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中文摘要: 目的 在上海市浦东新区全科医师队伍中开展心身医学知识培训。方法 采用问卷星平台进行问卷调查，选取来自辖区内45家社区卫生服务中心135名学员作为培训组，以及同一区域的100名的全科医师作为对照组，进行培训效果评估。结果 培训组总分高于对照组,差异有显著统计学意义(P＜0.001),培训后，提升最快的模块依次是心身医学知识的应用(P＜0.001)、精神科问诊及治疗(P＜0.001)、社区随访沟通技巧(P＜0.001)、儿童青少年心身疾病(P=0.002)；但是，焦虑症模块的变化无统计学意义(P=0.213)；相对于城区的全科医师，乡镇的全科医师培训后，精神科问诊及治疗（P=0.471）和儿童青少年心身疾病（P=0.06）模块的变化都无统计学意义。结论 心身医学培训能显著提升全科医师对相应知识的掌握，城区和乡镇的全科医师对心身医学知识的需求有差别，需要进一步精确设计培训模式和方向。
Abstract:OBJECTIVE To popularize the trainings of the psychosomatic medicine in general practitioners (GPs). METHODS The examination conducted by Wechat between the 135 trainees (training group, TG) and 100 no-trainees (control group, CG) from GPs who came from 45 community health service centers. RESULTS The scores of the TG was remarkably higher than that of the CG (P＜0.001). After the training, the knowledge that increased mostly in turn were : the application (P＜0.001), the interrogation and treatment of psychiatry(P＜0.001), the communication skills (P＜0.001), and the psychosomatic diseases of children and adolescents (P=0.002). However, the information of the anxiety disorder had no significant difference (P=0.213). Compared to the rural GPs, after the training, the interrogation and treatment of psychiatry (P=0.471), and the psychosomatic disease of children and adolescents (P=0.06）of the GPs in the urban had no significant differences. CONCLUSION The training could help the GPs to grasp the knowledge of psychosomatic medicine. The differences of the needs were distinguished between the GPs in the rural and urban areas. There still needed more focused trainings for GPs from different areas.
文章编号：3201909004 中图分类号：R197 文献标志码：
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| 作者 | 单位 |
| 郭 祎①，秦虹云①，胡承平①＃ |
| Author Name | Affiliation |
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