基层医疗保健医生和护士对短暂性脑缺血发作的认识和管理的调查。

Survey of the knowledge and management of transient ischemic attacks among primary care physicians and nurses.

机构信息

Unidad de Ictus, Sección de Neurología, Hospital Universitari Arnau de Vilanova de Lleida, Universitat de Lleida, Institut de Recerca en Biomedicina de Lleida (IRBLleida), Spain.

出版信息

Neurologia. 2011 May;26(4):200-7. doi: 10.1016/j.nrl.2010.04.011. Epub 2010 Nov 20.

DOI:10.1016/j.nrl.2010.04.011

PMID:21163211

Abstract

INTRODUCTION

Transient ischaemic attack (TIA) patients often report that Primary Care physicians (PCPs) and nurses are their main medical contacts after onset of symptoms in our health area. There are few studies on the knowledge and management of TIA among Community and Family Medicine professionals.

MATERIAL AND METHODS

Our aim was to study the current knowledge and practice in the management of TIA patients among Primary Care physicians and nurses. A cross-sectional survey with seven questions about TIA was conducted among 640 PCPs and nurses from Primary Care centres in our health area.

RESULTS

In total, 285 (46.7% PCPs) took participate in the study. Of these, 239 (83.9%) participants knew the duration of a TIA. However only 40 (14%) recognised all clinical symptoms. An urgent neuroimaging was preferred by 67%. Only 42.5% agreed that an urgent cervical duplex would be useful in these patients. Transcranial Doppler was recognised by only 35.4%. A majority (78.2%) of participants agreed that TIA patients must be admitted to hospital. PCPs had the best knowledge of TIA (odds ratio [OR] 2.138; 95% CI 1.124-4.067; P = 0.021) but there were no differences between physicians and nurses on the management of these patients. Nurses from rural Primary Care centers had the worst level of knowledge (OR 0.410; 95% CI 0.189-0.891; P = 0.024).

CONCLUSION

TIA was well recognized as a medical emergency. However, knowledge of clinical symptoms of TIA must be improved.

摘要

简介

在我们的医疗区域，短暂性脑缺血发作（TIA）患者通常报告称，初级保健医生（PCP）和护士是他们发病后的主要医疗联系人。社区和家庭医学专业人员对 TIA 的了解和管理方面的研究较少。

材料和方法

我们的目的是研究初级保健医生和护士在 TIA 患者管理方面的现有知识和实践。在我们的医疗区域内，对 640 名初级保健中心的 PCP 和护士进行了一项横断面调查，其中包括七个关于 TIA 的问题。

结果

共有 285 名（46.7%的 PCP）参与了这项研究。其中，239 名（83.9%）参与者了解 TIA 的持续时间。然而，只有 40 名（14%）人能识别所有临床症状。67%的人更喜欢紧急神经影像学检查。只有 42.5%的人认为在这些患者中紧急颈颅双功能多普勒超声检查会有用。仅 35.4%的人认识经颅多普勒超声。大多数（78.2%）参与者同意 TIA 患者必须住院。PCP 对 TIA 的了解最好（优势比 [OR] 2.138；95%置信区间 [CI] 1.124-4.067；P = 0.021），但医生和护士在这些患者的管理方面没有差异。来自农村初级保健中心的护士知识水平最差（OR 0.410；95%CI 0.189-0.891；P = 0.024）。