Jacinto Alessandro Ferrari, Gordon Adam Lee, Samra Rajvinder, Steiner Ana Beatriz, Mayoral Vania Ferreira de Sá, Citero Vanessa de Albuquerque
Department of Internal Medicine, Faculdade de Medicina de Botucatu (FMB), Universidade Estadual Paulista Júlio de Mesquita Filho (Unesp), Botucatu, SP, Brazil.
Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, UK.
Gerontol Geriatr Educ. 2020 Apr-Jun;41(2):250-257. doi: 10.1080/02701960.2018.1551216. Epub 2018 Dec 15.
: Dementia training for Brazilian general practitioners (GPs) is underdeveloped. We investigated knowledge and attitudes to dementia management among Brazilian GPs and compared these with previous UK findings to inform future decisions about how training is structured.: A total of 115 Brazilian GPs were asked to complete a Portuguese translation of a questionnaire previously used in the UK. This comprised a 14-item multiple-choice knowledge quiz, and a 5-point Likert-scale questionnaire assessing attitudes across 10 dementia management domains. Exploratory factorial analysis was conducted for attitudes.: Attitudes toward dementia demonstrated the same underlying factor structure, "heartsink" and "heartfelt" factors, in Brazil as in previous UK studies, explaining 61.6% of variance in responses. Knowledge scores were negatively correlated with heartfelt and heartsink factors.: Greater knowledge about dementia was associated with some pessimism about dementia care. The similarity in the structure of attitudes toward dementia management between Brazilian and UK GPs provides a starting point for shared educational approaches targeting attitudes.
巴西全科医生（GP）的痴呆症培训尚不完善。我们调查了巴西全科医生对痴呆症管理的知识和态度，并将其与英国之前的研究结果进行比较，以为未来培训结构的决策提供参考。
共邀请了115名巴西全科医生完成一份此前在英国使用过的问卷的葡萄牙语翻译版。该问卷包括一个14项的多项选择题知识测验，以及一份5级李克特量表问卷，用于评估在10个痴呆症管理领域的态度。对态度进行了探索性因子分析。
在巴西，对痴呆症的态度表现出与英国之前研究相同的潜在因子结构，即“心灰意冷”和“由衷关切”因子，解释了61.6%的应答方差。知识得分与由衷关切和心灰意冷因子呈负相关。
对痴呆症了解更多与对痴呆症护理的某种悲观情绪有关。巴西和英国全科医生对痴呆症管理态度结构的相似性为针对态度的共同教育方法提供了一个起点。
