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土耳其年轻家庭医生对老年人的态度。

Attitudes toward the elderly among young family physicians in Turkey.

作者信息

Caliskan Tugba, Kendir Candan, Tekin Nil, Kartal Mehtap

机构信息

Directorate of Public Health Services, Mardin, Turkey.

Ecole des hautes études en santé publique (EHESP), Saint-Denis, France.

出版信息

J Family Med Prim Care. 2018 Sep-Oct;7(5):998-1001. doi: 10.4103/jfmpc.jfmpc_277_17.

Abstract

INTRODUCTION

General practitioners'(GPs) role is important as they are easily accessible especially for elderly. Young GPs need to improve their attitudes toward the elderly so that they can be a part of solution for health problems of elderly in the future. The aim of this study is to determine attitudes of young GPs toward elderly by the University of California at Los Angeles Geriatrics Attitude Scale (UCLA-GAS).

METHODS

It is a cross-sectional study performed with questionnaires including UCLA-GAS. The study population was 260 young doctors (GP residents and GPs in their first 5 years after qualification). Statistical evaluation of the data included percentage, mean, and Kolmogorov-Smirnov test and analysis of variance test.

RESULTS

Of the participants, 58.1% ( = 151) were women, 35.4% ( = 94) of them were GPs, and the remaining were GP residents. The mean age was 31.30 ± 5.40 years (range = 24-55 years). The mean score of UCLA-GAS was 46.85 ± 5.63 (range = 30-61). Participants ≤30 years of age had significantly higher scores (47.70 ± 5.99) than age above 30 years (45.68 ± 4.89) ( = 0.003). There was no statistically significant difference between GP residents and GPs ( = 0.989) and between participants who had rotation in elderly healthcare service ( = 63) or not ( = 197) ( = 0.383). However, as the duration of work increased, the score of UCLA-GAS decreased significantly ( = -0.216, < 0.001).

CONCLUSION

Young doctors who were interested in elderly showed more positive attitude as expected. However, the ones who were older and worked longer had less positive attitude. It seems important to understand and prevent this unfavourable attitude with formal education system about elderly healthcare during residency.

摘要

引言

全科医生(GPs)的作用至关重要,因为他们很容易接触到,尤其是对老年人而言。年轻的全科医生需要改善他们对老年人的态度,以便未来他们能够成为解决老年人健康问题的一部分。本研究的目的是通过加利福尼亚大学洛杉矶分校老年医学态度量表(UCLA - GAS)来确定年轻全科医生对老年人的态度。

方法

这是一项采用包含UCLA - GAS问卷的横断面研究。研究人群为260名年轻医生(全科医生住院医师以及资格认证后前5年的全科医生)。数据的统计评估包括百分比、均值、柯尔莫哥洛夫 - 斯米尔诺夫检验和方差分析检验。

结果

参与者中,58.1%(n = 151)为女性,其中35.4%(n = 94)为全科医生,其余为全科医生住院医师。平均年龄为31.30 ± 5.40岁(范围 = 24 - 55岁)。UCLA - GAS的平均得分为46.85 ± 5.63(范围 = 30 - 61)。年龄≤30岁的参与者得分(47.70 ± 5.99)显著高于30岁以上的参与者(45.68 ± 4.89)(p = 0.003)。全科医生住院医师和全科医生之间(p = 0.989)以及有(n = 63)或没有(n = 197)在老年医疗服务机构轮转的参与者之间(p = 0.383)没有统计学显著差异。然而,随着工作时长增加,UCLA - GAS得分显著下降(p = -0.216,p < 0.001)。

结论

如预期的那样,对老年人感兴趣的年轻医生表现出更积极的态度。然而,年龄较大且工作时间较长的医生态度则没那么积极。在住院医师培训期间,通过关于老年医疗保健的正规教育系统来理解和预防这种不利态度似乎很重要。

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