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巴西南部初级保健医生对痴呆症的认知和态度。

Knowledge and attitudes about dementia of primary care physicians in Southern Brazil.

机构信息

Programa de Pós-Graduação Em Medicina: Ciências Médicas, Universidade Federal Do Rio Grande Do Sul, Ramiro Barcelos Street, Porto Alegre, 240090035003, Brazil.

Secretaria de Saúde Do Estado Do Rio Grande Do Sul, Borges de Medeiros Avenue, Porto Alegre, 150190119900, Brazil.

出版信息

BMC Prim Care. 2024 Oct 16;25(1):370. doi: 10.1186/s12875-024-02619-7.

DOI:10.1186/s12875-024-02619-7
PMID:39415092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11481289/
Abstract

BACKGROUND

Primary Care Physicians have a central role in assisting individuals with dementia and evaluating their preparedness to care these patients is fundamental. Our aim is to evaluate the knowledge and attitudes regarding dementia of the Primary Care Physicians (PCP) in Rio Grande do Sul (RS) state, Southern Brazil.

METHODS

We collected sociodemographic data, volume of patients with dementia treated/referred and perception of difficulties in caring for these patients. A previously validated questionnaire was sent: "Quiz on Knowledge and Attitudes in Dementia".

RESULTS

From March/2022 to June/2023, 296 PCP responded to the questionnaire. They were mostly women (52.7%, 156), with a median [IQR] age of 35 [29-44] years, mostly were White (82.1%, 243) and had 7 (4-16) years of experience as a physician. Less than half of the physicians performed cognitive screening (43.9%) and Mini Mental State Examination was the most screening (63.5%) test used. The mean percentage of correct answers in the Knowledge Quiz was 46.4%. In the attitude quiz, we identified 3 factors: 1) frankly positive attitudes; 2) perceive primary care as important but have a pessimistic attitude towards them; 3) see primary care as important for patient care.

CONCLUSION

Knowledge about dementia is low among PCP in RS; however, most have positive attitudes towards these patients or think primary care is important to these patient's care.

摘要

背景

初级保健医生在帮助痴呆患者方面发挥着核心作用,评估他们照顾这些患者的准备情况至关重要。我们的目的是评估巴西南里奥格兰德州(RS)初级保健医生(PCP)对痴呆症的知识和态度。

方法

我们收集了社会人口统计学数据、治疗/转诊的痴呆患者数量以及照顾这些患者的困难程度。我们发送了一份经过验证的问卷:“痴呆症知识和态度测验”。

结果

从 2022 年 3 月至 2023 年 6 月,共有 296 名 PCP 回答了问卷。他们大多是女性(52.7%,156 人),中位数[IQR]年龄为 35 [29-44] 岁,大多为白人(82.1%,243 人),作为医生的经验为 7(4-16)年。不到一半的医生进行认知筛查(43.9%),使用最广泛的筛查(63.5%)测试是 Mini Mental State Examination。知识测验中正确答案的平均百分比为 46.4%。在态度测验中,我们确定了 3 个因素:1)坦率的积极态度;2)认为初级保健很重要,但对其持悲观态度;3)认为初级保健对患者护理很重要。

结论

RS 的 PCP 对痴呆症的知识水平较低;然而,大多数人对这些患者持积极态度,或认为初级保健对这些患者的护理很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274c/11481289/ffab4c96a96f/12875_2024_2619_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274c/11481289/7aa640590b43/12875_2024_2619_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274c/11481289/ffab4c96a96f/12875_2024_2619_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274c/11481289/7aa640590b43/12875_2024_2619_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/274c/11481289/ffab4c96a96f/12875_2024_2619_Fig2_HTML.jpg

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本文引用的文献

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The Knowledge and Attitudes of Primary Care and the Barriers to Early Detection and Diagnosis of Alzheimer's Disease.初级保健的知识和态度以及阿尔茨海默病早期检测和诊断的障碍。
Medicina (Kaunas). 2022 Jul 7;58(7):906. doi: 10.3390/medicina58070906.
2
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Arq Neuropsiquiatr. 2021 Feb;79(2):107-113. doi: 10.1590/0004-282X-anp-2020-0051.
3
Factors influencing general practitioners' perception of and attitude towards dementia diagnostics and care-results of a survey among primary care physicians in Germany.
影响全科医生对痴呆症诊断和护理认知及态度的因素——德国初级保健医生调查结果。
Wien Med Wochenschr. 2021 May;171(7-8):165-173. doi: 10.1007/s10354-020-00803-9. Epub 2021 Jan 14.
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GP awareness, practice, knowledge and confidence: evaluation of the first nation-wide dementia-focused continuing medical education program in Australia.全科医生的认知、实践、知识和信心:澳大利亚首个全国性专注于痴呆症的继续医学教育项目的评估。
BMC Fam Pract. 2020 Jun 10;21(1):104. doi: 10.1186/s12875-020-01178-x.
5
Persistent barriers and facilitators to seeking help for a dementia diagnosis: a systematic review of 30 years of the perspectives of carers and people with dementia.痴呆症诊断寻求帮助的持续障碍与促进因素:对30年来护理人员和痴呆症患者观点的系统综述
Int Psychogeriatr. 2020 May;32(5):611-634. doi: 10.1017/S1041610219002229. Epub 2020 Feb 6.
6
Comparing knowledge and attitudes to dementia care in Brazilian and UK GPs to guide future decisions about educational interventions.比较巴西和英国全科医生对痴呆症护理的知识和态度,以指导未来关于教育干预措施的决策。
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7
Brazilian transcultural adaptation of an instrument on physicians' knowledge and attitudes towards dementia.一份关于医生对痴呆症的知识和态度的工具在巴西的跨文化改编。
Dement Neuropsychol. 2015 Jul-Sep;9(3):245-250. doi: 10.1590/1980-57642015DN93000006.
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