Cuspidi Cesare, Michev Iassen, Severgnini Barbara, Fusi Veronica, Valerio Cristiana, Meani Stefano, Vaccarella Alvaro, Palumbo Gaetana, Muiesan Maria Lorenza, Magrini Fabio, Zanchetti Alberto
Institute of Internal Medicine, Centro di Fisiologia Clinica e Ipertensione, University of Milan, Ospedale Maggiore IRCCS, Milan, Italy.
Ital Heart J. 2002 Jan;3(1):60-3.
An adequate knowledge of hypertension guidelines by primary care physicians is a fundamental step for the improvement of the diagnosis and treatment of hypertension in the general population. The aim of this study was to evaluate, in a local survey in the northern area of Lombardy, the general practitioners' knowledge of the WHO/ISH guidelines.
A 10-item mail questionnaire based on the 1999 WHO/ISH hypertension guidelines was sent to a sample of 280 primary care physicians. The number of answers in agreement with the guidelines was used as a measure of guidelines knowledge, that was considered adequate if a correct answer to 6 out of 10 questions, in addition to an adequate definition of hypertension, was provided.
The analysis was based on 83 returned questionnaires, that means a 29% response rate. Guidelines knowledge was adequate in 23.5% of the total study population and the mean score of correct answers was 5.5 points. A significant negative correlation (r = 0.27, p < 0.05) was observed between the mean score of knowledge and the physician's age.
In a sample of primary care physicians from a northern region of Italy, the hypertension guidelines knowledge is inadequate; the reasons and the extent of this poor awareness will require further studies.
基层医疗医生充分了解高血压指南是改善普通人群高血压诊断和治疗的基本步骤。本研究的目的是在伦巴第大区北部的一项本地调查中，评估全科医生对世界卫生组织/国际高血压学会（WHO/ISH）指南的了解情况。
基于1999年WHO/ISH高血压指南设计了一份包含10个项目的邮寄问卷，发送给280名基层医疗医生。与指南一致的回答数量被用作衡量指南知识的指标，如果除了对高血压有恰当定义外，对10个问题中的6个回答正确，则认为指南知识掌握情况良好。
分析基于83份回收的问卷，即回复率为29%。在整个研究人群中，23.5%的人对指南知识掌握情况良好，正确答案的平均得分为5.5分。知识平均得分与医生年龄之间存在显著负相关（r = 0.27，p < 0.05）。
在意大利北部地区的基层医疗医生样本中，对高血压指南的知识掌握不足；这种认知不足的原因和程度需要进一步研究。
