1. RESEARCH EFFICIENCY INTERVENTION ATTITUDE FOR PRACTICAL KNOWLEDGE WORKERS IN MEDICAL TREATMENT ASTHMA CONTROL IN HAI PHONG 2014
Dr. Nguyen Quang Chinh
Hai Phong centre for health education and communication;
2. Prf. Dr. Pham Huy Quyen
Haiphong univesity of Medicine and Pharmacy;

2. 1. Background: Asthma prevention programs globally "GINA" has confirmed the effectiveness, of the treatment to control asthma, the role of medical personnel guide the patient's treatment. 2. Objective: health care workers have the knowledge to practice the correct attitude to guide the patient. Topic: "Study after intervention training effect on knowledge, attitude of health workers practice in controlling asthma Hai Phong in 2014". - Subjects: health care workers; - The study was conducted at 2 An Duong, An Lao district of Hai Phong city. - Selection criteria health workers: health workers involved in the examination and treatment of respiratory disease in the area.

3. Method:
- Methodology controlled intervention studies; An Duong 65 medical staff and An Lao District: 55 medical staff to intervene.
Quantitative research:
- All medical personnel attended advanced training courses: knowledge test, diagnosis, prevention and control of asthma. Provide materials to use asthma health education. assess the knowledge, attitude and practice of health workers intervened in 12 months, compared with the control group.
- In-depth interviews were conducted three focus group discussions with medical personnel 8 to assess needs and carried out before and after 1 year of intervention.

4. Result:
Knowledge, attitudes and practices of health workers about asthma control significantly improved; 66.1% after intervention EI good reach; Proficient EI 113.8%, 85.5% IE; improve EI case has not reached 98%, 89% IE difference was statistically significant at the Good team, no gain with p <0.001, Medium level with p <0.05.

5. Result:
No the influence of gender with practical knowledge general attitude of the object Study. In univariate analysis, the groups qualified doctor, the difference was statistically significant with p <0.05; training, documentation; counseling, participate in emergency care tend to achieve higher practices compared with the control group, the difference was statistically significant with p <0.001.
Multivariate analysis, training groups; counseling, participate in emergency care, tend to reach about KAP better than the control group; training (OR: ; 95% CI: to ; p = 0.05), the difference was statistically significant at p <0.05. Counseling (OR: ; 95% CI: to ; p = 0.05), the difference was statistically significant at p <0.05. Join emergency (OR: 6.042; 95% CI: to ; p = 0.05), the difference was statistically significant at p <0.05.

6. Assess the knowledge, attitude practices of medical staff, after intervention
KAP
Medical staff
Good
Fair
Average
Not Achieved
An Dương
n=65
before the intervention n (%)
0 (0)
7 (10,8)
8 (12,3)
50 (76,9)
after intervention n (%)
43 (66,1)
15 (23,1)
6 (9,2)
1 (1,5) EI -
113,8
25,2
98,0
An Lao
n=55
6 (10,9)
14 (25,4)
13 (23,6)
22 (40,0)
8 (14,5)
10 (18,2)
24 (43,6)
33,0
28,3 9 IE
85,5 89 P
<0,001
0,511
0,031

7. Factors related to knowledge, attitude and practice of health workers
Univariate analysis
Multivariate analysis OR
95%CI p
Sex
Woman
Nhóm đối chiếu
Man
1,023
0,381-2,746
0,963
0,672
0,156-2,886
0,593
Qualification
Nurse
Doctor
2,989
1,027-8,699
0,045
1,045
0,220-4,963
0,956
Traned No
Yes
38,971
5, ,641
<0,001
15,602
1, ,130
0,044
Documents
22,727
6,174-83,662
3,415
0,530-22,024
0,197
Counseling
19,717
6,137-63,342
12,064
1,928-75,479
0,008
Participate in emergency
18,600
4,115-84,065
6,042
1,036-35,224
0,046

8. Result:
Evaluate the effectiveness of interventions through qualitative research.
Doctor Nguyen Thi Q. "From the club, the media activities, we felt the level of knowledge, attitudes, their practices are raised, healthy. They comment further about the club good “
Doctor Nguyen Thi Bach T. "As a trained physician, knowledge, communication skills, helping us more confident in the diagnosis and treatment advice for patients".
The program is highly effective, with less time, budget ... (in-depth interviews of health workers).

9. PRODUCTION DESIGN AND COMMUNICATION MATERIALS

10. INTERVENTION TO MEDICAL STAFF

11. Conclude
+ Need to improve professional skills for health workers and collaborators. Develop communication and education programs for community health. + Develop communication activities in the community to patients.