3 % , v a d u p c h p c d m h h u d n g S a n 4 , 8 % , N h i 4 % , N g o a i 4 , 6 % v a h o c ichac 6 , 3 %
2. T h u c t r a n g n a n g luc d i e u diTdng t r u n g c a p t o t n g h i e p k h o a n g 5 n a m t r d l a i d a y
B a n g 4 ' K i e n t h i f c v e e a c h xif t n v a c h a m s d c ngUdi b e n h tai b e n h v i e n
i^ucda Dieu dudng vien {n = 300)
N % KT va each xfr tn' va CS tre bi nhiem khuan h6 hap cap tinh (ARi)
TSt Kha Tmnq binh
Kem
17 54 116 113
5,6 17,8 38,9 37,7 Kien thdc vg each xd tn' va cham soc tre bi tieu chay
T«
Kha Trunq binh
Kem
37 73 l i t 79
12,3 24,4 37,2 26,1 Ki^n thdc ve each xd tn va cham soc thai nghen
T«
Kha Trunq binh
Kem
13 27 126 134
4,3 9 42,1 44,6 Kign thdc ve each xd tri va cham see banh nhan eao huvet ap
Tdt Kha Trunq binh
Kem
34 64 140 62
11,3 21,4 46,7 20,6 Ki^n thdc va each xd tri va cham soc benh nhan thoai hoa khdp qoi
Tdt Kha Trunq binh
Kem
40 42 121 97
13,4 13,8 40,4 32,4 B a n g 4 c h o t h a y , k i e n t h i f e e u a O D v e C S t r e bi n h i d m k h u a n h d h a p c a p t i n h ( A R I ) c h i e m t J le c a o n h a t m i f c t r u n g b i n h ( 3 8 , 9 % ) v a t h a p n h a t m i r c t d t ( 5 , 6 % ) K i e n t h i f c e u a D D v e e a c h xd t r i v a C S t r e b\
t i e u e h a y , c h i e m t y le c a o n h a t m i f c t r u n g b i n h ( 3 7 , 2 % ) v a t h a p n h a t la m i f c t d t ( 1 2 , 3 % ) K i e n t h i f c cCia D D v e xi!f t r i v d C S t h a i n g h e n , c h i e m t y le c a o n h a t m i f e k e m ( 4 4 , 6 % ) v a t h a p n h a t m i f c td't ( 4 , 3 % ) K i e n t h i f c c i i a D D
Y HOC THUC HANH (879) - S6 9/2013
ve each xii tri vd CSNB eao huyet ap, ehidm t^ Id cao nhat mifc trung binh (46,7%) vd thap nhat mifC tdt (11,3%). Kidn thifc eiia OD vd edeh xii tri vd CSNB thoai hda khdp, chidm tp Id cao nhdt mife trung binh (40,4%) va thdp nhd't mifc td't (13,4%).
Bang 5: Ddnh gid kien thifc vd c^ch xCf tri vd ehdm sdc ngudi bdnh theo tham men cdng tac
Ivldcdd Tham men cdnq tdc cOa DD (n=300) 1-2 ndm 1 3 ndm 1 4-5 ndm Danh qia ki^n thdt vfi each xi^ trf va CS trd bi ARi theo tham mdn
Tdt Kha Tmnq binh
K6m 3(3,0) 15(16,7) 43(44,4) 35(36,6)
8(6,1) 21(16,7) 57(44,4) 43(33,3)
8(9,5) 13(16,7) 31(40,0) 23(28,6) Danh gia kidn Ihde cdch xd tri vd CS trd bi lidu chSy
theo tham nien TSt
Kha Tmnq binh
K6m 11(11,2) 24(24,6) 37(38,8) 24(25,1)
19(14,9) 31(24,5) 46(35,4) 33(25,0)
17(21,9) 19(24,5) 24(32,4) 15(20,0) oanh qid kidn thdc vd each xd tri va CS thai nqhdn theo thdm mdn
Tdt Khd Tmnq binh
Kdm 6(6,0) 14(14,2) 32(33,6) 44(46,4)
9(4,9) 17(9,6) 71(39,1) 84(46,4)
6(13,3) 12(16,2) 51(32,4) 60(38,1) Danh gid kidn thdc vd cdch xdtri va CSNB cao huydt dp
theo tham nidn Tdt
Khd Tmnq binh
Kam 13(13,4) 21(22,2) 41(42,5) 21(22,2)
16(12,7) 35(27,1) 49(37,6) 29(22,2)
11(14,3) 16(22,2) 32(41,9) 16(22,2) Ddnh gia kidn thdc cdch xd tn' vd CSNB thoai hda khdp gtS theo
tham men TSt
Kha Tmnq binh
Kem 11(11,9) 16(16,4) 27(28,6) 42(42,9)
17(13,3) 23(17,7) 37(28,6) 52(40,9)
11(14,3) 12(16,2) 23(30,5) 29(39,0) Kien thifc DD theo thdm nien, bang 5 cho thay. Ve chdm soc tre bi nhilm khuan hd hd'p cap tinh, DD ed tham men 1-2 ndm., 3 ndm va ca 4-5 ndm deu chiem ty Id eao nhat mifc trung binh (chiem tir 40 - 44,44%).
Cung tuong tu nhu vay, kien thifc DD theo thdm nien ve CS tre bj tieu chay cung chiem ty le cao ci mifc trung binh. Kien thifC DD theo thdm nien ve CS thai nghen' DD cd tham men cdng eao tJ Id d mife kem cang cao, thdm nien 3 ndm chiem ty le cao nhd't mifC kem (46,4%), tham nien 4-5 nam chiem ty le cao nhd't mifc kem (38,1%). Kien thifc OD theo tham men ve CSNB cao huyet dp OD cd thdm nien 1-2 nam., 3 ndm va ca 4-5 ndm deu ehiem tp le cao nhat mife trung binh (chidm tif 37,6 - 42%). Cung tUdng tu, kien thifc DD theo thdm nien ve CSNB thoai hda khdp DD cd thdm men 1-2 ndm., 3 ndm va ca 4-5 ndm deu chiem ty le cao nhat mifc kem (ehiem tir 39 - 42,9%)
BAN LUAN K i T QUA
1. Ch9n dja diem va doi tUdng nghien curu:
Chiing tdi da chon 300 dieu dudng vien ra tafdng trong vdng 5 ndm trd lai day hien dang lam viec tai BV Bach Mai, Viet Difc, YHCT Tue TTnh, Benh vien da khoa tinh
Nam Oinh ddc trung eho DD eCia cac tuyen Tmng uong, tiiyen l i n h vd dae tnjng cho YHCT.
2. Thi/c trang dieu dudng tai cac c d sh y te, sir ddp ijmg cong vi^c hien tai so vdi hpc tai trudng.
VS gidi: Nif eao hdn nam gidi (62% so vdi 38%), didu ndy c6 thd \p giai rang nghd dieu dudng cdng viec CSNB rSt vdt va phu hdp vdi nu' hdn vi nur gidi ban linh chju khd, khdng nd ha vkl va hdn nam gidi
Thilt: tr^ng ndng Itjfc diiu dudng: Ket qua bang 2 da ehifng minh CTOT >ipc tai trudng so vdi thuc tiln chi dcip ifng dupc 6 1 % cho cdng viec CSNB, vd kien thCfc vd ky ndng da duoc hoc tai trudng cung chi dap img duoc 20% trong khi CSNB. Ve ky nang giao tidp, cac ky thudt c^p cifu, chdng nhilm khuan BV va phan loai rac thai 100% khdng dupc hpc tal trudng. Oieu nay cd thd giai thich rang, ddo tao dieu dudng trung cap la theo hudng da khoa edn khi ra Idm vide thi OD lai Idm theo timg ehuyen khoa sdu, hon the nQa thdi gian han hep, mdt gdn 1 ndm hpc cae mdn do Bd Giao due va Odo tao b^t bude (Giao due thd chdt, chinh tri...) do vay kien thtJfc duipe hoc tai tn/dng nhieu phdn chua dap img duoc vdi cdng viec hien tai.
Vithdm nien cdng tdc: Bang 3 cho thay, tp le eao nhat la dieu duSng da tdt nghiep 3 nam (43%) va t^ Ie thap nhat Id da tdt nghiep tif 4-5 ndm (25%), Day la doi tuong da ed thdi gian de cap nhaj kien thi^c va nJt kinh nghiem trong CSNB
Vi kim thuc DD duoc cdp nhdt sau khi ra trudng: Phdn Idn DD sau khi tdt nghiep chi biet lam viee. ty le khi ra tnJdng chua dUde dao tao nang cao ehiem 72,1%, vd DD da dUde hoe dinh hUdng San 7,6%, Nhi 5,4%, Ngoai 6.2% vd hpe khde 8,7%. Day la eon sd can bao ddng, vi ngay ca CTDT hoe tai tmdng eung ehu^ dap ifng dupc vdi edng viee CSNB trong do cd rat nhieu ky ndng chua dupe hpc nhung hang ngay phai thuc hien theo tu phdt (ky ndng giao tiep, phan loai xijr ly chat thai...) didu nay de giai thich cho sif can thiet eua nang cao trinh dp cho DD.
Nhu vdy DD Trong 1 nam gan day, sd DD chi/a duoe dao tao ehiem 80,3%. va duOc hoe dinh hudng San 4,8%, Nhi 4%, Ngoai 4,6% vd hoc khdc 6,3%
Bang 4 cho thay, kien thifc c^a OD ve CS tre bi nhilm khuan hd hd'p ca'p tinh (ARI) chiem \p le eao nhd't mirc tmng binh (38,9%), mifc kem (37,7%), mifc kha (17,8%) va thd'p nhat mife tdt (5,6%). Kien thifc ciia DD ve each xCf tri va CS tre bj tieu chay, chiem tp le cao nhd't mirc trung binh (37,2%), mifc kem (26,1%), mirc kha (24,4%) vd thd'p nhat mifc tdt (12,3%) Kien thife cOa OD ve xi!f tri va CS thai nghen, chiem tJ Id cao nhat mifc kem (44,6%), mifc tmng binh (42,1%), mifc kha (9%) va thap nhat mijic tdt (4,3%). Kidn thife cua DD ve each xilrtri va CSNB cao huydt ap, chiem ty le cao nhat mirc trung binh (46,7%), mi/e kha (21,4%), mijfc kem (20,6%) vd thap nhat mCrc tdt (11,3%). Kien thirc ciia DD ve each xif tn' va CSNB thoai hda khdp, chiem ty le cao nhat miic tmng binh (40,4%). mirc kem (32,4%), mifc kha (13,8%) va thap nhd't mifc td't (13,4%).
Y HOC THUC HANH (879) - SO 9 / 2 ^
Ve Ddnh gid kiin f/jtte vi cdch xur tri vd chdm soc ngudi bgnh theo thdm nien cong tdc
Bang 5 cho thay, kien thife eiia DD ve CSNB ciiidm t^ le eao nhat d mife trung binh 6 ca 3 nhdm thdm nien, sau dd tp le thap d i n den mife tdt ehl cd tp le thdp nhdt.
Kiin thUe DD theo tham nien vi CS tri bi nhiim khuin hd hip cip tinh. DD cd thdm nien 1-2 ndm chiem tp le cao nhat mifc trung binh (44,44%) vd thdp nhat mifc tdt (3%). Tham nidn 3 nam chiem tp Id cao nhat mirc trung binh (44,44%) va thap nhdt mire tdt (6,1%). Tham nien 4-5 ndm chiem tp le cao nhat mifc trung binh (40%) va thap nhat mife tdt (9,5%), Ket qua da chifng minh dUOe ke ea tham nien Idu ndm vd mdi ra tnJdng kidn thifc ve chdm sdc hd hdp cdn qua cao cl mifc trung binh, do vay phai lien tuc cdp nhdt 6e dieu dudng phai dat dupc tp Id cao d mifc tdt dd CSBN toan dien.
Kien thdc DD theo thdm nidn vi CS tri bi tidu chiy.
DD ed tham nien 1-2 ndm chiem ty le cao nhd't mifc tmng binh (38,8%) va thap nhat mifc tdt (11,2%).
Tham mdn 3 ndm ehie'm tp le cao nhat mOt trung binh (35,5%) vd thap nhat mife td't (14,9%). Tham men 4-5 nam chiem ty le eao nhat miic tmng binh (32,4%) va thap nhat mifc tdt (21.9%). Ve ket qua da mmh chifng duoc ke ca thdm men lau nam vd mdi ra tnJdng kidn thifc ve cham sde tre bi tieu ehay can dupc lien tue cap nhat vi ddy Id kien thifc rat cd ban lien quan den ca tinh mang tre nhung tp Id ciia KT dieu duSng chiem d mife trung binh eao nhd't.
Kiin thdc DD theo thdm men vi CS thai nghdn: DD cd thdm men 1-2 nam chidm ty le eao nhd't mirc trung binh (33,6%) vd thap nhat mire tdt (6%). Tham nidn^3 nam chiem ty le eao nhd't mire kem (46,4%) va thap nhat mifC tdt (4,9%). Tham nien 4-5 nam ehiem tp le cao nhat mifC kem (38,1%) vd thd'p nhat mifc tot (13,3%). Ddy la kien thirc chuyen khoa, khd, dieu duQng it dupe tiep can vd dd la \p do ty Id mife kem chiem kha eao. Oieu nay cho ta thay can phai quan tam bd sung kien thifc ve cham sdc thai nghen eho dieu dudng vien de hp ed kien thifc thuc hien chdm sde toan dien.
Kien thdc DD theo tham nien ve CSNB cao huyet dp' Ket qua cho thay sd dieu dudng ke ca tham men mdi ra tnJdng ciJng nhu tham nien lau nam chiem ty le
eao nhdt cl mifc trung binh (41,9%, 37,6 va 42%). Ody la kien thifc ed ban ci!ia ngudi dieu dUdng phai cham sdc ngudi benh hdng ngay, vdi kdt qua nay cho thay mdc dii vira ra tnJdng hodc da Idm viee lau ndm cung can phai dao tao lidn tue hdng ndm cho dieu dudng de hp cd kidn thifc ehdm sdc ngudi benh dupe tdt.
Kiin thdc OD theo thdm nidn vi CSNB thdi hda khdp: Bang 5 eho thay ke ea tham men lau nam va mdi ra tnJdng kien thifc ve chdm sdc Bn thoai hoa khdp cdn cao d mile tmng binh, do vay phai lien tuc cap nhat de didu dudng phai dat dupc tp le cao d mifc tdt de CSBN toan dien. Vi ddy Id benh thuPng gdp d liifa tudi cao cdng cdn sU chdm sdc tdt.
KET LUAN
Ket qua cho thdy, ndng lUc cac dieu dudng trinh dd trung cap td't nghidp trong vdng 5 ndm trd lai day tir eae ed sd y te cdn ehidm eao vd kien thirc d mifc tmng binh (tu 39%-44,44%).
Chuong trinh hpc tai trudng so vdi thuc tiln chi dat 61%. Ve kien thife, ky ndng da hoc d tnrdng dap ifng 20% khi thuc hien chdm sdc ngudi benh hang ngay.
KHUYEN NGHj
Can cd mot sd bien phdp dieu chinh phUdng phap day - hpc nham ndng cao chat iuong ddo tao DDTC tai cac ed sd ddo tao nhdn lUC y te, dap iifng yeu cau xd hdi hien nay.
Djnh ky hang nam cap nhdt kien thifc cho cdc didu dudng vien ke ea dieu difdng cd thdm men lau ndm.
TAI LIEU THAM KHAO
1. Article' Newly qualified doctors' views about whether their medical school had trained them well:
questionnaire sun/ey (BMC-2007)
2. Assessment in Medical Education (New England Journal Medicine 2007)
3. Le Thi Binh (2007). Khao sat thUc trang^nSng lyt dieu dudng lam viec tai mot so benh vien de cai tien chuong trinh, phUdng phap dao tao va nang cao hieu qua dieu tn, chidm sdc ngUdi benh (ket qua nghiem thu de tai cap 86 Y te, 2005-2007)
4. Le Thi Binti (2008), Danh gia thUe trang ndng lUc cham soc ngudi benh ciia dieu dudng vien benh vien va de xuat giai phap can thiep (Luan vdn tdt nghiep tien si)
5 Khoa toan Kmh te, Dai hpc Kmh te qudc dan (2000). Ke't qua dieu tra sinh vien tdt nghiep ndm 1999, Ha NOI, 6/2000 (Tai lieu Hpi thao khu vUc phia Bac).
DANH GIA KET QUA DIEU TRj TAT KHUC XA BANG FEMTO LASIK TREN BENH NHAN VIET NAM
T R A N H A I Y E N - Benh Vien Mat Thdnh PhdHd Chi Minh TRINH X U A N T R A N G - Dai Hgc YDuOC TPHCM TOM T A T
Mue dich: Nhdm danh gia tinh hidu qui, an toan.
chinh xac va Sn dmh eda phiu thuat Femto LASIK Phuang phdp: Nghien edu tiin cdu, thuc hien trdn 201 mit ciJa 101 bdnh nhan can thi kem hay khdng kem theo loan thi duac phiu thuat Femto LASIK vdi tao vat bing miy chiiu laser femtosecond VISUMAX
va bin bdc hai nhu md bing may laser excimer MEL 80 va Allegretto Wavelight (Aieon). Dd tuoi tmng binh la 25,26 tuoi (td 19 din 43 tuii). Dd ciu tuang duang trudc md Id -5,48±2,96 Diopter (Id -14.25 den -0,13 Diopter).
