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教育干预对医生管理代谢综合征临床能力的影响。

Effect of an educative intervention on the clinical ability of physicians in the management of metabolic syndrome.

作者信息

Cabrera-Pivaral Carlos E, Anaya-Prado Roberto, González-Pérez Guillermo, Vega-López María Guadalupe, Centeno-López Ninel Mayarí

机构信息

Unidad de Investigación en Epidemiología Clínica, Centro Médico Nacional de Occidente, IMSS de Guadalajara, Jal.

出版信息

Rev Invest Clin. 2012 Jan-Feb;64(1):74-80.

Abstract

PURPOSE

To measure the effect of an educative intervention on the clinical ability of Family Physicians of two Family Units of the Mexican Institute of Social Security (IMSS) in the diagnosis and treatment of patients with metabolic syndrome.

MATERIAL AND METHODS

A quasi-experimental study was conducted with a control group using basal and final measurements. The educative intervention of the experiment group included one in-the-classroom work and another at the doctors' office. The instrument was validated by a panel of experts and included 140 items and five case-oriented problems, reaching a reliability index of 0.87.

RESULTS

. There was no significant difference at base measurement among the different levels of clinical ability between the two groups (p = 0.82), both the experimental and the control groups showed a higher frequency of medium level abilities (33.3 vs. 36.8% respectively). At the end of the follow-up, a significant increase in the experimental group (98 with 49-106 over 69 with 26-94) was observed.

CONCLUSIONS

The educative intervention utilized in this study improved the ability of Family Physicians to diagnose, treat an apply preventive measures in patients with metabolic syndrome.

摘要

目的

评估一项教育干预措施对墨西哥社会保障局(IMSS)两个家庭医疗单位的家庭医生诊断和治疗代谢综合征患者临床能力的影响。

材料与方法

采用准实验研究,设立对照组,进行基础测量和最终测量。实验组的教育干预包括一次课堂学习和一次在医生办公室的学习。该工具经专家小组验证,包含140个项目和五个以病例为导向的问题,信度指数达到0.87。

结果

两组在基础测量时,不同临床能力水平之间无显著差异(p = 0.82),实验组和对照组中等水平能力的频率均较高(分别为33.3%和36.8%)。随访结束时,观察到实验组有显著提高(98例,得分49 - 106,而对照组69例,得分26 - 94)。

结论

本研究中采用的教育干预提高了家庭医生对代谢综合征患者进行诊断、治疗和采取预防措施的能力。

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