摘要目的:以上海市浦东新区养老机构的养老护理员为样本，了解其对中医药特色服务的认知、培训需求、供给意愿现状，分析影响因素并开展中医药特色服务培训，为城市的中医药特色服务推广提供参考。方法:于2019年5—7月，以上海市浦东新区某中医医院Y为中心，采用便利抽样法选取周边9家养老机构的134名养老护理员为研究对象，了解养老护理员的基本情况及对中医药特色服务的认知程度、培训需求程度及供给意愿，分析产生差异的影响因素，采用 χ2检验进行统计学分析。 结果:调研134名养老护理员，37.3%（50/134）不了解中医药特色服务，71.6%（96/134）需要中医药特色服务培训； χ2检验显示，性别、年龄、文化程度、工作年限对养老护理员中医药特色服务认知的差异有统计学意义（ χ2值为9.512~28.057，均 P<0.05）；性别、年龄、文化程度对养老护理员中医药特色服务培训需求差异有统计学意义（ χ2值为10.425、10.569、13.088，均 P<0.05）。在培训需求上，随日节律调整起居（3.82 ± 0.67）分，食物的分类、特性、功效（3.38 ± 0.73）分，常用防治疾病的中药、中成药等（3.23 ± 0.84）分，情志与健康的关系（3.32 ± 0.65）分，运动保健法（3.47 ± 0.58）分，穴位按摩（3.50 ± 0.72）得分较高；而在供给意愿上，中医适宜技术中的拔罐（3.31 ± 0.79）分得分最高，其他项目得分较高的情况与培训需求相似。 结论:养老护理员中医药特色服务认知程度有待提高，应加强重点项目如起居养生、饮食调护、穴位按摩、运动保健等在养老机构的培训和推广运用，加大中医药专业人才的培养力度，并提高其中医医养结合服务的参与率。

abstractsObjective:To provide the basis for integration of Traditional Chinese Medicine (TCM) and medical care in cities by taking the elderly care workers in Pudong New District of Shanghai as a sample, investigate the current situation of cognition, training demand and willing to supply among them, promote training of TCM and medical care.Methods:From May to July 2019, nine long-term care facilities were conveniently selected around traditional Chinese medicine hospital Y in Pudong New Area, Shanghai, and 134 elderly care workers were randomly surveyed to understand the basic situation of the characteristics of traditional Chinese medicine services. Awareness, training demand and willing to supply are statistically analyzed using χ2 test to analyze their influencing factors. Results:A total of 134 elderly care workers in nine long-term care facilities were investigated by convenient method, only 37.3% (50/134) didn′t know about Traditional Chinese Medicine Characteristic Services, but 71.6% (96/134) need training. There were significant differences in the scores of cognition of the elderly care workers between different gender, age, education level, working experiences ( χ2 values were 9.512-28.057,respectively, all P<0.05), There were significant differences in the scores of training demand of the elderly care workers between different gender, age, education level ( χ2 values were 10.425, 10.569, 13.088,respectively,all P<0.05). Among the Chinese medical items, In the training needs, the daily rhythm of daily life (3.82±0.67), the classification, characteristics and efficacy of food (3.38±0.73), the common used traditional Chinese medicine (3.23±0.84), the relationship between emotion and health (3.32±0.65), exercise and health care method (3.47±0.58), acupoint massage (3.50±0.72) in the traditional Chinese appropriate technique has higher score. In terms of willing to supply, cupping in suitable techniques of Chinese medicine (3.31±0.79) had the highest score, other items with higher scores were similar to training needs. Conclusions:The awareness of the traditional Chinese medicine service of the elderly workers needs to be improved. It is necessary to strengthen the training and promotion of key projects such as daily health care, diet care, acupoint massage, sports health care, etc, and increase the training of Chinese medicine professionals. Strengthen and increase the participation rate of integrated medical, medical and nursing services.