Department of Internal Medicine, Kantonsspital Graubuenden, Chur, Switzerland.
Swiss Med Wkly. 2010 Jun 26;140(25-26):370-5. doi: 10.4414/smw.2010.12974.
To assess the diabetes-related knowledge of medical and nursing house staff with particular focus on inpatient diabetes management and insulin therapy.
In a cross-sectional design, diabetes-related knowledge among physicians, graduate nurses, medical students and student nurses of the departments of internal medicine, surgery and gynaecology was assessed using a 42-item multiple-choice questionnaire.
Of 466 subjects approached 232 completed the questionnaire. Knowledge was highest for physicians in internal medicine (total score 62 +/- 11%, mean +/- SD, max. 100%). Physicians in surgery and gynaecology had lower scores (48 +/- 14% and 47 +/- 12%, p <0.001 and p <0.05 respectively, compared with internal medicine), which were comparable to those of medical students (49 +/- 9%). Knowledge of attending physicians and residents did not differ within the three specialities. Nurses in internal medicine and surgery had the same level of knowledge (total score 41 +/- 11% each), which was comparable to that of student nurses (40 +/- 9%). Nurses in gynaecology had lower total scores (30 +/- 10%, p <0.001 compared with nurses in medicine and surgery respectively). The comfort level in dealing with diabetes correlated with the knowledge score for physicians, but not for nurses.
Knowledge of diabetes is mediocre among medical and nursing house staff. For physicians, the knowledge level depends on the speciality (internal medicine better than surgery and gynaecology) and correlates with the comfort level in dealing with diabetes, but is not higher in attending physicians than in residents. Nurses have a high comfort level, which, however, does not correlate with knowledge, which is similar in medicine, surgery and student nurses, but low in gynaecology.
评估医护人员的糖尿病相关知识，尤其关注住院患者的糖尿病管理和胰岛素治疗。
采用横断面设计，以内科、外科和妇科的内科医生、研究生护士、医学生和护生为研究对象，用 42 项多项选择题式问卷评估糖尿病相关知识。
在 466 名被调查者中，有 232 名完成了问卷。内科医生的知识最高（总分 62±11%，平均值±标准差，最高 100%）。外科和妇科医生的得分较低（48±14%和 47±12%，分别与内科相比 p<0.001 和 p<0.05），与医学生（49±9%）相当。内科医生和住院医师的知识水平在三个专业中没有差异。内科和外科的护士具有相同的知识水平（总分各为 41±11%），与护生（40±9%）相当。妇科护士的总分较低（30±10%，与内科和外科护士相比均 p<0.001）。处理糖尿病的舒适度与医生的知识评分相关，但与护士的知识评分无关。
医护人员对糖尿病的了解一般。对于医生来说，知识水平取决于专业（内科优于外科和妇科），与处理糖尿病的舒适度相关，但主治医生的知识水平并不高于住院医师。护士对处理糖尿病的舒适度高，但与知识无关，内科、外科和护生的知识水平相似，但在妇科较低。
