Universidade Estadual Paulista "Júlio de Mesquita Filho", Faculdade de Medicina de Botucatu, Departamento de Clínica Médica, Botucatu SP, Brazil.
Universidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Medicina, Disciplina de Geriatria e Gerontologia, São Paulo SP, Brazil.
Arq Neuropsiquiatr. 2021 Feb;79(2):107-113. doi: 10.1590/0004-282X-anp-2020-0051.
Alzheimer's disease (AD) is the leading cause of dementia worldwide. Despite alarming evidence on dementia prevalence, the condition is still underdiagnosed by general practitioners (GPs) in primary care. Early detection of the disease is beneficial for patients and relatives, who should be provided comprehensive guidance on dealing with dementia complications, covering medical, family and social aspects, thereby providing an opportunity to plan for the future.
The objective of this study was to assess the knowledge of and attitudes toward dementia held by GPs from a city in the interior of São Paulo State, Brazil.
A non-randomized intervention study was conducted involving six lectures about dementia. Before and after the intervention, the participating physicians completed two quizzes about knowledge of and attitudes towards dementia. The study was carried out in the primary care services of the town and a total of 34 GPs participated in the study.
The mean age of the sample was 33.9 (±10.2) years and the majority (76.5%) of the sample had not undertaken medical residency training. The mean number of correct answers on the Knowledge Quiz about dementia before and after the training intervention was 59.6 and 71.2% (p<0.001), respectively. The comparison of the mean responses on the Attitude Quiz revealed no statistically significant difference between the two applications of the instrument, before and after intervention (p=0.059).
More training for GPs on dementia should be provided.
阿尔茨海默病（AD）是全球范围内导致痴呆的主要原因。尽管痴呆症的患病率令人震惊，但初级保健中的全科医生（GP）仍对其诊断不足。早期发现该疾病对患者及其亲属都有益处，应为他们提供有关痴呆症并发症处理的综合指导，涵盖医疗、家庭和社会方面，从而为未来的规划提供机会。
本研究旨在评估巴西圣保罗州内陆城市的全科医生对痴呆症的认知和态度。
这是一项非随机干预研究，涉及六次关于痴呆症的讲座。在干预前后，参与的医生完成了两次关于痴呆症认知和态度的测验。研究在该镇的初级保健服务中进行，共有 34 名全科医生参与了这项研究。
样本的平均年龄为 33.9（±10.2）岁，大多数（76.5%）医生没有接受过住院医师培训。在培训干预前后，对痴呆症知识测验的平均正确答案数分别为 59.6%和 71.2%（p<0.001）。在使用该工具前后，对态度测验的平均反应进行比较，发现差异无统计学意义（p=0.059）。
应向全科医生提供更多关于痴呆症的培训。
