Training Needs of Family Carers in Urban Areas of Beijing：a Qualitative Study

doi:10.12114/j.issn.1007-9572.2020.00.033

Abstract

Abstract: Background　Chronic diseases have become the main factors for the consumption of limited health resources in China. The current management mode of family carers plays an important role in the prevention and control of chronic diseases. Objective　To understand the training needs of family carers in Beijing，in order to provide reference for the next step in formulating relevant policies. Methods　From October to November in 2018，a total of 20 family carers and 10 trainers from five community health service centers randomly selected from the previous survey including 30 community health service centers of 15 districts in Beijing were enrolled in our study. An individual in-depth interview was conducted. The interview materials were analyzed by content analysis method. Results　The topics of interviews for family carers included enriching training content，diversifying training methods and arranging training time reasonably. The topics of interviews for trainers included training teaching skills，training young and middle-aged family carers，strengthening financial support and increasing labor division and cooperation. Conclusion　The key to improve the quality of the family carer training is to enrich training content，diversify training methods，arrange training time reasonably，train family carers who are young and middle-aged，strengthen the teaching skills of the trainers，rejuvenate teaching staff，increase financial support，and allocate human resources reasonably.

Key words: Family carers, Training, Needs, Qualitative research

摘要： 背景　慢性病已成为消耗我国有限卫生资源的主要因素，现推行的家庭保健员管理模式在慢性病防控中发挥着重要作用。目的　了解北京市家庭保健员培训需求，为下一步制定相关政策提供参考。方法　2018年10—11月，在前期实施问卷调查的北京市15区30家社区卫生服务中心中随机抽取5家，对5家社区卫生服务中心的20名家庭保健员及10名培训者实施个人深入访谈，使用内容分析法分析访谈材料。结果　家庭保健员访谈主题包括丰富培训内容、多样化培训方式、合理安排培训时间；培训者访谈主题包括培训授课技能、培训中青年家保员、强化经费支持、增加人力分工合作。结论　丰富家庭保健员培训内容、多样化培训方式、合理安排培训时间、培训中青年家保员，同时加强培训者授课技能、年轻化师资队伍、加大经费开支、强化与合理分配人力资源是进一步提高家庭保健员培训质量的关键问题。

关键词: 家庭保健员, 培训, 需求, 定性研究

CHEN Zhaojuan1,2,LU Xiaoqin1, et al. Training Needs of Family Carers in Urban Areas of Beijing：a Qualitative Study[J]. Chinese General Practice, 2020, 23(22): 2788-2792. DOI: 10.12114/j.issn.1007-9572.2020.00.033.
陈照娟1,2,路孝琴1等. 北京市城区家庭保健员培训需求的质性研究[J]. 中国全科医学, 2020, 23(22): 2788-2792. DOI: 10.12114/j.issn.1007-9572.2020.00.033.

References

［1］张普洪，张华兴，赵京，等．北京市家庭保健员计划的效果评价及影响因素分析［J］．中国全科医学，2010，13（1）：71-74．DOI：10.3969/j.issn.1007-9572.2010.01.027.
ZHANG P H，ZHANG H X，ZHAO J，et al．Analysis of effectiveness of family health keeper project and its determinants in Beijing［J］．Chinese General Practice，2010，13（1）：71-74．DOI：10.3969/j.issn.1007-9572.2010.01.027.
［2］武玉俐．家庭保健员在社区冠心病患者健康管理中的价值分析［J］．北京医学，2018，40（11）：1056-1060．DOI：10.15932/j.0253-9713.2018.11.013.
WU Y L．Analysis of the value of family health workers in community health management of patients with coronary heart disease［J］．Beijing Medical Journal，2018，40（11）：1056-1060．DOI：10.15932/j.0253-9713.2018.11.013.
［3］王小芳，李惠萍，何代兰，等．多元化健康教育模式在指导慢性阻塞性肺疾病患者呼吸训练中的应用［J］．广东医学，2016，37（8）：1254-1256．DOI：10.13820/j.cnki.gdyx.2016.08.036．http://d.old.wanfangdata.com.cn/Periodical/gdyx201608047.
［4］付晶，崔华欠，周霞，等．广州市社区居民健康教育需求影响因素分析及对策探讨［J］．护理研究，2018，32（10）：1573-1576． DOI：10.12102/j.issn.1009-6493.2018.10.020.
FU J，CUI H Q，ZHOU X，et al．Influencing factors analysis and countermeasures exploration of health education needs of Guangzhou community residents［J］．Chinese Nursing Research，2018，32（10）：1573-1576．DOI：10.12102/j.issn.1009-6493.2018.10.020.
［5］李珞畅，陈鸿雁，何英，等．全科医学师资强化教学能力培训方案的实践效果评价研究［J］．中国全科医学，2016，19（22）：2691-2695．DOI：10.3969/j.issn.1007-9572.2016.22.016.
LI L C，CHEN H Y，HE Y，et al．Effect of the training program for the improvement of general practice teachers' teaching ability［J］．Chinese General Practice，2016，19（22）：2691-2695．DOI：10.3969/j.issn.1007-9572.2016.22.016.
［6］NEUENDORF K A．The content analysis guidebook online［M］．Cleveland：Sage Publications，2002．
［7］舒星宇，温勇，周建芳，等．我国家庭保健服务现况［J］．现代预防医学，2014，41（9）：1611-1614．
SHU X Y，WEN Y，ZHOU J F，et al．Family health care service in China［J］．Modern Preventive Medicine，2014，41（9）：1611-1614．
［8］中国公民健康素养——基本知识与技能（2015年版）［EB/OL］．（2016-01-08）［2019-04-22］．https://wenku.baidu.com/view/a2b5e80d8bd63186bdebbc3c.html．
［9］中共中央国务院．中共中央国务院印发《“健康中国2030”规划纲要》［EB/OL］．（2016-10-25）［2019-02-12］．http:// www.gov.cn/xinwen/2016-10/25/cntnet-512474.htm.
［10］阮细河，仰萍，王学良，等．以问题为导向的社区健康教育模式探讨［J］．中国健康教育，2015，31（7）：681-682．DOI：10.16168/j.cnki.issn.1002-9982.2015.07.015.
RUAN X H，YANG P，WANG X L，et al．Discussion on problem-oriented model of community health education［J］．Chinese Journal of Health Education，2015，31（7）：681-682．DOI：10.16168/j.cnki.issn.1002-9982.2015.07.015.
［11］汤晶晶，施榕．加拿大糖尿病社区健康教育概况及其对我国的启示［J］．中国全科医学，2018，21（4）：382-386．DOI：10.3969/j.issn.1007-9572.2018.04.002.
TANG J J，SHI R．Community-based diabetes health education in Canada and its enlightenment to China［J］．Chinese General Practice，2018，21（4）：382-386．DOI：10.3969/j.issn.1007-9572.2018.04.002.
［12］付晶，夏瑶，赵瑞瑞，等．国外城市社区慢性病健康教育研究现状及其对我国的启示［J］．中国全科医学，2017，20（31）：3841-3846．DOI：10.3969/j.issn.1007-9572.2017.31.002.
FU J，XIA Y，ZHAO R R，et al．Current overseas urban community-based chronic disease-related health education and its enlightenment for China［J］．Chinese General Practice，2017，20（31）：3841-3846．DOI：10.3969/j.issn.1007-9572.2017.31.002.
［8］邱晶青，杨心玫，倪士光．深圳市医生工作家庭冲突与工作焦虑的关系：职业压力的中介作用［J］．现代预防医学，2017，44（23）：4248-4251，4262.
QIU J Q，YANG X M，NI S G．Mediating effect of occupational stress on correlation between work family conflict and job anxiety of doctors，Shenzhen［J］．Modern Preventive Medicine，2017，44（23）：4248-4251，4262.
［9］YANG T A，MA M X，ZHU M J，et al．Challenge or hindrance：does job stress affect presenteeism among Chinese healthcare workers?［J］．Journal of Occupational Health，2018，60（2）：163-171．DOI：10.1539/joh.17-0195-OA.
［10］杨添安，马名旭，郭义娜，等．北京市公立医院与私立医院医务人员工作压力及其影响的对比分析［J］．中国卫生事业管理，2017，34（8）：622-625.
YANG T A，MA M X，GUO Y N，et al．Comparative analysis of job stress and its influence among medical staffs in public hospitals and private hospitals in Beijing［J］．Chinese Health Service Management，2017，34（8）：622-625.
［11］储召群．乡村医生签约式服务模式研究［D］．武汉：华中科技大学，2015．DOI：10.7666/d.D734920.
［12］沈琦，刘帅，崔恒清，等．上海市闵行区家庭医生工作压力与职业倦怠状况研究［J］．中国全科医学，2019，22（31）：3815-3818，3829．DOI：10.12114/j.issn.1007-9572.2019.00.439．
SHEN Q，LIU S，CUI H Q，et al．Occupational stress and burnout in family doctors in Minhang District，Shanghai［J］．Chinese General Practice，2019，22（31）：3815-3818，3829．
DOI：10.12114/j.issn.1007-9572.2019.00.439．
［13］周国梁，陈家应，苗豫东，等．江苏省基层医务人员工作压力研究［J］．南京医科大学学报（社会科学版），2018，18（5）：349-352．DOI：10.7655/NYDXBSS20180504.
ZHOU G L，CHEN J Y，MIAO Y D，et al．Investigation and countermeasures of job stress among primary healthcare workers in Jiangsu［J］．Journal of Nanjing Medical University（Social Sciences），2018，18（5）：349-352．DOI：10.7655/NYDXBSS20180504.
［14］CAVANAUGH M A，BOSWELL W R，ROEHLING M V，et al．An empirical examination of self-reported work stress among US managers［J］．Journal of Applied Psychology，2000，85（1）：65-74．DOI：10.1037/0021-9010.85.1.65.
［15］WENDY R B，JULIE B O，MARCIE A L．Relations between stress and work outcomes：the role of felt challenge，job control，and psychological strain［J］．Journal of Vocational Behavior，2004，64（1）：165-181．DOI：10.1016/S0001-8791（03）00049-6.
［16］张一，史占彪，张立英，等．挑战性-阻断性压力量表在职业群体中的试用［J］．中国心理卫生杂志，2013，27（5）：384-388．DOI：10.3969/j.issn.1000-6729.2013.05.013.
ZHANG Y，SHI Z B，ZHANG L Y，et al．Application of Challenge-and Hindrance-related Self-Reported Stress Scale in Chinese occupational people［J］．Chinese Mental Health Journal，2013，27（5）：384-388．DOI：10.3969/j.issn.1000-6729.2013.05.013.
［17］MA T Y，YANG T A，GUO Y L，et al．Do challenge stress and hindrance stress affect quality of health care? Empirical evidence from China［J］．International Journal of Environmental Research and Public Health，2018，15（8）：1628．DOI：10.3390/ijerph15081628.

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