上海地区全科医师对痴呆相关问题的态度和信心的调查
A survey on the attitudes and confidence of general practitioners in handling dementia and its related problems
目的 了解上海地区全科医师对于痴呆及其相关问题的态度和信心.方法 2012年9月25日以问卷方式对上海地区部分全科医师(GP)进行调查,内容涉及其对痴呆及其相关问题的态度和信心.结果 来自73家医院的287名GP参加了调查.大多数(78.4%) GP认为平时接触的痴呆患者较少,较少(24.7%)参加过相关知识的培训.高年资GP缺乏积极性,更倾向于痴呆由专家来诊断(87.1%对74.8%,OR=2.28,95% CI:1.14~4.57,P=0.02)、没必要主动提出转诊(22.0%对10.1%,OR=2.52,95% CI:1.24~5.14,P=0.01)及认为GP对痴呆的管理没有什么作用(9.7%对0.7%,OR=15.59,95%CI:1.96 ~ 123.81,P=0.00).结论 上海地区的GP缺少痴呆相关知识的培训、对痴呆管理的态度相对消极,有必要对之开展良好的相关知识培训以提高其处理患者的自信和积极性.
更多Objective To explore the attitudes and confidence of general practitioners (GPs) in handling dementia and its related problems.Method A questionnaire survey was conducted among 287 GPs from 73 hospitals in Shanghai on September 25,2012.It included basic practicing information and their attitudes and confidence in handling dementia and its related problems.Results Among all participants,78.4% of them responded that they encountered few demented patients during their clinical practices and only 24.7% of them had attended some dementia-related knowledge training courses.Senior GPs were less enthusiastic than junior GPs in handling dementia and its related problems as they were more likely to think that dementia should be diagnosed by a specialist (87.1% vs 74.8%,OR =2.28,95% CI:1.14-4.57),less likely to actively refer patients (22.0% vs 10.1%,OR =2.52,95% CI:1.24-5.14) and more likely to form an opinion that GPs had a very limited role in the care of demented patients (9.7% vs 0.7%,OR =15.59,95% CI:1.96-123.81).Conclusion Most Shanghai GPs lack trainings about dementia and its related knowledge and their attitudes toward the care of dementia are pessimistic.Thus it is necessary to provide them more training to enhance their confidence and enthusiasm in the care of dementia.
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