Instituto Peruano de Neurociencias, Unidad de Investigación de Deterioro Cognitivo y Prevención de Demencia, Lima, Peru.
Universidad Científica del Sur, Grupo de Investigación Neurociencia, Efectividad Clínica y Salud Pública, Lima, Peru.
Arq Neuropsiquiatr. 2024 Sep;82(9):1-9. doi: 10.1055/s-0044-1790576. Epub 2024 Sep 28.
Primary care physicians and other healthcare providers report feeling unprepared to treat persons with dementia (PWD), especially in developing countries OBJECTIVE: We aimed to assess the knowledge of dementia and Alzheimer's disease (AD) among health professionals in both primary and tertiary care in Peru.
We conducted an in-person and virtual survey of healthcare professionals trained in Peru throughout the year 2020. The survey was developed based on a previously published one and reviewed by an expert panel. We compared groups using a Chi-squared test. A Bonferroni corrected -value of 0.008 was used for statistical significance.
Out of 804 surveys, we excluded 56 due to incomplete data. A total of 41.6% of respondents were doctors and 21.8%, nurses. One fifth of participants did not recognize AD as a cause of dementia and over half considered "senile dementia" a valid clinical entity. Scores were higher among those with postgraduate training, multiple patients with dementia, or those who had practiced for over 10 years.
There is a low level of knowledge of dementia and AD among health professionals in Peru, which worsens outside of Lima. Pernicious ideas, such as senile dementia, are still significantly present among respondents.
初级保健医生和其他医疗保健提供者报告称，他们对痴呆症（PWD）患者的治疗准备不足，尤其是在发展中国家。
我们旨在评估秘鲁初级和三级保健中医疗保健专业人员对痴呆症和阿尔茨海默病（AD）的认识。
我们在 2020 年全年对秘鲁接受培训的医疗保健专业人员进行了面对面和虚拟调查。该调查是基于先前发表的一项调查制定的，并由专家小组进行了审查。我们使用卡方检验比较了各组。使用 0.008 的 Bonferroni 校正 值来表示统计学意义。
在 804 份调查中，我们排除了 56 份因数据不完整的调查。共有 41.6%的受访者为医生，21.8%为护士。五分之一的参与者不认为 AD 是痴呆症的原因，超过一半的人认为“老年性痴呆”是一种有效的临床实体。接受过研究生培训、有多位痴呆症患者或从业超过 10 年的参与者的得分较高。
秘鲁的医疗保健专业人员对痴呆症和 AD 的认识水平较低，在利马以外的地区情况更糟。一些有害的观念，如老年性痴呆，在受访者中仍然非常普遍。
