Swanson J Graham, Skelly Jennifer, Hutchison Brian, Kaczorowski Janusz
Department of Family Medicine, McMaster University, Hamilton, Ont.
Can Fam Physician. 2002 Jan;48:86-92.
To determine current knowledge, attitudes, and management of urinary incontinence among family physicians in Canada.
Cross-sectional mailed survey.
Family physicians in Canada.
A random sample of 1500 members of the College of Family Physicians of Canada.
Self-assessed knowledge, self-reported attitudes, and rating of various tests and treatments in the investigation and management of incontinence.
The overall unadjusted response rate was 43.3% (650/1500). Although most respondents reported that urinary incontinence was common in their practices, less than half (46.0%, 284/617) indicated that they clearly understood incontinence and just 37.9% (232/612) had an organized plan for incontinence problems. Only 35.0% (214/612) of respondents felt very comfortable dealing with incontinence. Physical examination, urodynamic studies, urinalysis, and testing blood sugar levels were all considered important investigations by more than 90% of respondents.
There are wide variations in knowledge, attitudes, practices, and comfort level among family physicians dealing with urinary incontinence.
确定加拿大全科医生对尿失禁的现有认知、态度及管理情况。
横断面邮寄调查。
加拿大的全科医生。
加拿大家庭医生学院1500名成员的随机样本。
自我评估的知识、自我报告的态度以及对失禁调查和管理中各种检查及治疗方法的评分。
总体未调整回复率为43.3%(650/1500)。尽管大多数受访者表示尿失禁在他们的诊疗工作中很常见,但不到一半(46.0%,284/617)的人表示他们清楚地了解尿失禁,只有37.9%(232/612)的人有针对尿失禁问题的有条理的计划。只有35.0%(214/612)的受访者对处理尿失禁问题感到非常自信。超过90%的受访者认为体格检查、尿动力学研究、尿液分析和血糖检测都是重要的检查。
在处理尿失禁问题上,全科医生的知识、态度、做法和自信程度存在很大差异。