Farrell Aisling, O'Flynn James, Jennings Aisling
University College Cork, Cork, Ireland.
Department of General Practice, University College Cork, Cork, Ireland.
Ir J Med Sci. 2024 Dec;193(6):2869-2873. doi: 10.1007/s11845-024-03782-7. Epub 2024 Aug 20.
Long Covid (LC) is the continuation or development of new symptoms after initial COVID-19 infection. Little is known about General Practitioners' (GP) experience of managing patients with LC.
The aim of this study is to establish GP experiences with LC.
A survey was designed and piloted in three training practices prior to distribution. The survey was completed by doctors working in GP training scheme practices in Cork, Ireland.
Fifty-three of one hundred and sixty invited GPs completed the survey, indicating a 33% response rate. 8% (4/53) of participants agreed and 0% (0/53) strongly agreed with the statement they were "confident in diagnosing Long Covid". 81% (43/53) were not confident in treating patients with LC. 70% (37/53) were unaware of indications for referral to secondary care. 38% (20/53) were aware of the referral pathways to local LC clinics. 93% (49/53) agreed there were educational deficits regarding LC.
There was a lack of confidence in the diagnosis and management of LC, and in the interface with secondary care. There is demand for educational interventions to assist GPs with their care of patients with this emerging condition.
新冠后综合征（LC）是初次感染新冠病毒后新症状的持续或发展。对于全科医生（GP）管理新冠后综合征患者的经验知之甚少。
本研究的目的是了解全科医生对新冠后综合征的经验。
在分发之前，设计了一项调查问卷并在三个培训实践中进行了预试验。该调查由在爱尔兰科克的全科医生培训计划实践中工作的医生完成。
160名受邀的全科医生中有53名完成了调查，回复率为33%。8%（4/53）的参与者同意且0%（0/53）强烈同意他们“对诊断新冠后综合征有信心”这一说法。81%（43/53）对治疗新冠后综合征患者没有信心。70%（37/53）不知道转诊至二级医疗机构的指征。38%（20/53）知道转诊至当地新冠后综合征诊所的途径。93%（49/53）同意在新冠后综合征方面存在教育缺陷。
在新冠后综合征的诊断和管理以及与二级医疗机构的衔接方面缺乏信心。需要进行教育干预，以帮助全科医生护理患有这种新出现病症的患者。
