北京市社区卫生服务中心医务人员卒中相关知识调查及干预研究  

Survey and Intervention Study on the Cognitive Level of Stroke-Related Knowledge among Beijing Community Medical Staff

作　　者：陈胜云[1] 孙海欣[2] 赵性泉[1] 王文志[2] 吴升平[2] 江滨[2] 杜晓立[2] 贾鸿雁 

机构地区：[1]首都医科大学附属北京天坛医院神经内科,北京市100050 [2]全国脑血管病防治研究办公室,首都医科大学,北京市神经外科研究所 [3]北京市方庄社区卫生服务中心

出　　处：《中国卒中杂志》2010年第9期716-722,共7页Chinese Journal of Stroke

基　　金：国家"十一五"科技支撑计划课题(2007BA124B03)

摘　　要：目的调查社区医务人员对卒中相关知识的认知情况。对社区医务人员进行卒中相关知识培训干预效果进行评价。方法选取北京市丰台区方庄卫生服务中心作为研究现场。全体医务人员进行干预前基线调查。使用统一的问卷式调查表。调查内容包括:(1)社区医务人员的性别、年龄、文化程度等一般资料;(2)卒中相关知识,包括卒中危险因素的认识、卒中高危人群的干预、卒中的防控相关知识、卒中的早期症状识别及转诊知识。对全体医务人员进行上述卒中相关知识培训。培训结束后进行再次问卷调查。对调查前后的卒中知识认知情况进行比较以评价干预效果。结果共有50名社区医务人员参与研究。(1)社区医务人员对早中危险因素知晓率为66%～100%,培训后的知晓率为94%～100%。对高血压、糖尿病、肥胖等危险因素的防控知识的知晓率为70%～96%,培训后的知晓率为92%～100%。(2)对卒中高危人群的知晓率为84%～100%,培训后的知晓率为98%～100%。对卒中高危人群进行社区干预的知晓率为86%～96%,培训后的知晓率为94%～98%。对卒中防控知识的知晓率为90%～100%,培训后的知晓率为94%～100%。(3)对卒中早期症状识别知晓率为82%～96%,培训后的知晓率为94%～100%,对发生卒中早期症状转诊的知晓率为88%～98%,培训后为96%～100%。结论目前北京市社区医务人员对卒中的危险因素、早期症状识别、卒中高危人群的社区干预及卒中防控等相关知识存在一定程度的认识不足。经过一定学时的相关知识培训后上述知识的知晓率得到明显提高。需要定期对社区医务人员加强卒中相关知识培训。Objective The purpose of this study was to investigate the cognitive level of community medical staff on the stroke-related knowledge in Beijing communities and to evaluate the training intervention of community medical staff about the stroke-related knowledge. Methods Fangzhuang health service center of Fengtai District in Beijing was selected as our research site. An unified questionnaire-type survey of medical staff was used on the baseline survey before the intervention. The investigation included： （1） community medical staff by sex, age, education background and other general informations; （2） stroke-related knowledge, including knowledge of stroke risk factors, the intervention of high risk groups of stroke, stroke prevention and control knowledge, stroke identification and referral knowledge of early symptoms occurrences. The intervention study was that the community medical staffwas trained about the expertise of stroke. The same questionnaire study to further investigate was used after the end of the training. The cognitions of stroke knowledge before and after the survey were compared to evaluate the intervention. Results Fifty community medical staff were included in the study. （1） The awareness percentage of stroke risk factors was 66% to 100%.After training, the awareness percentage was 94% to 100%. The awareness percentage of prevention and control of risk factors, such as hypertension,diabetes, obesity was 70% to 96%. After training, the awareness percentage was 92% to 100%. （2） The awareness percentage of identification of high risk groups of stroke was 84% to 100%. The awareness rate was 98% to 100% after training. The awareness percentage of community intervention for high stroke risk groups was 86% to 96%. The awareness rate was 94% to 98% after training. The awareness percentage of stroke prevention and control knowledge was 90% to 100%, after training the awareness rate was 94% to 100%. （3） The awareness percentage of early identification of stroke symptoms was 82% to 96

关 键 词：卒中 知识 医务人员 

分 类 号：R473.2[医药卫生—护理学]