中国重庆社区全科医生和护士对院前卒中预防与治疗的认知
Knowledge of Community General Practitioners and Nurses on Pre-Hospital Stroke Prevention and Treatment in Chongqing, China.
作者信息
Yang Juan, Zhang Jie, Ou Shu, Wang Ni, Wang Jian
机构信息
Department of Neurology, the Second People's Hospital of Chengdu, Chengdu, Sichuan, China.
Department of Neurology, Chongqing Emergency Medical Center, Chongqing, China.
出版信息
PLoS One. 2015 Sep 18;10(9):e0138476. doi: 10.1371/journal.pone.0138476. eCollection 2015.
BACKGROUND AND PURPOSE
This study aimed to investigate the knowledge of community general practitioners (GPs) and nurses about pre-hospital stroke recognition, treatment and management and secondary stroke prevention; to identify the sociodemographic and educational factors influencing knowledge.
METHODS
A self-designed test questionnaire was applied in a self-administered close-exam setting among 480 GPs and nurses working in community health centers (stations) in eight urban districts of Chongqing.
RESULTS
A total of 331 (69%) valid test questionnaires were returned. Of the 331 participants, 39% were aware of the clinical guidelines for cerebrovascular diseases, whereas 48% considered themselves to have stroke management capabilities. The correct rate of answering questions of pre-hospital recognition and management knowledge was as low as 24%, the correct rate of secondary stroke prevention knowledge was only 38%. In terms of the total score for stroke prevention and treatment knowledge, there were significant differences between the medical staff with different specialties before engaging in community health services and whether they have received GP training (P <0.05).
CONCLUSION
The community GPs and nurses in the urban districts of Chongqing clearly lack knowledge of stroke, and the levels of stroke prevention and treatment urgently need to be improved.
背景与目的
本研究旨在调查社区全科医生（GP）和护士对院前卒中识别、治疗与管理以及二级卒中预防的了解情况；确定影响知识水平的社会人口统计学和教育因素。
方法
在重庆市八个城区社区卫生服务中心（站）工作的480名全科医生和护士中，采用自行设计的测试问卷，在自我管理的封闭式考试环境中进行调查。
结果
共收回331份（69%）有效测试问卷。在331名参与者中，39%知晓脑血管疾病临床指南，而48%认为自己具备卒中管理能力。院前识别和管理知识答题正确率低至24%，二级卒中预防知识正确率仅为38%。在卒中防治知识总分方面，从事社区卫生服务前不同专业的医务人员以及是否接受过全科医生培训之间存在显著差异（P<0.05）。
结论
重庆市城区社区全科医生和护士对卒中知识明显欠缺，卒中防治水平亟待提高。
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