摘     要目的  总结农村慢性病管理人员的整体社会网络特征，与知识共享行为进行相关性分析，寻找农村乡镇慢性病管理医务人员的知识共享行为的影响因素。方法  随机抽取河南省的两个县的五个镇（乡）作为调查地点。乡上所有参与慢性病管理的医务人员作为调查对象。以县（区）卫生局提供的样本镇（乡）慢性病管理医务人员名单为基础，核准后确定最终名单，并进行编码，发放问卷进行现场调查。采用社会网络分析法对农村慢性病管理医务人员的社会网络进行描述。使用探索性因子分析法构建医务员知识共享行为维度。用多重线性回归分析探究农村乡镇慢性病管理医务人员社会网络特征与知识共享行为的相关性。结果  知识共享行为主要影响因素在社会网络层面上主要受信任网络的影响（标准系数=0。232，P<0。001），此外还受到文化程度（标准系数=0。232，P=0。001）和工作年限影响（标准系数=0。214，P=0。002）。在慢性病知识共享行为具体五个维度上，组织沟通行为的主要影响因素是情感网络（标准系数=0。240，P<0。001）；个人与社团交流的行为主要影响因素是信任网络（标准系数=0。212，P=0。001）、文化程度（标准系数=0。208，P=0。002）和工作年限（标准系数=0。147，P=0。031）；工作小组沟通行为主要影响因素是情感网络特征（标准系数=0。157，P=0。012）、文化程度（标准系数=0。257，P<0。001）、工作年限（标准系数=0。323，P=0。004）和年龄（标准系数=0。235，P =0。045）；文章与论坛维度主要影响因素是信任网络（标准系数=0。232，P<0。001）、文化程度（标准系数=0。175，P=0。007）、工作年限（标准系数=0。149，P=0。027）；工作报告分享行为主要影响因素是信任网络（标准系数=0。252，P<0。001）和工作年限（标准系数=0。231，P<0。001）。结论  应加强农村慢性病管理医务人员的信任网络和情感网络的建设，加强医务人员的继续教育，充分发挥网络中核心者的作用，提高知识共享行为的水平。89836

毕业论文关键词: 社会网络; 知识共享; 慢性病管理; 医务人员; 农村

Abstract Objective：To summarize the overall social network characteristics about managers of chronic diseases in rural areas, and to analyze the correlation between knowledge sharing behaviors and the influencing factors of knowledge sharing behavior among rural chronic disease management medical staff Method：Randomly selected two counties in Henan as sample counties。 Five towns became the researching locations。 The study samples were all the medical staff in the sample towns involved in the management of chronic diseases。 On the basis of the chronic diseases medical staffs list provided by the Hygiene Bureau, then carried out the list approved and finalized by the supervisors in charge of the central hospital, and then numbered it and issued the questionnaires to carry on the field investigation。 Social network analysis method was applied to describe the social network of rural chronic diseases staff。 Constructing the knowledge sharing behavioral dimension of medical staff by exploratory factor analysis。 Using multiple linear regression analysis to explore the correlation between social network and knowledge sharing behavior of chronic disease management staff in rural area。 Result: The main influencing factors of knowledge sharing behavior are the trust network (standard coefficient β=0。232，P<0。001), its also affected by the education level (standard coefficient β=0。232，P=0。001) and the working years(standard coefficient β=0。214，P=0。002)。The main influencing factors of organizing communication behavior are the emotion network (standard coefficient β=0。240，P<0。001)。 The main influencing factors for inpiduality and group communication behavior are  the trust network (standard coefficient β=0。212，P=0。001), the education level (standard coefficient β=0。208，P=0。002) and the working years (standard coefficient β=0。147，P=0。031)。 The task group communication behavior is mainly affected by the emotion network (standard coefficient β=0。157，P=0。012), the education level (standard coefficient β=0。257，P<0。001), the working years（standard coefficient β=0。323，P=0。004) and the age (standard coefficient β=0。235，P=0。045)。 The main influencing factors of the dimensions of article and the forum are the trust network (standard coefficient β=0。232，P<0。001), the education level (standard coefficient β=0。175，P=0。007) and the working years (standard coefficient β=0。149，P=0。027)。The main influencing factors of job sharing behavior are the trust network (standard coefficient β=0。252，P<0。001) and the working years (standard coefficient β= 0。231，P<0。001)。 Conclusion: Enhancing the construction of rural chronic diseases management staff's trust network and emotion network, give core role in the network full play and advance the level of knowledge sharing behavior。